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 |
|---|---|---|---|---|
| Esophagus motility study CPT 91010 | $2,733.12 | $7,026.00 | $79.31 – $5,761.32 | 17 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $153.04 – $2,492.83 | 10 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $130.04 – $2,492.83 | 10 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $2,932.82 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $4,250.38 | 7 |
| Esoph imped function test CPT 91037 | $1,973.01 | $5,072.00 | $130.86 – $4,159.04 | 17 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $133.83 – $2,492.83 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $135.73 – $2,492.83 | 10 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $104.32 – $2,492.83 | 10 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $13,080.86 | 7 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $13,684.41 | 7 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,672.00 – $11,489.60 | 7 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,995.12 – $10,723.79 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $464.05 – $6,486.99 | 10 |
| Establish access to aorta CPT 36160 | not published | not published | $118.30 – $688.89 | 7 |
| Establish access to artery CPT 36100 | $2,013.86 | $5,177.00 | $142.30 – $4,245.14 | 14 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,027.27 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,367.11 – $7,348.21 | 7 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $929.30 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $986.35 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,351.21 – $7,348.21 | 7 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $958.57 – $5,970.42 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $113.59 | $292.00 | $8.82 – $209.10 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $125.26 | $322.00 | $32.25 – $264.04 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $143.93 | $370.00 | $40.70 – $303.40 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $179.33 | $461.00 | $46.86 – $349.32 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $189.84 | $488.00 | $53.68 – $438.17 | 16 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $177.97 – $351.01 | 2 |
| Estrogens total-sendout CPT 82672 | $8.68 | $22.29 | $2.46 – $48.07 | 18 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $628.88 – $4,261.72 | 10 |
| Ethylene glycol -sendout CPT 82693 | $12.34 | $31.72 | $1.67 – $33.01 | 18 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $436.09 – $4,178.22 | 10 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $212.01 | $545.00 | $59.95 – $446.90 | 14 |
| Evaluation heart device CPT 93640 | $1,906.49 | $4,901.00 | $539.11 – $4,018.82 | 14 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $7,509.26 | $19,304.00 | $444.15 – $15,238.88 | 14 |
| Evasc prlng admn rx agnt add CPT 61651 | $7,509.26 | $19,304.00 | $188.38 – $15,238.88 | 14 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,044.30 – $4,490.49 | 7 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $5,618.72 | $14,444.00 | $1,030.15 – $11,844.08 | 14 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $1,759.84 | $4,524.00 | $497.64 – $4,524.00 | 14 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $5,618.72 | $14,444.00 | $1,588.84 – $11,844.08 | 14 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $4,201.98 | $10,802.00 | $371.93 – $8,857.64 | 14 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $5,618.72 | $14,444.00 | $1,154.87 – $11,844.08 | 14 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $3,747.63 | $9,634.00 | $1,059.74 – $8,260.60 | 14 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $5,618.72 | $14,444.00 | $959.79 – $11,844.08 | 14 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $1,759.84 | $4,524.00 | $497.64 – $4,524.00 | 14 |
| Event monitor CPT 93270 | $72.36 | $186.00 | $8.78 – $183.93 | 17 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $984.95 | $2,532.00 | $278.52 – $2,430.72 | 17 |
| Ewho w/joint(s) cf HCPCS L3764 | $984.95 | $2,532.00 | $278.52 – $2,430.72 | 17 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $89.81 – $586.09 | 10 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $106.98 – $4,178.22 | 10 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $387.06 – $3,761.02 | 10 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $572.23 – $3,761.02 | 10 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $690.35 – $4,239.03 | 7 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $415.69 – $3,761.02 | 10 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $577.24 – $3,761.02 | 10 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $543.19 – $3,761.02 | 10 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $1,222.58 – $1,612.80 | 2 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $1,782.70 – $2,349.88 | 2 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $384.07 – $3,761.02 | 10 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $345.84 – $2,129.16 | 10 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,185.23 – $11,745.63 | 7 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $876.23 – $7,773.77 | 10 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $1,356.85 – $7,773.77 | 10 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $377.76 – $2,289.41 | 10 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $609.08 – $3,761.02 | 10 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $319.04 – $4,178.22 | 10 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $140.98 – $2,129.16 | 10 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $319.56 – $3,761.02 | 10 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $116.21 – $2,129.16 | 10 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $66.65 – $924.59 | 10 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $73.91 – $924.59 | 10 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $91.85 – $924.59 | 10 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $113.64 – $2,129.16 | 10 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $76.90 – $924.59 | 10 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $99.55 – $2,129.16 | 10 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $275.55 – $3,761.02 | 10 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $75.19 – $525.02 | 10 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $93.13 – $924.59 | 10 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $337.01 – $5,032.06 | 10 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $822.40 – $4,420.42 | 7 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $595.39 – $6,486.99 | 10 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $836.67 – $4,112.89 | 7 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $626.32 – $6,486.99 | 10 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $1,021.96 – $4,394.43 | 10 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,384.21 – $5,952.10 | 7 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,525.69 – $6,560.47 | 7 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,226.15 – $9,097.99 | 7 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,194.94 – $9,185.27 | 7 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $659.20 – $4,810.88 | 10 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $290.51 – $3,761.02 | 10 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $858.20 – $4,263.74 | 5 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $387.06 – $4,263.74 | 10 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $604.95 – $9,387.58 | 10 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $604.95 – $9,387.58 | 10 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $484.05 – $4,263.74 | 10 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $484.05 – $9,387.58 | 10 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $272.15 – $9,387.58 | 10 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $459.69 – $4,263.74 | 10 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $1,555.22 – $2,054.91 | 2 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $960.69 – $3,761.02 | 5 |
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.