Therapy nutrition individual initial f2f w/patient each 15 minutes at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$93.75
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.
$241.00
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.
$11.00 with WCMG vs $27,872.00 with United — 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 | $11.00 | ↓ -88% |
| United | Medicaid|> 21 | $30.35 | ↓ -68% |
| United | Medicaid|< 21 | $30.35 | ↓ -68% |
| Hill Physicians | Medicaid|All Plans | $33.39 | ↓ -64% |
| Hill Physicians | Commercial|All Plans | $33.99 | ↓ -64% |
| Western Health Advantage | Commercial|All Plans | $35.00 | ↓ -63% |
| BCBS - Anthem | Medicare|All Other Plans | $36.64 | ↓ -61% |
| Humana | Commercial|All Plans | $38.85 | ↓ -59% |
| Aetna | Medicare|All Plans | $38.85 | ↓ -59% |
| United | Medicare|All Plans | $38.85 | ↓ -59% |
| Kaiser | Medicare|All Plans | $38.85 | ↓ -59% |
| Blue Shield CA | Medicare|HMO | $38.85 | ↓ -59% |
| Blue Shield CA | Medicare|PPO | $38.85 | ↓ -59% |
| Hill Physicians | Medicare|All Plans | $39.53 | ↓ -58% |
| BCBS - Anthem | Medicare|Imperial | $40.02 | ↓ -57% |
| Kaiser | Medicaid|All Plans | $41.00 | ↓ -56% |
| Molina | Medicaid|All Plans | $57.06 | ↓ -39% |
| BCBS - Anthem | Medicaid|All Plans | $57.67 | ↓ -38% |
| Health Net | Medicaid|All Plans | $71.63 | ↓ -24% |
| California Health & Wellness | Medicaid|All Plans | $71.63 | ↓ -24% |
| First Health | Commercial|All Plans | $75.00 | ↓ -20% |
| Healthsmart | Commercial|All Plans | $75.00 | ↓ -20% |
| Kaiser | Commercial|All Plans | $79.00 | ↓ -16% |
| Sutter Health | Commercial|All Plans | $80.00 | ↓ -15% |
| MultiPlan | Commercial|All Plans | $82.00 | ↓ -13% |
| Partnership Health Plan | Medicaid|All Plans | $100.00 | ↑ +7% |
| United | Commercial|Non-Options PPO | $100.00 | ↑ +7% |
| United | Commercial|HMO | $13,336.00 | ↑ +14125% |
| United | Commercial|All Other Plans | $27,872.00 | ↑ +29630% |
Visitor-reported prices
Comments
Therapy nutrition individual initial f2f w/patient each 15 minutes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $78.76 | $30.35 – $166.60 |
| Mark Twain Medical Center | San Andreas | $123.21 | $9.32 – $35.28 |
| Bakersfield Memorial Hospital | Bakersfield | $69.73 | $30.35 – $150.10 |
| Queen of The Valley Medical Center | Napa | $186.15 | $28.40 – $28.40 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $80.64 | $24.25 – $52.78 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $27.23 | $8.40 – $35.00 |
| Dominican Hospital | Santa Cruz | $99.45 | $30.35 – $187.85 |
| Sierra Nevada Memorial Hospital | Grass Valley | $18.53 | $22.78 – $37.36 |