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 |
|---|---|---|---|---|
| Ghs nerve blk intercostal, single level CPT 64420 | $1,022.30 | $2,628.00 | $59.24 – $2,154.96 | 17 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $64.49 – $1,169.93 | 10 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $69.35 – $1,169.93 | 10 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $96.88 – $1,169.93 | 10 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $69.63 – $1,169.93 | 10 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,073.26 | $2,759.00 | $87.52 – $2,262.38 | 17 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $72.20 – $910.04 | 10 |
| Ghs nerve block suprascapular CPT 64418 | $962.78 | $2,475.00 | $55.22 – $2,029.50 | 17 |
| Ghs ng placement w fluoro guidance CPT 43752 | $861.64 | $2,215.00 | $39.37 – $1,743.32 | 17 |
| Ghs o2 saturation CPT 82810 | $210.06 | $540.00 | $7.82 – $442.80 | 18 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $33.03 – $812.46 | 10 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $131.83 – $2,041.38 | 10 |
| Ghs pacing - transcutaneous CPT 92953 | $353.22 | $908.00 | $0.89 – $859.92 | 17 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,149.50 | $2,955.00 | $60.04 – $2,423.10 | 14 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,379.01 | $3,545.00 | $51.72 – $2,210.72 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $450.07 | 10 |
| Ghs picc line insert < 5 CPT 36568 | $1,999.46 | $5,140.00 | $78.67 – $4,214.80 | 17 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $155.51 – $835.88 | 10 |
| Ghs ppd (tb intradermal) CPT 86580 | $22.96 | $59.00 | $3.36 – $48.38 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $4.10 | $10.52 | $1.16 – $21.40 | 18 |
| Ghs protein, misc fluid CPT 84160 | $5.80 | $14.90 | $0.59 – $12.44 | 18 |
| Ghs protoporphyrins fract CPT 84202 | $6.23 | $16.00 | $1.72 – $31.79 | 18 |
| Ghs pr without cont pulse ox CPT 94625 | $239.63 | $616.00 | $67.76 – $505.12 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $4.27 | $10.96 | $1.21 – $27.12 | 18 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $64.51 – $346.76 | 10 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $129.91 – $916.24 | 10 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $342.63 – $2,103.10 | 10 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $373.39 – $4,263.74 | 10 |
| Ghs reticulocyte count CPT 85044 | $17.51 | $45.00 | $2.64 – $36.90 | 18 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $131.10 | $337.00 | $2.92 – $276.34 | 18 |
| Ghs sedimentation rate CPT 85651 | $172.72 | $444.00 | $2.37 – $364.08 | 18 |
| Ghs semen analysis fert CPT 89320 | $75.86 | $195.00 | $11.61 – $159.90 | 14 |
| Ghs sensitivity (per antimicro) CPT 87184 | $32.68 | $84.00 | $0.67 – $16.56 | 18 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $90.15 – $629.19 | 10 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $121.29 – $962.13 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $111.43 – $849.63 | 10 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $146.54 – $2,009.26 | 10 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $71.03 – $571.77 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $70.81 – $518.97 | 10 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $89.55 – $695.80 | 10 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $139.09 – $1,736.02 | 10 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $165.72 – $2,344.55 | 10 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $865.92 | $2,226.00 | $244.86 – $1,825.32 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.63 – $387.91 | 10 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $18.09 – $220.44 | 10 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $195.06 – $1,056.32 | 10 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $144.40 – $776.17 | 10 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,953.95 | $5,023.00 | $122.19 – $3,922.88 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $789.93 | 10 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $923.77 | 10 |
| Ghs urine, hydroxproline total CPT 83505 | $10.46 | $26.87 | $2.96 – $53.83 | 18 |
| Ghs urine, porphyrins quant CPT 84120 | $9.34 | $24.00 | $2.64 – $32.57 | 18 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $765.92 – $4,178.22 | 10 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $828.19 | $2,129.00 | $234.19 – $2,129.00 | 17 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $207.35 | 10 |
| Gi inhouse confirmation CPT 87045 | $50.57 | $130.00 | $7.85 – $106.60 | 18 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $4,261.72 | 10 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,324.67 | $5,976.00 | $657.36 – $4,900.32 | 17 |
| Gi wireless capsule measure CPT 91112 | $818.46 | $2,104.00 | $231.44 – $2,104.00 | 17 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $5,286.44 | 10 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $5,286.44 | 10 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $3,120.72 | 10 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $4,160.94 | 10 |
| Glove finger flexion right lg xl HCPCS L3912 | $94.53 | $243.00 | $26.73 – $233.28 | 17 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $522.82 | $1,344.00 | $21.12 – $443.71 | 15 |
| Glucagon plasma - sendout CPT 82943 | $7.78 | $19.98 | $2.20 – $31.65 | 18 |
| Glucose 1 hr post dose CPT 82950 | $57.97 | $149.00 | $4.19 – $122.18 | 18 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $38.52 | $99.00 | $5.38 – $81.18 | 18 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $66.91 | $172.00 | $2.00 – $141.04 | 18 |
| Glucose blood quantitative CPT 82947 | $49.80 | $128.00 | $2.93 – $21.82 | 18 |
| Glucose body fluid CPT 82945 | $58.74 | $151.00 | $0.39 – $8.69 | 18 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $51.35 | $132.00 | $11.27 – $108.24 | 18 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $18.29 | $47.00 | $3.46 – $38.54 | 18 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7,893.20 | $20,291.00 | $5.50 – $50.00 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $3.89 | $10.00 | $1.01 – $41.16 | 18 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $3.55 | $9.12 | $0.91 – $41.02 | 18 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $5,286.44 | 10 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,059.22 | $10,435.00 | $30.36 – $7,704.00 | 17 |
| Graft axiofill 1000mg HCPCS J3590 | $5,278.73 | $13,570.00 | $678.70 – $6,170.00 | 10 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,845.81 | $4,745.00 | $67.44 – $1,588.80 | 17 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $4,263.74 | 10 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $34,739.65 | $89,305.00 | $25.78 – $720.00 | 17 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $4,059.22 | $10,435.00 | $311.36 – $10,017.60 | 17 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $26,099.96 | $67,095.00 | $28.05 – $244.80 | 16 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $23,727.06 | $60,995.00 | $21.45 – $187.20 | 16 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $19,609.49 | $50,410.00 | $38.10 – $2,692.80 | 17 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $11,601.93 | $29,825.00 | $103.77 – $2,068.80 | 17 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $5,189.69 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $19,609.49 | $50,410.00 | $134.06 – $4,555.20 | 17 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $50,859.81 | $130,745.00 | $71.36 – $4,555.20 | 16 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $6,863.91 | $17,645.00 | $39.75 – $5,923.20 | 17 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $34,739.65 | $89,305.00 | $12.65 – $110.40 | 16 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,400.13 | $6,170.00 | $28.05 – $244.80 | 16 |
| Granisetron hcl injection HCPCS J1626 | $19.45 | $50.00 | $0.22 – $41.00 | 14 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $15,197.01 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $406.47 | 10 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $2,403.79 | 10 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $4,810.88 | 10 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $148.03 – $686.80 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $4,810.88 | 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.