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 |
|---|---|---|---|---|
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $9.73 | $25.00 | $0.55 – $39.69 | 18 |
| Extraction of lens CPT 66930 | not published | not published | $854.44 – $5,286.44 | 10 |
| Extraction of lens CPT 66940 | not published | not published | $812.84 – $4,592.63 | 10 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $775.09 – $4,592.63 | 10 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $27.66 – $2,870.38 | 7 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $128.50 – $1,201.64 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $151.20 – $329.76 | 2 |
| F-18 fdg pet diag HCPCS A9552 | $202.28 | $520.00 | $57.20 – $520.00 | 14 |
| F-18 fluciclovine per mci HCPCS A9588 | $1,766.06 | $4,540.00 | $332.62 – $3,722.80 | 15 |
| Face bone graft CPT 21210 | not published | not published | $798.08 – $7,773.77 | 10 |
| Facial bones <3 CPT 70140 | $372.67 | $958.00 | $24.86 – $785.56 | 18 |
| Factor ix CPT 85250 | $12.81 | $32.91 | $3.63 – $42.18 | 18 |
| Factor ix recombinant nos HCPCS J7195 | $2.34 | $6.00 | $0.02 – $4.30 | 15 |
| Factor viii CPT 85240 | $7.78 | $20.00 | $2.20 – $39.66 | 18 |
| Factor viii recombinant nos HCPCS J7192 | $3.51 | $9.00 | $0.02 – $5.74 | 15 |
| Fallopian tube recnl CPT 58345 | not published | not published | $292.09 – $4,178.22 | 5 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $19.45 | $50.00 | $5.50 – $50.00 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $484.05 – $2,601.75 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $5.45 | $14.00 | $1.54 – $14.00 | 18 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,091.15 | $2,805.00 | $182.05 – $1,588.80 | 16 |
| #fecal-sodium CPT 84302 | $4.58 | $11.75 | $0.83 – $10.77 | 18 |
| Feeding tube reposition CPT 74355 | $750.77 | $1,930.00 | $147.83 – $1,582.60 | 15 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $214.87 – $973.35 | 7 |
| Fem/popl revasc w/stent CPT 37226 | $11,489.12 | $29,535.00 | $441.18 – $11,814.00 | 17 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $207.34 | $533.00 | $0.72 – $41.00 | 14 |
| Fern test HCPCS Q0114 | $55.24 | $142.00 | $9.18 – $116.44 | 14 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,931.00 | $4,964.00 | $1.13 – $4,070.48 | 15 |
| Ferritin CPT 82728 | $290.20 | $746.00 | $12.07 – $611.72 | 18 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $838.30 | $2,155.00 | $77.20 – $1,767.10 | 14 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $707.98 | $1,820.00 | $38.70 – $1,492.40 | 18 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $191.85 – $925.06 | 10 |
| Fetal fibronectin CPT 82731 | $420.51 | $1,081.00 | $56.19 – $886.42 | 18 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $295.30 – $1,350.85 | 10 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $116.70 | $300.00 | $6.28 – $246.00 | 18 |
| Fetal hemoglobin rosette CPT 85461 | $45.13 | $116.00 | $4.17 – $95.12 | 18 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $39.58 – $459.39 | 7 |
| Fetal monitor w/report CPT 59050 | not published | not published | $47.37 – $500.03 | 7 |
| Fetal non stress test CPT 59025 | $362.16 | $931.00 | $22.62 – $458.38 | 18 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $82.13 – $399.74 | 10 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $284.26 – $1,222.32 | 10 |
| Fibrin degradation d dimer quantitative CPT 85379 | $119.43 | $307.00 | $1.01 – $22.55 | 18 |
| Fibrin degradation products CPT 85362 | $133.82 | $344.00 | $3.89 – $28.96 | 18 |
| Fibrinogen activity CPT 85384 | $114.76 | $295.00 | $7.63 – $241.90 | 18 |
| Fibrinolytic antiplasmin CPT 85410 | $3.27 | $8.39 | $0.93 – $17.07 | 18 |
| Fibrinolytic plasminogen CPT 85415 | $7.29 | $18.72 | $2.06 – $38.06 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $2.39 | $6.12 | $0.68 – $14.45 | 18 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,460.72 – $14,303.78 | 7 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $577.18 – $3,102.34 | 10 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $8,923.66 | $22,940.00 | $521.95 – $4,555.20 | 16 |
| Filter vena cava fem denali HCPCS C1880 | $5,278.73 | $13,570.00 | $401.50 – $3,504.00 | 16 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $823.33 – $823.33 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $787.34 | $2,024.00 | $87.89 – $1,593.26 | 17 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $566.78 | $1,457.00 | $50.22 – $1,194.74 | 14 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $306.93 | $789.00 | $42.95 – $646.98 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $590.51 | $1,518.00 | $49.47 – $1,194.74 | 14 |
| Fine needle asp without image guide 10021 CPT 10021 | $503.76 | $1,295.00 | $54.74 – $1,061.90 | 17 |
| Finger tendon transfer CPT 26497 | not published | not published | $484.05 – $4,263.74 | 10 |
| Finger tendon transfer CPT 26498 | not published | not published | $725.85 – $4,263.74 | 10 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,101.47 – $6,250.57 | 7 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $681.11 – $3,975.35 | 7 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $43.61 – $264.36 | 10 |
| Fixation of ankle joint CPT 27860 | not published | not published | $107.66 – $4,263.74 | 10 |
| Fixation of knee joint CPT 27570 | not published | not published | $89.29 – $2,103.10 | 10 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,000.34 – $9,387.58 | 10 |
| Fix g/colon tube w/device CPT 49460 | $745.72 | $1,917.00 | $49.79 – $1,835.00 | 17 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $520.10 – $4,263.74 | 10 |
| Flebogamma injection HCPCS J1572 | $2,658.82 | $6,835.00 | $36.85 – $5,604.70 | 15 |
| Flecainide (tambocor)-sendout CPT 80181 | $9.81 | $25.21 | $2.78 – $41.29 | 18 |
| Fl exam g/colon tube w contrast CPT 49465 | $222.12 | $571.00 | $29.87 – $530.00 | 17 |
| Flexible keel foot HCPCS L5972 | $838.30 | $2,155.00 | $237.05 – $2,068.80 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $58.12 – $1,198.08 | 10 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $387.06 – $9,387.58 | 10 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $387.06 – $9,387.58 | 10 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.90 – $2,129.16 | 10 |
| Flow cytometry marker each additional CPT 88185 | $44.62 | $114.68 | $1.10 – $49.06 | 16 |
| Flow cytometry one marker technical component CPT 88184 | $46.68 | $120.00 | $2.55 – $153.28 | 18 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $198.39 | $510.00 | $3.32 – $41.00 | 14 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $91.18 – $924.59 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $55.83 | $143.50 | $1.15 – $26.68 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $900.15 | $2,314.00 | $56.88 – $1,822.04 | 15 |
| Fluoroguide needle placement CPT 77002 | $1,161.17 | $2,985.00 | $66.51 – $2,353.40 | 15 |
| Fluoroscopy up to 1 hour CPT 76000 | $947.61 | $2,436.00 | $31.22 – $1,997.52 | 18 |
| Fna bx w/ct gdn 1st les CPT 10009 | $787.34 | $2,024.00 | $106.87 – $1,842.64 | 17 |
| Fna bx w/ct gdn ea addl CPT 10010 | $590.51 | $1,518.00 | $69.83 – $1,244.76 | 14 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $871.89 – $924.59 | 4 |
| Folic acid CPT 82746 | $320.93 | $825.00 | $13.07 – $676.50 | 18 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $119.43 | $307.00 | $9.79 – $89.00 | 9 |
| Follow-up angiography CPT 75898 | $1,478.98 | $3,802.00 | $149.03 – $11,566.70 | 18 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $511.38 – $3,065.74 | 10 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,233.37 | $8,312.00 | $1.20 – $3,714.60 | 14 |
| Fondaparinux sodium HCPCS J1652 | $244.69 | $629.00 | $0.91 – $96.76 | 14 |
| Fo nontorsion joint cf HCPCS L3935 | $160.27 | $412.00 | $45.32 – $395.52 | 17 |
| Foot longitud/metatarsal sup HCPCS L3020 | $379.28 | $975.00 | $107.25 – $936.00 | 16 |
| Foot plate molded stirrup at HCPCS L2250 | $838.30 | $2,155.00 | $237.05 – $2,068.80 | 17 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $2,400.13 | $6,170.00 | $678.70 – $5,923.20 | 17 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $896.50 – $4,810.88 | 10 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $56.63 – $319.60 | 5 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $625.13 | $1,607.00 | $0.12 – $155.80 | 14 |
| Foscarnet sodium injection HCPCS J1455 | $883.03 | $2,270.00 | $19.31 – $361.62 | 15 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $896.26 | $2,304.00 | $1.74 – $41.00 | 13 |
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.