Valvuloplasty mitral at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$5,083.07
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.
$13,067.00
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.
$1,197.84 with United vs $24,418.00 with Blue Shield CA — 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 |
|---|---|---|---|
| United | Medicaid|> 21 | $1,197.84 | ↓ -76% |
| United | Medicaid|< 21 | $1,197.84 | ↓ -76% |
| Hill Physicians | Commercial|All Plans | $1,313.44 | ↓ -74% |
| Hill Physicians | Medicare|All Plans | $1,374.41 | ↓ -73% |
| WCMG | Commercial|All Plans | $1,437.37 | ↓ -72% |
| Hill Physicians | Medicaid|All Plans | $2,088.92 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $2,844.87 | ↓ -44% |
| Molina | Medicaid|All Plans | $3,570.16 | ↓ -30% |
| California Health & Wellness | Medicaid|All Plans | $4,481.69 | ↓ -12% |
| Health Net | Medicaid|All Plans | $4,481.69 | ↓ -12% |
| Western Health Advantage | Commercial|All Plans | $4,573.45 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $5,357.47 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $6,438.38 | ↑ +27% |
| Healthsmart | Commercial|All Plans | $9,800.25 | ↑ +93% |
| First Health | Commercial|All Plans | $9,800.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $10,322.93 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $10,453.60 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $10,714.94 | ↑ +111% |
| BCBS - Anthem | Commercial|Connection EPO | $10,958.00 | ↑ +116% |
| Blue Shield CA | Commercial|ACO Trio | $11,133.00 | ↑ +119% |
| BCBS - Anthem | Medicare|All Other Plans | $12,322.19 | ↑ +142% |
| Humana | Commercial|All Plans | $13,067.00 | ↑ +157% |
| Aetna | Medicare|All Plans | $13,067.00 | ↑ +157% |
| United | Commercial|Non-Options PPO | $13,067.00 | ↑ +157% |
| Blue Shield CA | Medicare|PPO | $13,067.00 | ↑ +157% |
| BCBS - Anthem | Medicare|Imperial | $13,459.01 | ↑ +165% |
| BCBS - Anthem | Commercial|All Other Plans | $13,697.00 | ↑ +169% |
| Blue Shield CA | Commercial|Exchange | $14,011.00 | ↑ +176% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,185.00 | ↑ +179% |
| United | Medicare|All Plans | $14,902.64 | ↑ +193% |
| Blue Shield CA | Medicare|HMO | $14,902.64 | ↑ +193% |
| Kaiser | Medicare|All Plans | $14,902.64 | ↑ +193% |
| Aetna | Commercial|HMO | $18,293.00 | ↑ +260% |
| Aetna | Commercial|PPO | $18,293.00 | ↑ +260% |
| Aetna | Commercial|All Other Plans | $18,293.00 | ↑ +260% |
| BCBS - Anthem | Commercial|MCS | $19,176.00 | ↑ +277% |
| Blue Shield CA | Commercial|PPO Tandem | $20,508.00 | ↑ +303% |
| Blue Shield CA | Commercial|HMO | $20,784.00 | ↑ +309% |
| Blue Shield CA | Commercial|CalPers | $22,121.00 | ↑ +335% |
| Blue Shield CA | Commercial|All Other Plans | $24,418.00 | ↑ +380% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $16,335.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $5,950.23 | $1,473.34 – $26,644.42 |
| Antioch Medical Center | ANTIOCH | $16,335.20 | not published |
| Redwood City Medical Center | Redwood City | $16,335.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $16,335.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $11,377.60 | not published |
| Riverside Medical Center | RIVERSIDE | $11,377.60 | not published |
| Fremont Medical Center | FREMONT | $16,335.20 | not published |