Whfo nontorsion joint prefab at Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
$116.70
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.
$300.00
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.
$33.00 with WCMG vs $297.00 with BCBS - Anthem — 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 | $33.00 | ↓ -72% |
| Kaiser | Medicaid|All Plans | $69.00 | ↓ -41% |
| Kaiser | Commercial|All Plans | $69.00 | ↓ -41% |
| Kaiser | Medicare|All Plans | $69.00 | ↓ -41% |
| BCBS - Anthem | Medicaid|All Plans | $72.00 | ↓ -38% |
| Partnership Health Plan | Medicaid|All Plans | $75.00 | ↓ -36% |
| Molina | Medicaid|All Plans | $78.00 | ↓ -33% |
| California Health & Wellness | Medicaid|All Plans | $87.00 | ↓ -25% |
| Health Net | Medicaid|All Plans | $87.00 | ↓ -25% |
| Health Net | Commercial|EPPO | $120.00 | ↑ +3% |
| Cigna | Commercial|LocalPlus | $120.00 | ↑ +3% |
| United | Medicaid|< 21 | $146.94 | ↑ +26% |
| United | Medicaid|> 21 | $146.94 | ↑ +26% |
| Cigna | Commercial|All Other Plans | $159.00 | ↑ +36% |
| Hill Physicians | Medicaid|All Plans | $161.63 | ↑ +39% |
| United | Commercial|Non-Options PPO | $192.00 | ↑ +65% |
| Western Health Advantage | Commercial|All Plans | $195.00 | ↑ +67% |
| United | Commercial|HMO | $198.00 | ↑ +70% |
| United | Commercial|All Other Plans | $204.00 | ↑ +75% |
| Blue Shield CA | Commercial|ACO Trio | $210.00 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $225.00 | ↑ +93% |
| Health Net | Commercial|FFS | $225.00 | ↑ +93% |
| First Health | Commercial|All Plans | $225.00 | ↑ +93% |
| BCBS - Anthem | Commercial|Connection EPO | $237.00 | ↑ +103% |
| Sutter Health | Commercial|All Plans | $240.00 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $246.00 | ↑ +111% |
| Blue Shield CA | Commercial|Exchange | $255.00 | ↑ +119% |
| Blue Shield CA | Commercial|ACO Trio CalPers | $255.00 | ↑ +119% |
| Blue Shield CA | Commercial|HMO | $270.00 | ↑ +131% |
| Blue Shield CA | Commercial|All Other Plans | $270.00 | ↑ +131% |
| Blue Shield CA | Commercial|PPO Tandem | $270.00 | ↑ +131% |
| Blue Shield CA | Commercial|CalPers | $276.00 | ↑ +137% |
| Aetna | Commercial|HMO | $288.00 | ↑ +147% |
| Aetna | Commercial|All Other Plans | $288.00 | ↑ +147% |
| Aetna | Commercial|PPO | $288.00 | ↑ +147% |
| BCBS - Anthem | Commercial|MCS | $297.00 | ↑ +154% |
| BCBS - Anthem | Commercial|All Other Plans | $297.00 | ↑ +154% |
Visitor-reported prices
Comments
Whfo nontorsion joint prefab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $50.09 | $25.00 – $100.00 |
| Bakersfield Memorial Hospital | Bakersfield | $49.55 | $25.00 – $100.00 |
| St. Joseph's Medical Center Stockton | Stockton | $35.87 | $23.40 – $90.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $256.74 | $79.20 – $323.40 |
| Mercy Medical Center Merced | Merced | $41.72 | $18.40 – $80.00 |
| Dominican Hospital | Santa Cruz | $228.60 | $146.94 – $389.00 |
| St. Mary Medical Center | Long Beach | $322.50 | $88.00 – $734.70 |
| Providence Saint Joseph Medical Center | Burbank | $84.35 | $261.73 – $484.20 |