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 |
|---|---|---|---|---|
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $265.14 – $9,096.82 | 10 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $73.32 – $1,198.08 | 10 |
| Endoscopy of ureter CPT 50951 | not published | not published | $209.34 – $4,532.29 | 10 |
| Endoscopy of ureter CPT 50953 | not published | not published | $323.47 – $4,532.29 | 10 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,185.02 | $5,617.00 | $169.75 – $4,605.94 | 17 |
| Endo, single, pulmonary HCPCS C1601 | $1,091.15 | $2,805.00 | $237.05 – $2,068.80 | 16 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $895.84 – $3,531.55 | 7 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $5,618.72 | $14,444.00 | $1,276.62 – $11,844.08 | 14 |
| Endovasc tempory vessel occl CPT 61623 | $4,970.26 | $12,777.00 | $300.07 – $12,777.00 | 17 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $2,006.25 – $2,006.25 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $185.26 – $837.25 | 7 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $128.33 – $1,656.92 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $171.43 – $5,937.70 | 10 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $84.87 – $1,061.37 | 7 |
| Endovenous rf abl vein addl CPT 36476 | $1,330.38 | $3,420.00 | $125.31 – $2,696.98 | 14 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,571.26 | $14,322.00 | $169.93 – $11,274.18 | 17 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $2,618.36 | $6,731.00 | $83.17 – $5,284.90 | 14 |
| Enlarge breast CPT 19324 | not published | not published | $769.00 – $769.00 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $232.24 | $597.00 | $0.55 – $41.00 | 14 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $201.79 – $867.70 | 7 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $230.27 – $1,237.72 | 7 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $801.90 – $4,310.20 | 7 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,655.99 – $7,120.76 | 7 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $1,903.57 – $8,185.35 | 7 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $691.67 – $3,717.71 | 7 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $602.38 – $3,237.79 | 7 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $777.55 – $4,179.32 | 7 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $411.41 – $2,211.32 | 7 |
| Enzyme histochemistry CPT 88319 | $286.31 | $736.00 | $13.94 – $255.22 | 18 |
| Ep & ablate supravent arrhyt CPT 93653 | $19,591.99 | $50,365.00 | $756.74 – $41,299.30 | 17 |
| Ep & ablate ventric tachy CPT 93654 | $25,469.78 | $65,475.00 | $952.06 – $53,689.50 | 17 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $713.73 – $2,684.71 | 10 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $133.77 – $577.92 | 7 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $722.58 – $2,865.61 | 10 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $98.46 – $446.64 | 7 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,497.27 | $3,849.00 | $50.97 – $1,998.34 | 14 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $326.40 – $1,754.40 | 10 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $219.16 – $1,169.93 | 10 |
| Epiglottidectomy CPT 31420 | not published | not published | $774.13 – $7,773.77 | 10 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $412.69 – $4,263.74 | 10 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $394.76 – $4,263.74 | 10 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $32.58 – $4,178.22 | 10 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,996.35 | $5,132.00 | $0.75 – $9.72 | 17 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $823.91 | $2,118.00 | $7.49 – $130.38 | 18 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,996.35 | $5,132.00 | $6.82 – $50.84 | 15 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $87.53 | $225.00 | $8.14 – $60.68 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $2.63 | $6.75 | $0.75 – $29.06 | 18 |
| Epstein barr nuclear antigen antibody CPT 86664 | $2.63 | $6.75 | $0.75 – $33.87 | 18 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $3.12 | $8.00 | $0.72 – $40.17 | 18 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $3,034.20 | $7,800.00 | $3.48 – $118.08 | 13 |
| Ercp biliary & pancreas CPT 74330 | $1,009.85 | $2,596.00 | $165.14 – $2,128.72 | 15 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $414.74 – $7,822.59 | 10 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $344.01 – $4,999.53 | 10 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $391.29 – $4,999.53 | 10 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $427.17 – $7,822.59 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $360.20 – $4,999.53 | 10 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $342.14 – $2,492.83 | 10 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $306.32 – $2,492.83 | 10 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $431.50 – $7,822.59 | 10 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $319.22 – $4,999.53 | 10 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $259.47 | $667.00 | $9.73 – $214.84 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $216.29 | $556.00 | $11.15 – $455.92 | 18 |
| ER Visit (level 2) CPT 99282 | $529.04 | $1,360.00 | $34.97 – $1,115.20 | 18 |
| ER Visit (level 3) CPT 99283 | $1,010.24 | $2,597.00 | $63.97 – $2,129.54 | 18 |
| ER Visit (level 4) CPT 99284 | $7,816.18 | $20,093.00 | $98.04 – $3,498.12 | 18 |
| ER Visit (level 5, high severity) CPT 99285 | $14,478.20 | $37,219.00 | $155.03 – $5,070.06 | 18 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $373.44 | $960.00 | $3.53 – $153.42 | 14 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $79.89 – $318.59 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $3,356,292.00 | $8,628,000.00 | $5.50 – $50.00 | 9 |
| Esophageal dilat s&i CPT 74360 | $402.62 | $1,035.00 | $113.85 – $848.70 | 15 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $106.88 – $481.86 | 7 |
| Esophageal motility CPT 78258 | $1,974.57 | $5,076.00 | $182.45 – $4,162.32 | 18 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,200.29 – $9,461.25 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $169.77 – $2,492.83 | 10 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $1,232.05 | 10 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $2,492.83 | 10 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $165.30 – $7,822.59 | 10 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $155.74 – $2,492.83 | 10 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $118.71 – $2,492.83 | 10 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $164.50 – $2,492.83 | 10 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $103.39 – $2,492.83 | 10 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $88.32 – $1,232.05 | 10 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $1,232.05 | 10 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $140.65 – $2,492.83 | 10 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $179.08 – $4,999.53 | 10 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $134.35 – $2,492.83 | 10 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $2,492.83 | 10 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $4,999.53 | 10 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $2,492.83 | 10 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $7,773.77 | 10 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $160.01 – $2,492.83 | 10 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $197.43 – $2,492.83 | 10 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $2,492.83 | 10 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $2,492.83 | 10 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $2,492.83 | 10 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $2,492.83 | 10 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $140.90 – $2,492.83 | 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.