Thrombectomy/inf pq dialysis circuit w/pta at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$10,412.37
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.
$26,767.00
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.
$424.43 with Hill Physicians vs $26,891.00 with Health Net — 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 |
|---|---|---|---|
| Hill Physicians | Commercial|All Plans | $424.43 | ↓ -96% |
| United | Medicaid|< 21 | $2,072.22 | ↓ -80% |
| United | Medicaid|> 21 | $2,072.22 | ↓ -80% |
| Hill Physicians | Medicaid|All Plans | $2,279.44 | ↓ -78% |
| WCMG | Commercial|All Plans | $2,569.71 | ↓ -75% |
| Hill Physicians | Medicare|All Plans | $2,722.19 | ↓ -74% |
| Molina | Medicaid|All Plans | $3,895.77 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $3,937.22 | ↓ -62% |
| Health Net | Medicaid|All Plans | $4,890.44 | ↓ -53% |
| California Health & Wellness | Medicaid|All Plans | $4,890.44 | ↓ -53% |
| Western Health Advantage | Commercial|All Plans | $8,176.35 | ↓ -21% |
| Partnership Health Plan | Medicaid|All Plans | $8,910.55 | ↓ -14% |
| Kaiser | Medicaid|All Plans | $9,578.01 | ↓ -8% |
| BCBS - Anthem | Commercial|Connection EPO | $9,757.00 | ↓ -6% |
| Blue Shield CA | Commercial|ACO Trio | $11,133.00 | ↑ +7% |
| BCBS - Anthem | Commercial|All Other Plans | $12,196.00 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $14,011.00 | ↑ +35% |
| Health Net | Commercial|EPPO | $14,045.00 | ↑ +35% |
| BCBS - Anthem | Medicare|All Other Plans | $14,053.19 | ↑ +35% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,185.00 | ↑ +36% |
| Humana | Commercial|All Plans | $14,902.64 | ↑ +43% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +43% |
| United | Medicare|All Plans | $14,902.64 | ↑ +43% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +43% |
| Blue Shield CA | Medicare|PPO | $14,902.64 | ↑ +43% |
| Aetna | Medicare|All Plans | $14,902.64 | ↑ +43% |
| BCBS - Anthem | Medicare|Imperial | $15,349.72 | ↑ +47% |
| BCBS - Anthem | Commercial|MCS | $17,074.00 | ↑ +64% |
| First Health | Commercial|All Plans | $17,520.75 | ↑ +68% |
| Healthsmart | Commercial|All Plans | $17,520.75 | ↑ +68% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +76% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +76% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +76% |
| Kaiser | Commercial|All Plans | $18,455.19 | ↑ +77% |
| Sutter Health | Commercial|All Plans | $18,688.80 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $19,156.02 | ↑ +84% |
| Blue Shield CA | Commercial|PPO Tandem | $20,508.00 | ↑ +97% |
| Blue Shield CA | Commercial|HMO | $20,784.00 | ↑ +100% |
| Blue Shield CA | Commercial|CalPers | $22,121.00 | ↑ +112% |
| United | Commercial|Non-Options PPO | $23,361.00 | ↑ +124% |
| Blue Shield CA | Commercial|All Other Plans | $24,418.00 | ↑ +135% |
| Health Net | Commercial|FFS | $26,891.00 | ↑ +158% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,267.60 | $3,135.06 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $15,353.65 | $2,072.22 – $33,749.24 |
| French Hospital | San Luis Obispo | $13,640.43 | $2,072.22 – $32,694.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,247.24 | $2,072.22 – $19,361.60 |
| Bakersfield Memorial Hospital | Bakersfield | $11,032.76 | $2,072.22 – $19,119.58 |
| Queen of The Valley Medical Center | Napa | $18,771.57 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,046.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,929.43 | $0.80 – $19,330.08 |