Tc-99m pentetate dtpa at Mercy Hospital of Folsom

1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$35.79

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$92.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$10.12 with WCMG vs $99.14 with Cigna — 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 →

Payer
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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
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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 $10.12 ↓ -72%
United Medicaid|< 21 $13.00 ↓ -64%
Partnership Health Plan Medicaid|All Plans $13.00 ↓ -64%
United Medicaid|> 21 $13.00 ↓ -64%
Hill Physicians Medicaid|All Plans $14.30 ↓ -60%
BCBS - Anthem Commercial|Connection EPO $16.38 ↓ -54%
BCBS - Anthem Commercial|All Other Plans $20.48 ↓ -43%
Molina Medicaid|All Plans $24.44 ↓ -32%
BCBS - Anthem Medicaid|All Plans $24.70 ↓ -31%
BCBS - Anthem Commercial|MCS $28.60 ↓ -20%
Health Net Medicaid|All Plans $30.68 ↓ -14%
California Health & Wellness Medicaid|All Plans $30.68 ↓ -14%
Western Health Advantage Commercial|All Plans $32.20 ↓ -10%
Kaiser Medicaid|All Plans $37.72 ↑ +5%
United Commercial|All Other Plans $41.63 ↑ +16%
United Commercial|HMO $41.63 ↑ +16%
United Commercial|Non-Options PPO $51.96 ↑ +45%
Healthsmart Commercial|All Plans $69.00 ↑ +93%
First Health Commercial|All Plans $69.00 ↑ +93%
Kaiser Commercial|All Plans $72.68 ↑ +103%
Sutter Health Commercial|All Plans $73.60 ↑ +106%
Cigna Commercial|LocalPlus $74.34 ↑ +108%
MultiPlan Commercial|All Plans $75.44 ↑ +111%
Cigna Commercial|All Other Plans $99.14 ↑ +177%

Visitor-reported prices

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Tc-99m pentetate dtpa at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $136.66 $19.67 – $243.36
Redwood City Medical Center Redwood City $225.52 $36.00 – $36.00
Santa Clara Medical Center SANTA CLARA $225.52 $36.00 – $36.00
Baldwin Park Medical Center BALDWIN PARK $209.41 $32.00 – $32.00
Riverside Medical Center RIVERSIDE $209.41 $32.00 – $32.00
Banner Lassen Medical Center Susanville $240.46 $21.45 – $334.65
Sacramento Medical Center SACRAMENTO $225.52 $36.00 – $36.00
Oakland Medical Center Oakland $225.52 $36.00 – $36.00

All California hospitals for this procedure →