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 |
|---|---|---|---|---|
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $5,880.87 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $4,877.41 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $6,436.59 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $6,275.86 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $4,999.10 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $2,985.21 | 10 |
| G-tube reposition CPT 43761 | $220.57 | $567.00 | $59.95 – $489.12 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,243.64 | $3,197.00 | $88.43 – $7,234.63 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,472.76 | $3,786.00 | $132.75 – $2,980.70 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $31,580.97 | $81,185.00 | $4.95 – $43.20 | 16 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $3,121.73 | $8,025.00 | $7.15 – $62.40 | 16 |
| Gum graft CPT 41870 | not published | not published | $1,835.60 – $1,946.55 | 4 |
| Gw stiffened micro access kit HCPCS C1894 | $8,923.66 | $22,940.00 | $4.95 – $43.20 | 16 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $449.66 – $5,032.06 | 10 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $758.55 – $804.40 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $258.08 – $525.02 | 5 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $351.88 – $525.02 | 5 |
| Halo cervical into jckt vest HCPCS L0810 | $6,863.91 | $17,645.00 | $1,940.95 – $16,939.20 | 17 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $134.99 | $347.00 | $0.02 – $41.00 | 14 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $32.29 | $83.00 | $0.02 – $41.00 | 14 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $4,263.74 | 10 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $9,387.58 | 10 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $4,263.74 | 10 |
| Haptoglobin quantitative CPT 83010 | $134.21 | $345.00 | $2.93 – $27.87 | 18 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $77.76 – $291.37 | 7 |
| Harvest auto stem cells CPT 38206 | not published | not published | $79.04 – $2,154.18 | 10 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $126.87 – $2,403.79 | 10 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $172.83 – $3,065.74 | 10 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $251.73 – $942.90 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $51.07 – $574.50 | 4 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $291.70 – $650.50 | 2 |
| Hba1/hba2 full gene sequence CPT 81259 | $181.86 | $467.50 | $51.43 – $1,328.73 | 18 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $136.15 | $350.00 | $38.50 – $448.22 | 18 |
| Hbb full gene sequence CPT 81364 | $350.10 | $900.00 | $99.00 – $738.00 | 18 |
| Hbb gene dup/del variants CPT 81363 | $179.25 | $460.79 | $50.69 – $448.22 | 18 |
| Hbot, full body chamber, 30m HCPCS G0277 | $388.62 | $999.00 | $70.55 – $1,867.00 | 14 |
| Hcg qualitative CPT 84703 | $101.14 | $260.00 | $6.46 – $213.20 | 18 |
| Hcg quantitative CPT 84702 | $197.62 | $508.00 | $1.54 – $33.32 | 18 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $21.01 | $54.00 | $5.94 – $186.75 | 15 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $96.98 – $2,103.10 | 10 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $359.56 – $2,481.40 | 10 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $191.50 – $1,498.42 | 7 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $322.66 – $2,266.87 | 10 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $50.37 – $292.96 | 7 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $176.96 – $1,387.95 | 7 |
| Hc nm kidney imaging with flow CPT 78701 | $1,966.40 | $5,055.00 | $171.88 – $4,145.10 | 18 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $2,373.29 | $6,101.00 | $180.21 – $5,002.82 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $2,761.52 | $7,099.00 | $130.11 – $5,821.18 | 18 |
| Head CT scan (with contrast) CPT 70460 | $2,761.52 | $7,099.00 | $109.17 – $5,821.18 | 18 |
| Head CT scan (without contrast) CPT 70450 | $1,841.14 | $4,733.00 | $76.46 – $3,925.00 | 18 |
| Heart image spect CPT 78494 | $1,974.57 | $5,076.00 | $172.36 – $4,162.32 | 18 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,478.24 – $1,478.24 | 1 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $122.91 – $122.91 | 1 |
| Heinz bodies direct CPT 85441 | $22.08 | $56.75 | $3.73 – $46.54 | 18 |
| Heinz bodies induced CPT 85445 | $22.08 | $56.75 | $6.06 – $46.54 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | $36.96 | $95.00 | $1.77 – $37.31 | 18 |
| Hematocrit CPT 85014 | $48.63 | $125.00 | $0.24 – $5.25 | 18 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $556.96 – $2,394.93 | 7 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $338.78 – $4,263.74 | 10 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $16,082.82 | $41,344.00 | $7.27 – $33,902.08 | 15 |
| Hemodialysis one evaluation CPT 90935 | $1,764.12 | $4,535.00 | $64.95 – $2,156.60 | 17 |
| Hemoglobin CPT 85018 | $41.24 | $106.00 | $2.07 – $86.92 | 18 |
| Hemoglobin fetal qualitative CPT 83033 | $2.53 | $6.49 | $0.72 – $17.72 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $61.08 | $157.00 | $4.18 – $31.16 | 18 |
| Hemoglobin plasma CPT 83051 | $5.45 | $14.00 | $1.54 – $16.18 | 18 |
| Hemoglobin urine CPT 83069 | $5.96 | $15.31 | $1.69 – $12.56 | 18 |
| Hemolysins/agglutinins auto CPT 86940 | $38.90 | $100.00 | $7.29 – $82.00 | 18 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $390.17 – $3,603.77 | 10 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $88.44 – $1,198.08 | 10 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $208.07 – $3,603.77 | 10 |
| Heparin assay CPT 85520 | $247.80 | $637.00 | $1.29 – $28.99 | 18 |
| Heparin bolus from bag HCPCS J1644 | $103.09 | $265.00 | $0.23 – $28.70 | 14 |
| Heparin neutralization CPT 85525 | $11.99 | $30.80 | $0.86 – $26.23 | 18 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $19.45 | $50.00 | $0.01 – $7.38 | 14 |
| Heparin-protamine tolerance CPT 85530 | $90.25 | $232.00 | $11.64 – $190.24 | 18 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $919.38 – $4,941.68 | 7 |
| Hepatitis a antibody igm CPT 86709 | $50.19 | $129.00 | $0.88 – $24.94 | 18 |
| Hepatitis b core antibody igm CPT 86705 | $52.52 | $135.00 | $10.37 – $110.70 | 18 |
| Hepatitis b core antibody total CPT 86704 | $48.24 | $124.00 | $10.71 – $101.68 | 18 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,261.92 | $3,244.00 | $33.33 – $392.21 | 18 |
| Hepatitis b surface antibody CPT 86706 | $48.24 | $124.00 | $0.72 – $23.78 | 18 |
| Hepatitis c antibody CPT 86803 | $61.08 | $157.00 | $1.39 – $31.62 | 18 |
| Hepatobiliary system imaging CPT 78226 | $1,717.83 | $4,416.00 | $286.03 – $3,621.12 | 18 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $394.76 – $4,637.54 | 10 |
| Herpes simplex 1 ag if CPT 87274 | $43.96 | $113.00 | $10.10 – $92.66 | 18 |
| Herpes simplex 2 ag if CPT 87273 | $48.63 | $125.00 | $10.10 – $102.50 | 18 |
| Herpes simplex type 1 antibody igg CPT 86695 | $8.61 | $22.11 | $1.49 – $29.20 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $6.72 | $17.27 | $1.49 – $42.86 | 18 |
| Herpes simplex virus isolation CPT 87255 | $9.72 | $24.97 | $2.75 – $74.99 | 18 |
| Heterophile antibodies screening CPT 86308 | $67.30 | $173.00 | $4.49 – $141.86 | 18 |
| Heterophile antibodies titer CPT 86309 | $2.75 | $7.05 | $0.78 – $14.34 | 18 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $838.30 | $2,155.00 | $4.95 – $45.00 | 17 |
| Hhv-6 dna quant CPT 87533 | $29.18 | $75.00 | $8.25 – $92.47 | 18 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $234.13 – $2,103.10 | 10 |
| Hinge extension/flex wrist/f HCPCS L3900 | $1,183.73 | $3,043.00 | $334.73 – $2,921.28 | 17 |
| Hip adj flex ext abduct cont HCPCS L2624 | $838.30 | $2,155.00 | $182.05 – $1,588.80 | 17 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $695.95 – $9,387.58 | 10 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $672.45 – $4,263.74 | 10 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $884.58 – $9,387.58 | 10 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $448.59 – $9,387.58 | 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.