Repos lv lead pm/icd at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$5,127.41
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$13,181.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$268.80 with United vs $17,074.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | Medicaid|> 21 | $268.80 | ↓ -95% |
| United | Medicaid|< 21 | $268.80 | ↓ -95% |
| Hill Physicians | Medicaid|All Plans | $295.68 | ↓ -94% |
| Hill Physicians | Commercial|All Plans | $466.03 | ↓ -91% |
| Hill Physicians | Medicare|All Plans | $498.93 | ↓ -90% |
| Molina | Medicaid|All Plans | $505.34 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $510.76 | ↓ -90% |
| Health Net | Medicaid|All Plans | $634.37 | ↓ -88% |
| California Health & Wellness | Medicaid|All Plans | $634.37 | ↓ -88% |
| Partnership Health Plan | Medicaid|All Plans | $1,155.84 | ↓ -77% |
| WCMG | Commercial|All Plans | $1,449.91 | ↓ -72% |
| BCBS - Anthem | Medicare|All Other Plans | $3,900.37 | ↓ -24% |
| Humana | Commercial|All Plans | $4,136.13 | ↓ -19% |
| Aetna | Medicare|All Plans | $4,136.13 | ↓ -19% |
| United | Medicare|All Plans | $4,136.13 | ↓ -19% |
| Kaiser | Medicare|All Plans | $4,136.13 | ↓ -19% |
| Blue Shield CA | Medicare|HMO | $4,136.13 | ↓ -19% |
| Blue Shield CA | Medicare|PPO | $4,136.13 | ↓ -19% |
| Blue Shield CA | Commercial|ACO Trio | $4,238.00 | ↓ -17% |
| BCBS - Anthem | Medicare|Imperial | $4,260.21 | ↓ -17% |
| Western Health Advantage | Commercial|All Plans | $4,613.35 | ↓ -10% |
| Blue Shield CA | Commercial|Exchange | $5,334.00 | ↑ +4% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $5,400.00 | ↑ +5% |
| Kaiser | Medicaid|All Plans | $5,404.21 | ↑ +5% |
| Blue Shield CA | Commercial|PPO Tandem | $7,807.00 | ↑ +52% |
| Blue Shield CA | Commercial|HMO | $7,912.00 | ↑ +54% |
| Blue Shield CA | Commercial|CalPers | $8,421.00 | ↑ +64% |
| Aetna | Commercial|HMO | $9,148.00 | ↑ +78% |
| Aetna | Commercial|All Other Plans | $9,148.00 | ↑ +78% |
| Aetna | Commercial|PPO | $9,148.00 | ↑ +78% |
| Blue Shield CA | Commercial|All Other Plans | $9,295.00 | ↑ +81% |
| BCBS - Anthem | Commercial|Connection EPO | $9,757.00 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $9,885.75 | ↑ +93% |
| First Health | Commercial|All Plans | $9,885.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $10,412.99 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $10,544.80 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $10,808.42 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $12,196.00 | ↑ +138% |
| Health Net | Commercial|FFS | $12,547.00 | ↑ +145% |
| United | Commercial|Non-Options PPO | $13,181.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $17,074.00 | ↑ +233% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,969.69 | $406.66 – $7,477.22 |
| Arroyo Grande Hospital | Santa Maria | $3,234.83 | $268.80 – $7,406.84 |
| French Hospital | San Luis Obispo | $3,014.48 | $268.80 – $7,536.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $268.80 – $5,111.30 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,827.21 | $268.80 – $5,220.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,198.43 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,898.88 | $3,451.89 – $7,908.00 |