Skyla, 13.5 mg at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,845.81
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.
$4,745.00
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.
$521.95 with WCMG vs $3,890.90 with MultiPlan — 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $521.95 | ↓ -72% |
| Health Net | Commercial|EPPO | $670.40 | ↓ -64% |
| BCBS - Anthem | Commercial|Connection EPO | $707.93 | ↓ -62% |
| Western Health Advantage | Commercial|All Plans | $857.48 | ↓ -54% |
| BCBS - Anthem | Commercial|All Other Plans | $884.91 | ↓ -52% |
| United | Medicaid|> 21 | $1,011.38 | ↓ -45% |
| United | Medicaid|< 21 | $1,011.38 | ↓ -45% |
| Blue Shield CA | Commercial|CalPers | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|PPO Tandem | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|All Other Plans | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|HMO | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|ACO Trio | $1,213.66 | ↓ -34% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,213.66 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $1,236.07 | ↓ -33% |
| Health Net | Commercial|FFS | $1,335.03 | ↓ -28% |
| United | Commercial|Non-Options PPO | $1,647.49 | ↓ -11% |
| BCBS - Anthem | Medicaid|All Plans | $1,742.97 | ↓ -6% |
| United | Commercial|HMO | $1,907.17 | ↑ +3% |
| United | Commercial|All Other Plans | $1,907.17 | ↑ +3% |
| Kaiser | Medicaid|All Plans | $1,945.45 | ↑ +5% |
| Cigna | Commercial|LocalPlus | $2,399.52 | ↑ +30% |
| Aetna | Commercial|All Other Plans | $2,623.93 | ↑ +42% |
| Aetna | Commercial|HMO | $2,623.93 | ↑ +42% |
| Aetna | Commercial|PPO | $2,623.93 | ↑ +42% |
| Cigna | Commercial|All Other Plans | $3,200.05 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $3,558.75 | ↑ +93% |
| First Health | Commercial|All Plans | $3,558.75 | ↑ +93% |
| Kaiser | Commercial|All Plans | $3,748.55 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $3,796.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $3,890.90 | ↑ +111% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $3,300.54 | $1,011.38 – $4,856.65 |
| Northridge Hospital Medical Center | Northridge | $840.63 | $602.60 – $4,642.23 |
| Mercy San Juan Medical Center | Carmichael | $1,300.13 | $521.95 – $3,938.35 |
| Mercy General Hospital | Sacramento | $1,034.41 | $832.22 – $3,796.00 |
| Woodland Memorial Hospital | Woodland | $1,300.13 | $521.95 – $4,745.00 |
| Methodist Hospital of Sacramento | Sacramento | $1,366.56 | $857.48 – $2,591.26 |
| Providence Saint John's Health Center | Santa Monica | $436.84 | $1,031.61 – $2,609.37 |
| Petaluma Valley Hospital | Petaluma | not published | $865.39 – $2,609.37 |