Mercy Hospital of Folsom
1650 Creekside Dr, Folsom, CA · CommonSpirit Health · · NPI 1356389878
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,658.99 – $6,425.96 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $145.08 – $5,032.06 | 10 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,323.77 | $3,403.00 | $4.76 – $41.00 | 15 |
| Desoxycorticosterone CPT 82633 | $13.13 | $33.73 | $3.72 – $68.62 | 18 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $360.21 – $1,504.83 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $1,943.45 | $4,996.00 | $549.56 – $4,996.00 | 14 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,035.42 – $4,083.88 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $50.41 – $270.96 | 10 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $75.62 – $406.47 | 10 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $90.57 – $486.83 | 10 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $55.12 – $296.25 | 10 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $65.36 – $351.32 | 10 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $77.76 – $417.94 | 10 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $43.15 – $261.11 | 10 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $50.41 – $270.96 | 10 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $69.63 – $374.27 | 10 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $79.04 – $424.85 | 10 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,891.83 | $7,434.00 | $196.87 – $5,079.90 | 17 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,927.89 | $4,956.00 | $67.07 – $4,063.92 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $120.90 – $1,549.43 | 10 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $58.70 – $429.41 | 10 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $140.71 – $2,403.79 | 10 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $114.84 – $2,403.79 | 10 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $89.60 – $727.94 | 10 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $362.71 – $1,949.56 | 10 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $212.76 – $1,143.59 | 10 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $549.07 – $4,232.12 | 10 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.09 – $66.96 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $108.08 – $2,403.79 | 10 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $187.78 – $3,603.77 | 10 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $104.67 – $562.58 | 10 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $74.23 – $615.44 | 10 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $112.79 – $1,169.93 | 10 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,927.89 | $4,956.00 | $58.88 – $4,063.92 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,891.83 | $7,434.00 | $197.06 – $5,079.90 | 17 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.06 – $2,997.11 | 10 |
| Destruction ciliary body CPT 66720 | not published | not published | $290.51 – $3,065.74 | 10 |
| Destruction ciliary body CPT 66740 | not published | not published | $407.25 – $3,065.74 | 10 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $548.82 | 10 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $3,603.77 | 10 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $156.98 – $3,065.74 | 10 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $525.02 | 10 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $620.00 | 10 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $525.02 | 10 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $558.01 | 10 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $525.02 | 10 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $182.11 – $2,403.79 | 10 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $102.94 – $890.96 | 10 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $3,603.77 | 10 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $133.73 – $4,178.22 | 10 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $84.31 – $4,178.22 | 10 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $102.48 – $2,403.79 | 10 |
| Device ablt adv novasure HCPCS C1886 | $11,601.93 | $29,825.00 | $237.05 – $2,068.80 | 16 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,278.73 | $13,570.00 | $1,147.85 – $10,017.60 | 16 |
| Device intraute mirena HCPCS J7298 | $1,312.88 | $3,375.00 | $250.03 – $2,881.75 | 13 |
| Device sut capio slim opn HCPCS C2631 | $3,121.73 | $8,025.00 | $182.05 – $1,588.80 | 16 |
| Device tiss remov myosure reach HCPCS C1782 | $3,121.73 | $8,025.00 | $182.05 – $1,655.00 | 8 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.51 | $9.00 | $0.04 – $7.38 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $19.45 | $50.00 | $0.10 – $0.82 | 14 |
| Dextran 40 infusion HCPCS J7100 | $48.24 | $124.00 | $12.10 – $110.00 | 13 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $30.35 | $78.00 | $1.21 – $49.20 | 14 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $23.34 | $60.00 | $1.05 – $49.20 | 13 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $201.90 | $519.00 | $1.82 – $49.20 | 14 |
| Dextrose 5 % IV bolus HCPCS J7070 | $30.35 | $78.00 | $3.64 – $49.20 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $211.62 | $544.00 | $0.55 – $21.50 | 18 |
| Diab manage trn ind/group HCPCS G0109 | $63.41 | $163.00 | $12.26 – $133.66 | 17 |
| Diag bronchoscope/catheter CPT 31643 | $1,837.64 | $4,724.00 | $167.04 – $3,873.68 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.73 – $7,666.93 | 10 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $94.71 – $524.38 | 5 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $124.45 – $1,549.43 | 5 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $169.39 | 10 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $52.33 – $365.14 | 10 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $256.74 | $660.00 | $71.55 – $541.20 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $848.41 | $2,181.00 | $190.14 – $2,181.00 | 14 |
| Dialysis one evaluation CPT 90945 | $949.55 | $2,441.00 | $82.81 – $1,821.22 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $98.42 | $253.00 | $0.07 – $0.82 | 15 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $46.30 | $119.00 | $3.60 – $41.00 | 14 |
| Dicyclomine injection HCPCS J0500 | $157.16 | $404.00 | $7.59 – $62.32 | 14 |
| Diffusing capacity CPT 94729 | $252.08 | $648.00 | $52.90 – $531.36 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $245.46 | $631.00 | $1.91 – $41.00 | 14 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,687.72 | $9,480.00 | $687.89 – $11,556.92 | 15 |
| Digoxin total therapeutic drug level CPT 80162 | $171.94 | $442.00 | $11.80 – $362.44 | 18 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $2,197.47 | $5,649.00 | $15.40 – $199.45 | 14 |
| Dilate biliary duct/ampulla CPT 47542 | $825.85 | $2,123.00 | $131.24 – $2,018.72 | 14 |
| Dilate esophagus CPT 43453 | not published | not published | $87.81 – $2,492.83 | 10 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $1,232.05 | 10 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $854.30 – $854.30 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $84.61 – $842.72 | 10 |
| Dilate urethra stricture CPT 53600 | not published | not published | $63.56 – $537.35 | 10 |
| Dilate urethra stricture CPT 53601 | not published | not published | $53.45 – $507.50 | 10 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $4,532.29 | 10 |
| Dilate urethra stricture CPT 53621 | not published | not published | $71.61 – $753.16 | 10 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $42.02 – $461.55 | 10 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $1,549.43 | 10 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $4,178.22 | 10 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $1,549.43 | 10 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $669.21 | 10 |
| Dilation of urethra CPT 53661 | not published | not published | $40.49 – $468.45 | 10 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $2,691.95 | 10 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $4,178.22 | 10 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.