Transcath occlusion non-cns at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$1,988.57
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.
$5,112.00
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.
$562.32 with WCMG 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 |
|---|---|---|---|
| WCMG | Commercial|All Plans | $562.32 | ↓ -72% |
| United | Medicaid|> 21 | $778.40 | ↓ -61% |
| United | Medicaid|< 21 | $778.40 | ↓ -61% |
| Hill Physicians | Commercial|All Plans | $870.48 | ↓ -56% |
| Hill Physicians | Medicare|All Plans | $894.56 | ↓ -55% |
| Hill Physicians | Medicaid|All Plans | $1,349.73 | ↓ -32% |
| Western Health Advantage | Commercial|All Plans | $1,789.20 | ↓ -10% |
| BCBS - Anthem | Medicaid|All Plans | $1,848.70 | ↓ -7% |
| Kaiser | Medicaid|All Plans | $2,095.92 | ↑ +5% |
| Molina | Medicaid|All Plans | $2,306.82 | ↑ +16% |
| California Health & Wellness | Medicaid|All Plans | $2,895.79 | ↑ +46% |
| Health Net | Medicaid|All Plans | $2,895.79 | ↑ +46% |
| First Health | Commercial|All Plans | $3,834.00 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $3,834.00 | ↑ +93% |
| Kaiser | Commercial|All Plans | $4,038.48 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $4,089.60 | ↑ +106% |
| Partnership Health Plan | Medicaid|All Plans | $4,183.89 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $4,191.84 | ↑ +111% |
| BCBS - Anthem | Medicare|All Other Plans | $4,820.62 | ↑ +142% |
| Blue Shield CA | Medicare|PPO | $5,112.00 | ↑ +157% |
| Aetna | Medicare|All Plans | $5,112.00 | ↑ +157% |
| Humana | Commercial|All Plans | $5,112.00 | ↑ +157% |
| United | Commercial|Non-Options PPO | $5,112.00 | ↑ +157% |
| BCBS - Anthem | Medicare|Imperial | $5,265.36 | ↑ +165% |
| Blue Shield CA | Commercial|ACO Trio | $8,272.00 | ↑ +316% |
| BCBS - Anthem | Commercial|Connection EPO | $9,757.00 | ↑ +391% |
| Blue Shield CA | Commercial|Exchange | $10,411.00 | ↑ +424% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $10,540.00 | ↑ +430% |
| BCBS - Anthem | Commercial|All Other Plans | $12,196.00 | ↑ +513% |
| Health Net | Commercial|EPPO | $14,045.00 | ↑ +606% |
| United | Medicare|All Plans | $14,902.64 | ↑ +649% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +649% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +649% |
| Blue Shield CA | Commercial|PPO Tandem | $15,238.00 | ↑ +666% |
| Blue Shield CA | Commercial|HMO | $15,443.00 | ↑ +677% |
| Aetna | Commercial|All Other Plans | $16,010.00 | ↑ +705% |
| Aetna | Commercial|HMO | $16,010.00 | ↑ +705% |
| Aetna | Commercial|PPO | $16,010.00 | ↑ +705% |
| Blue Shield CA | Commercial|CalPers | $16,437.00 | ↑ +727% |
| BCBS - Anthem | Commercial|MCS | $17,074.00 | ↑ +759% |
| Blue Shield CA | Commercial|All Other Plans | $18,143.00 | ↑ +812% |
| Health Net | Commercial|FFS | $26,891.00 | ↑ +1252% |
Visitor-reported prices
Comments
Transcath occlusion non-cns at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7,865.61 | $957.43 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $10,952.52 | $778.40 – $25,078.20 |
| French Hospital | San Luis Obispo | $10,031.28 | $778.40 – $25,078.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $15,981.94 | $778.40 – $34,462.40 |
| Bakersfield Memorial Hospital | Bakersfield | $16,545.10 | $778.40 – $35,614.78 |
| St. Joseph's Medical Center Stockton | Stockton | $11,063.22 | $778.40 – $27,336.96 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,329.60 | $12,620.59 – $27,468.35 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $12,224.72 | $1,323.28 – $15,398.74 |