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 |
|---|---|---|---|---|
| Infect ag if pneumocystis carinii CPT 87281 | $5.84 | $15.00 | $1.65 – $26.54 | 18 |
| Infect ag if varicella zoster CPT 87290 | $3.93 | $10.10 | $1.12 – $29.71 | 18 |
| Infect ag na hpv high-risk types CPT 87624 | $165.33 | $425.00 | $31.19 – $348.50 | 18 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $308.87 | $794.00 | $76.64 – $651.08 | 18 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $185.17 | $476.00 | $45.61 – $390.32 | 18 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $33.07 | $85.00 | $9.35 – $85.00 | 9 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $453.58 | $1,166.00 | $42.73 – $922.99 | 18 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $269.06 | $691.65 | $12.70 – $1,082.17 | 18 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $44.90 | $115.40 | $10.87 – $80.97 | 18 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $44.35 | $114.00 | $12.54 – $97.66 | 17 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $64.58 | $166.00 | $8.39 – $136.12 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $3.93 | $10.10 | $1.12 – $29.71 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $5.84 | $15.00 | $1.65 – $30.59 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $43.57 | $112.00 | $8.28 – $91.84 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $105.42 | $271.00 | $1.87 – $31.86 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $48.63 | $125.00 | $9.12 – $102.50 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $32.29 | $83.00 | $1.24 – $22.86 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $70.02 | $180.00 | $19.80 – $147.60 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $56.80 | $146.00 | $1.03 – $26.54 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $81.69 | $210.00 | $1.39 – $26.54 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $3.44 | $8.82 | $0.98 – $26.54 | 18 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $158.72 | $408.00 | $3.30 – $77.71 | 18 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $102.70 | $264.00 | $3.44 – $77.71 | 18 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $157.16 | $404.00 | $3.59 – $82.55 | 18 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $298.37 | $767.00 | $31.46 – $922.99 | 18 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $23.91 | $61.46 | $5.50 – $77.71 | 18 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $167.27 | $430.00 | $13.56 – $101.03 | 18 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $147.05 | $378.00 | $4.27 – $92.30 | 18 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $102.70 | $264.00 | $3.47 – $77.71 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $61.47 | $158.00 | $8.23 – $74.80 | 17 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $104.26 | $268.00 | $29.48 – $219.76 | 18 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $48.63 | $125.00 | $13.75 – $125.00 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $472.25 | $1,214.00 | $133.54 – $995.48 | 18 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $15.51 | $39.86 | $4.39 – $94.88 | 18 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $14.92 | $38.33 | $4.22 – $94.88 | 18 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $15.15 | $38.94 | $4.26 – $94.88 | 18 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $23.34 | $60.00 | $6.60 – $188.48 | 18 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $284.36 | $731.00 | $16.50 – $315.86 | 18 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,180.74 | $5,606.00 | $30.52 – $1,869.60 | 15 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,494.55 – $13,408.19 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,378.34 – $12,783.57 | 7 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,716.66 | $4,413.00 | $36.79 – $3,618.66 | 18 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $4,146.36 | $10,659.00 | $443.85 – $4,035.00 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $19.45 | $50.00 | $5.50 – $50.00 | 9 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $7,443.91 | $19,136.00 | $256.63 – $2,333.00 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $9,006.52 | $23,153.00 | $131.70 – $18,985.46 | 15 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $7,095.36 | $18,240.00 | $26.45 – $14,956.80 | 15 |
| Inj, bupivacaine liposome HCPCS J0666 | $588.17 | $1,512.00 | $158.40 – $1,440.00 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $19.45 | $50.00 | $0.69 – $41.00 | 14 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $354.38 | $911.00 | $100.21 – $911.00 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $184.39 | $474.00 | $4.52 – $388.68 | 15 |
| Inj, clindamycin (baxter) HCPCS J0737 | $1,041.36 | $2,677.00 | $5.50 – $50.00 | 9 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $127.60 | $328.00 | $34.65 – $315.00 | 14 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,464.71 | $6,336.00 | $696.96 – $5,195.52 | 15 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $142.81 – $792.21 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $56.60 – $387.91 | 10 |
| Inj dx for sinogram CPT 20501 | $304.20 | $782.00 | $35.85 – $752.00 | 14 |
| Inject for sacroiliac joint HCPCS G0259 | $1,629.91 | $4,190.00 | $460.90 – $4,190.00 | 8 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $963.17 | $2,476.00 | $83.47 – $2,030.32 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $152.49 | $392.00 | $41.47 – $377.00 | 14 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $57.15 – $387.91 | 10 |
| Injection during cath supravalvular aortography CPT 93567 | $1,252.97 | $3,221.00 | $35.28 – $2,641.22 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,447.86 | $3,722.00 | $87.15 – $1,159.48 | 17 |
| Injection eye drug CPT 67028 | not published | not published | $94.46 – $2,245.80 | 10 |
| Injection for arthrography wrist (both sides) CPT 25246 | $133.43 | $343.00 | $36.30 – $330.00 | 14 |
| Injection for bladder x-ray CPT 51600 | $205.01 | $527.00 | $42.85 – $506.00 | 14 |
| Injection for hip x-ray CPT 27095 | $229.13 | $589.00 | $62.15 – $565.00 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $289.81 | $745.00 | $49.47 – $716.00 | 14 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $96.98 – $521.25 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $53.27 – $1,499.48 | 7 |
| Injection for ureter x-ray CPT 50684 | $112.43 | $289.00 | $30.47 – $277.00 | 14 |
| Injection for ureter x-ray CPT 50690 | $152.49 | $392.00 | $41.47 – $377.00 | 14 |
| Injection glatiramer acetate HCPCS J1595 | $9,007.30 | $23,155.00 | $34.36 – $712.58 | 14 |
| Injection into brain canal CPT 61026 | not published | not published | $108.46 – $910.04 | 10 |
| Injection into brain canal CPT 61055 | not published | not published | $115.50 – $872.58 | 10 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $1,198.08 | 10 |
| Injection into spinal artery CPT 62294 | not published | not published | $707.91 – $3,804.99 | 10 |
| Injection into vocal cord CPT 31513 | not published | not published | $133.45 – $810.59 | 10 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $532.72 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $44.81 – $845.07 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.32 – $1,946.55 | 10 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,081.42 | $2,780.00 | $4.50 – $2,072.14 | 15 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $358.23 | 10 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $287.48 | $739.00 | $31.61 – $739.00 | 15 |
| Injection, renflexis HCPCS Q5104 | $1,407.02 | $3,617.00 | $27.85 – $2,965.94 | 18 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,254.92 | $3,226.00 | $286.22 – $2,602.00 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $56.39 – $910.04 | 10 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $410.40 | $1,055.00 | $42.06 – $910.04 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,871.09 | $4,810.00 | $113.93 – $2,629.74 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $919.21 | $2,363.00 | $59.47 – $1,937.66 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,436.58 | $3,693.00 | $107.70 – $3,028.26 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,436.58 | $3,693.00 | $50.96 – $1,937.66 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $2,154.68 | $5,539.00 | $93.00 – $2,906.90 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,499.21 | $3,854.00 | $108.86 – $3,160.28 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,499.21 | $3,854.00 | $100.68 – $2,054.10 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $38.86 – $387.91 | 10 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $390.95 | $1,005.00 | $36.80 – $824.10 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $41.86 – $387.91 | 10 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $311.20 | $800.00 | $15.87 – $419.84 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $282.81 | $727.00 | $28.82 – $465.00 | 12 |
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.