Rsv assay w/optic at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$61.86
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.
?
What you pay up front if you don't use insurance.
$159.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.57 with United vs $159.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.57 | ↓ -86% |
| Partnership Health Plan | Medicaid|All Plans | $8.57 | ↓ -86% |
| United | Medicaid|< 21 | $8.57 | ↓ -86% |
| Hill Physicians | Medicaid|All Plans | $9.43 | ↓ -85% |
| BCBS - Anthem | Medicare|All Other Plans | $12.35 | ↓ -80% |
| Aetna | Medicare|All Plans | $13.10 | ↓ -79% |
| Hill Physicians | Medicare|All Plans | $13.10 | ↓ -79% |
| Blue Shield CA | Medicare|PPO | $13.10 | ↓ -79% |
| Hill Physicians | Commercial|All Plans | $13.10 | ↓ -79% |
| Kaiser | Medicare|All Plans | $13.10 | ↓ -79% |
| United | Medicare|All Plans | $13.10 | ↓ -79% |
| Humana | Commercial|All Plans | $13.10 | ↓ -79% |
| Blue Shield CA | Medicare|HMO | $13.10 | ↓ -79% |
| BCBS - Anthem | Medicare|Imperial | $13.49 | ↓ -78% |
| United | Commercial|All Other Plans | $15.72 | ↓ -75% |
| United | Commercial|HMO | $15.72 | ↓ -75% |
| United | Commercial|Non-Options PPO | $15.72 | ↓ -75% |
| Molina | Medicaid|All Plans | $16.11 | ↓ -74% |
| BCBS - Anthem | Medicaid|All Plans | $16.28 | ↓ -74% |
| WCMG | Commercial|All Plans | $17.49 | ↓ -72% |
| Health Net | Medicaid|All Plans | $20.23 | ↓ -67% |
| California Health & Wellness | Medicaid|All Plans | $20.23 | ↓ -67% |
| Cigna | Commercial|LocalPlus | $29.03 | ↓ -53% |
| Cigna | Commercial|All Other Plans | $38.71 | ↓ -37% |
| Western Health Advantage | Commercial|All Plans | $55.65 | ↓ -10% |
| Aetna | Commercial|PPO | $63.80 | ↑ +3% |
| Aetna | Commercial|HMO | $63.80 | ↑ +3% |
| Aetna | Commercial|All Other Plans | $63.80 | ↑ +3% |
| Kaiser | Medicaid|All Plans | $65.19 | ↑ +5% |
| Blue Shield CA | Commercial|ACO Trio | $87.45 | ↑ +41% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $112.89 | ↑ +82% |
| Blue Shield CA | Commercial|Exchange | $114.48 | ↑ +85% |
| BCBS - Anthem | Commercial|Connection EPO | $118.71 | ↑ +92% |
| Healthsmart | Commercial|All Plans | $119.25 | ↑ +93% |
| First Health | Commercial|All Plans | $119.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $125.61 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $127.20 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $130.38 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $138.33 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $143.10 | ↑ +131% |
| Blue Shield CA | Commercial|HMO | $143.10 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $146.28 | ↑ +136% |
| BCBS - Anthem | Commercial|All Other Plans | $148.45 | ↑ +140% |
| BCBS - Anthem | Commercial|MCS | $159.00 | ↑ +157% |
Visitor-reported prices
Comments
Rsv assay w/optic at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $53.88 | $12.96 – $95.94 |
| Banner Lassen Medical Center | Susanville | $22.32 | $2.62 – $38.80 |
| Mark Twain Medical Center | San Andreas | $22.65 | $8.57 – $32.10 |
| Redwood Memorial Hospital | Fortuna | $21.42 | $106.73 – $106.73 |
| Sierra Nevada Memorial Hospital | Grass Valley | $76.30 | $8.57 – $37.24 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $289.10 | $13.10 – $26.20 |
| Sequoia Hospital | Redwood City | $157.98 | $8.57 – $355.88 |
| California Hospital Medical Center | Los Angeles | $19.40 | $7.71 – $42.85 |