Unlisted procedure spine at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$10,937.91
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.
$28,118.00
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.
$297.26 with BCBS - Anthem vs $28,118.00 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 |
|---|---|---|---|
| BCBS - Anthem | Medicare|All Other Plans | $297.26 | ↓ -97% |
| Humana | Commercial|All Plans | $315.23 | ↓ -97% |
| Blue Shield CA | Medicare|PPO | $315.23 | ↓ -97% |
| Blue Shield CA | Medicare|HMO | $315.23 | ↓ -97% |
| Kaiser | Medicare|All Plans | $315.23 | ↓ -97% |
| Aetna | Medicare|All Plans | $315.23 | ↓ -97% |
| United | Medicare|All Plans | $315.23 | ↓ -97% |
| BCBS - Anthem | Medicare|Imperial | $324.69 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $1,685.00 | ↓ -85% |
| Molina | Medicaid|All Plans | $2,504.00 | ↓ -77% |
| Blue Shield CA | Commercial|ACO Trio | $2,771.00 | ↓ -75% |
| Health Net | Commercial|EPPO | $3,057.00 | ↓ -72% |
| WCMG | Commercial|All Plans | $3,092.98 | ↓ -72% |
| Blue Shield CA | Commercial|Exchange | $3,487.00 | ↓ -68% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $3,531.00 | ↓ -68% |
| Blue Shield CA | Commercial|PPO Tandem | $5,104.00 | ↓ -53% |
| Blue Shield CA | Commercial|HMO | $5,173.00 | ↓ -53% |
| Blue Shield CA | Commercial|CalPers | $5,506.00 | ↓ -50% |
| Aetna | Commercial|All Other Plans | $5,717.00 | ↓ -48% |
| Aetna | Commercial|HMO | $5,717.00 | ↓ -48% |
| Aetna | Commercial|PPO | $5,717.00 | ↓ -48% |
| Health Net | Commercial|FFS | $5,853.00 | ↓ -46% |
| Blue Shield CA | Commercial|All Other Plans | $6,078.00 | ↓ -44% |
| Western Health Advantage | Commercial|All Plans | $9,841.30 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $11,528.38 | ↑ +5% |
| Health Net | Medicaid|All Plans | $14,059.00 | ↑ +29% |
| California Health & Wellness | Medicaid|All Plans | $14,059.00 | ↑ +29% |
| First Health | Commercial|All Plans | $21,088.50 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $21,088.50 | ↑ +93% |
| Kaiser | Commercial|All Plans | $22,213.22 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $22,494.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $23,056.76 | ↑ +111% |
| United | Commercial|Non-Options PPO | $28,118.00 | ↑ +157% |
Visitor-reported prices
Comments
Unlisted procedure spine at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence St Joseph Hospital Orange | Orange | $3,698.40 | $269.67 – $4,971.00 |
| Mercy San Juan Medical Center | Carmichael | $7,704.34 | $297.26 – $23,337.94 |
| Mercy General Hospital | Sacramento | $6,129.73 | $297.26 – $28,118.00 |
| Woodland Memorial Hospital | Woodland | $7,704.34 | $297.26 – $28,118.00 |
| Methodist Hospital of Sacramento | Sacramento | $8,097.99 | $297.26 – $23,337.94 |
| St. John's Camarillo Hospital | Camarillo | not published | $304.79 – $519.60 |
| Petaluma Valley Hospital | Petaluma | not published | $332.41 – $1,921.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $304.79 – $304.79 |