Warde lipoprotein (a) at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$8.95
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.
$23.00
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.
$2.53 with WCMG vs $42.30 with Cigna — 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 | $2.53 | ↓ -72% |
| Western Health Advantage | Commercial|All Plans | $8.05 | ↓ -10% |
| Kaiser | Medicaid|All Plans | $9.43 | ↑ +5% |
| Partnership Health Plan | Medicaid|All Plans | $11.51 | ↑ +29% |
| United | Medicaid|< 21 | $11.51 | ↑ +29% |
| United | Medicaid|> 21 | $11.51 | ↑ +29% |
| Blue Shield CA | Commercial|ACO Trio | $12.65 | ↑ +41% |
| Hill Physicians | Medicaid|All Plans | $12.66 | ↑ +41% |
| BCBS - Anthem | Medicare|All Other Plans | $13.50 | ↑ +51% |
| United | Medicare|All Plans | $14.32 | ↑ +60% |
| Aetna | Medicare|All Plans | $14.32 | ↑ +60% |
| Humana | Commercial|All Plans | $14.32 | ↑ +60% |
| Kaiser | Medicare|All Plans | $14.32 | ↑ +60% |
| Blue Shield CA | Medicare|HMO | $14.32 | ↑ +60% |
| Blue Shield CA | Medicare|PPO | $14.32 | ↑ +60% |
| Hill Physicians | Commercial|All Plans | $14.32 | ↑ +60% |
| Hill Physicians | Medicare|All Plans | $14.32 | ↑ +60% |
| BCBS - Anthem | Medicare|Imperial | $14.75 | ↑ +65% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $16.33 | ↑ +82% |
| Blue Shield CA | Commercial|Exchange | $16.56 | ↑ +85% |
| United | Commercial|All Other Plans | $17.18 | ↑ +92% |
| United | Commercial|HMO | $17.18 | ↑ +92% |
| United | Commercial|Non-Options PPO | $17.18 | ↑ +92% |
| First Health | Commercial|All Plans | $17.25 | ↑ +93% |
| Healthsmart | Commercial|All Plans | $17.25 | ↑ +93% |
| Kaiser | Commercial|All Plans | $18.17 | ↑ +103% |
| BCBS - Anthem | Commercial|Connection EPO | $18.40 | ↑ +106% |
| Sutter Health | Commercial|All Plans | $18.40 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $18.86 | ↑ +111% |
| Blue Shield CA | Commercial|PPO Tandem | $20.01 | ↑ +124% |
| Blue Shield CA | Commercial|HMO | $20.70 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $20.70 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $21.16 | ↑ +136% |
| Molina | Medicaid|All Plans | $21.64 | ↑ +142% |
| BCBS - Anthem | Medicaid|All Plans | $21.87 | ↑ +144% |
| Aetna | Commercial|PPO | $23.00 | ↑ +157% |
| Aetna | Commercial|HMO | $23.00 | ↑ +157% |
| BCBS - Anthem | Commercial|All Other Plans | $23.00 | ↑ +157% |
| Aetna | Commercial|All Other Plans | $23.00 | ↑ +157% |
| California Health & Wellness | Medicaid|All Plans | $23.00 | ↑ +157% |
| Health Net | Medicaid|All Plans | $23.00 | ↑ +157% |
| BCBS - Anthem | Commercial|MCS | $23.00 | ↑ +157% |
| Cigna | Commercial|LocalPlus | $31.72 | ↑ +254% |
| Cigna | Commercial|All Other Plans | $42.30 | ↑ +373% |
Visitor-reported prices
Comments
Warde lipoprotein (a) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $7.01 | $4.32 – $38.00 |
| Banner Lassen Medical Center | Susanville | $9.39 | $2.86 – $18.99 |
| Petaluma Valley Hospital | Petaluma | $24.29 | $14.03 – $103.37 |
| Arroyo Grande Hospital | Santa Maria | $24.40 | $8.00 – $36.90 |
| Mark Twain Medical Center | San Andreas | $123.21 | $8.67 – $15.68 |
| French Hospital | San Luis Obispo | $22.35 | $4.32 – $43.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $6.31 | $8.00 – $41.16 |
| Bakersfield Memorial Hospital | Bakersfield | $5.88 | $8.00 – $41.16 |