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 |
|---|---|---|---|---|
| Hip arthro w/fb removal CPT 29861 | not published | not published | $652.79 – $9,387.58 | 10 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $868.20 – $9,387.58 | 10 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $884.58 – $9,387.58 | 10 |
| Hip clevis/thrust bearing lo HCPCS L2610 | $494.03 | $1,270.00 | $139.70 – $1,219.20 | 17 |
| Histamine CPT 83088 | $9.73 | $25.00 | $2.66 – $65.38 | 18 |
| Histochemical stains add-on CPT 88314 | $66.52 | $171.00 | $7.26 – $175.49 | 16 |
| Hla class i/ii antibody qual CPT 86829 | $42.79 | $110.00 | $12.10 – $142.14 | 18 |
| Hla ii typing 1 loc hr CPT 81382 | $81.69 | $210.00 | $23.10 – $273.89 | 18 |
| Hla i low res one antigen equiv ea CPT 81374 | $23.34 | $60.00 | $6.60 – $164.59 | 18 |
| Hla i typing complete hr CPT 81379 | $245.07 | $630.00 | $69.30 – $742.73 | 18 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $14.11 | $36.26 | $3.99 – $376.27 | 18 |
| Hla typing a b or c CPT 86813 | $91.42 | $235.00 | $25.85 – $192.70 | 18 |
| Hlth bhv assmt/reassessment CPT 96156 | $83.64 | $215.00 | $23.65 – $215.00 | 17 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $150.16 | $386.00 | $36.92 – $316.52 | 17 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $37.74 | $97.00 | $8.51 – $79.54 | 17 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $117.48 | $302.00 | $28.93 – $247.81 | 17 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $171.16 | $440.00 | $48.40 – $422.40 | 17 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $29.57 | $76.00 | $0.15 – $57.40 | 15 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $390.56 | $1,004.00 | $0.18 – $25.42 | 15 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $291.75 | $750.00 | $82.50 – $720.00 | 17 |
| Homocysteine CPT 83090 | $5.93 | $15.24 | $1.43 – $39.69 | 18 |
| Homogenization tissue CPT 87176 | $45.91 | $118.00 | $5.23 – $96.76 | 18 |
| Homovanillic acid (hva) CPT 83150 | $5.72 | $14.70 | $1.26 – $49.64 | 18 |
| Ho post-op hip abduction HCPCS L1686 | $2,400.13 | $6,170.00 | $521.95 – $4,555.20 | 17 |
| H pylori drug admin CPT 83014 | $17.12 | $44.00 | $4.84 – $36.08 | 18 |
| Htt gene detc abnor alleles CPT 81271 | $73.35 | $188.54 | $20.74 – $303.39 | 18 |
| Human epididymis protein 4 (he4) CPT 86305 | $8.82 | $22.66 | $2.50 – $46.10 | 18 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $104.26 | $268.00 | $10.23 – $76.26 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $198.78 | $511.00 | $2.94 – $41.00 | 14 |
| Hydration IV infusion each additional hour CPT 96361 | $172.33 | $443.00 | $12.91 – $363.26 | 18 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $453.97 | $1,167.00 | $33.91 – $956.94 | 18 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $85.58 | $220.00 | $3.32 – $47.87 | 14 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $77.80 | $200.00 | $5.50 – $50.00 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $311.20 | $800.00 | $15.95 – $145.00 | 10 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $19.45 | $50.00 | $5.50 – $41.31 | 14 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $17.38 | $44.66 | $4.92 – $44.66 | 18 |
| Hymenotomy CPT 56442 | not published | not published | $48.71 – $4,178.22 | 10 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $486.02 – $7,773.77 | 10 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $901.01 – $4,842.93 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $994.59 – $5,625.51 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,059.82 – $5,625.51 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $918.77 – $918.77 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $263.44 – $4,312.92 | 7 |
| Hysterosalpingography s&i CPT 74740 | $576.89 | $1,483.00 | $67.02 – $1,216.06 | 18 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $243.30 – $10,485.34 | 10 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $229.36 – $4,178.22 | 10 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $151.37 – $4,178.22 | 10 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $280.17 – $6,486.99 | 10 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $219.40 – $4,178.22 | 10 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $352.66 – $6,486.99 | 10 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $308.23 – $6,486.99 | 10 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $836.49 – $6,486.99 | 10 |
| I-123 ioflupane diag HCPCS A9584 | $5,230.50 | $13,446.00 | $1,479.06 – $11,025.72 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $52.52 | $135.00 | $14.85 – $252.05 | 15 |
| I131 iodide cap, rx HCPCS A9517 | $27.62 | $71.00 | $7.81 – $189.31 | 18 |
| Iaadi respiratory synctial virus CPT 87280 | $98.03 | $252.00 | $0.98 – $29.71 | 18 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $960.83 | $2,470.00 | $23.55 – $984.00 | 14 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $844.52 | $2,171.00 | $164.12 – $1,223.44 | 15 |
| Icatibant injection HCPCS J1744 | $19,774.04 | $50,833.00 | $64.86 – $20,008.00 | 15 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $55,945.98 | $143,820.00 | $4,265.25 – $37,224.00 | 16 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $74,462.38 | $191,420.00 | $5,545.10 – $48,393.60 | 16 |
| Icd crtp serena MRI HCPCS C2621 | $23,727.06 | $60,995.00 | $2,523.40 – $18,810.80 | 14 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,083.48 | $38,775.00 | $1,147.85 – $10,017.60 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $2,830.39 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $4,261.72 | 10 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $96.71 – $2,129.16 | 10 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $4,263.74 | 10 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $3,603.77 | 10 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.19 – $1,272.76 | 10 |
| I&d lacrimal sac CPT 68420 | not published | not published | $172.35 – $3,065.74 | 10 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $3,761.02 | 10 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $323.44 – $3,761.02 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $184.88 – $3,761.02 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $104.81 | $269.43 | $29.64 – $438.45 | 14 |
| Igh@ var region somatic mutation analy CPT 81263 | $157.16 | $404.00 | $44.44 – $652.24 | 14 |
| Igk rearrangeabn clonal pop CPT 81264 | $79.05 | $203.21 | $22.36 – $382.50 | 14 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $229.13 | $589.00 | $5.50 – $136.42 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $48.63 | $125.00 | $13.75 – $298.90 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $249.74 | $642.00 | $5.50 – $150.21 | 18 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $3,770.57 | 7 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $12,289.89 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,291.48 | $3,320.00 | $12.63 – $3,320.00 | 10 |
| Iliac revasc add-on 37222 CPT 37222 | $8,157.33 | $20,970.00 | $160.46 – $8,960.96 | 14 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $877.85 – $5,327.48 | 7 |
| Immob elbow child sm HCPCS L3762 | $78.19 | $201.00 | $22.11 – $192.96 | 17 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $643.80 | $1,655.00 | $28.05 – $244.80 | 16 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $291.75 | $750.00 | $21.45 – $187.20 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $2,400.13 | $6,170.00 | $4.95 – $45.00 | 17 |
| Immobilizer shldr sling med HCPCS L3660 | $223.68 | $575.00 | $12.65 – $110.40 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $8,569.85 | 10 |
| Immune complex assay CPT 86332 | $50.33 | $129.36 | $1.78 – $53.97 | 18 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $2,962.63 | $7,616.00 | $41.63 – $3,122.56 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $4.28 | $11.00 | $1.21 – $46.10 | 18 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $77.03 | $198.00 | $2.11 – $46.10 | 18 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $5.16 | $13.25 | $0.62 – $26.54 | 18 |
| Immunodiffusion nes CPT 86329 | $5.90 | $15.15 | $1.67 – $31.11 | 18 |
| Immunofixation electrophoresis serum CPT 86334 | $7.80 | $20.03 | $1.42 – $49.47 | 18 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $45.75 | $117.59 | $5.85 – $201.56 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $67.22 | $172.79 | $8.90 – $265.17 | 18 |
| Immunoglobulin assay CPT 86023 | $5.28 | $13.56 | $1.50 – $27.60 | 18 |
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.