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 |
|---|---|---|---|---|
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $140.04 | $360.00 | $5.50 – $50.00 | 9 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $31.51 | $81.00 | $5.50 – $50.00 | 9 |
| Lidocaine therapeutic drug level CPT 80176 | $161.44 | $415.00 | $1.76 – $32.54 | 18 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $5,155.21 | 7 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $4,136.13 | 10 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $4,136.13 | 10 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $305.99 | 7 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,147.52 – $6,167.92 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $437.03 – $4,136.13 | 10 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $374.49 – $4,136.13 | 10 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $376.20 – $4,672.26 | 10 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $173.45 – $2,129.16 | 10 |
| Ligation common iliac vein CPT 37660 | not published | not published | $683.55 – $3,674.11 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $232.41 – $4,136.13 | 10 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $427.22 – $4,136.13 | 10 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $427.22 – $4,136.13 | 10 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $303.32 – $4,136.13 | 10 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,112.84 – $1,219.19 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $387.26 – $633.65 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $521.38 – $4,136.13 | 5 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $4,136.13 | 10 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $886.91 – $4,767.12 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $435.48 – $4,136.13 | 10 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,327.62 – $7,103.63 | 10 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $4,136.13 | 10 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $4,261.72 | 10 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $659.04 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $4,136.13 | 10 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $4,136.13 | 10 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $4,136.13 | 10 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $4,136.13 | 10 |
| Liletta, 52 mg HCPCS J7297 | $1,419.85 | $3,650.00 | $401.50 – $2,993.00 | 13 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $211.14 – $1,288.23 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $40,284.84 | $103,560.00 | $3.47 – $75.44 | 14 |
| Lipase CPT 83690 | $116.70 | $300.00 | $0.69 – $15.26 | 18 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $365.74 – $4,261.72 | 10 |
| Lipoprotein blood high res frac & quant CPT 83701 | $21.26 | $54.64 | $6.02 – $74.99 | 18 |
| Lipoprotein blood quant CPT 83704 | $21.40 | $55.00 | $1.55 – $75.70 | 18 |
| Lipoprotein direct measurement hdl CPT 83718 | $26.07 | $67.00 | $6.75 – $54.94 | 18 |
| Lipoprotein direct measurement ldl CPT 83721 | $102.70 | $264.00 | $0.66 – $23.27 | 18 |
| Lip surgery procedure CPT 40799 | not published | not published | $287.77 – $305.16 | 4 |
| Lithium therapeutic drug level CPT 80178 | $109.70 | $282.00 | $5.88 – $231.24 | 18 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $9,977.47 | $25,649.00 | $2,821.39 – $25,649.00 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $3,400.87 | 7 |
| Liver Function Test CPT 80076 | $122.54 | $315.00 | $6.38 – $258.30 | 18 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $3,240.13 | 7 |
| Liver/spleen imag static only CPT 78215 | $1,974.57 | $5,076.00 | $124.10 – $4,162.32 | 18 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,974.57 | $5,076.00 | $121.13 – $4,162.32 | 18 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $4,263.74 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $19.45 | $50.00 | $0.72 – $41.00 | 14 |
| Low back disk surgery CPT 63030 | not published | not published | $927.66 – $9,387.58 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,885.61 | $7,418.00 | $157.04 – $6,082.76 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,808.70 | $9,791.00 | $128.24 – $8,028.62 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,923.61 | $4,945.00 | $94.78 – $4,054.90 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,098.39 | $7,965.00 | $241.35 – $6,531.30 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,098.39 | $7,965.00 | $212.56 – $6,531.30 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,025.14 | $5,206.00 | $139.09 – $5,397.00 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $457.08 | $1,175.00 | $32.34 – $963.50 | 18 |
| Lower jaw bone graft CPT 21215 | not published | not published | $829.78 – $7,773.77 | 10 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $13,681.38 | 10 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $13,681.38 | 10 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $13,681.38 | 10 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $13,681.38 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | $223.68 | $575.00 | $52.74 – $552.00 | 17 |
| Lso sag-coronal panel custom HCPCS L0638 | $3,121.73 | $8,025.00 | $829.08 – $7,704.00 | 17 |
| Lso sagittal rigid panel cus HCPCS L0636 | $3,121.73 | $8,025.00 | $882.75 – $7,704.00 | 17 |
| Lumbar diskogram s&i CPT 72295 | $2,331.28 | $5,993.00 | $79.83 – $7,094.84 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,575.10 – $24,166.36 | 10 |
| Lung Function Test (Spirometry) CPT 94010 | $229.13 | $589.00 | $21.49 – $482.98 | 17 |
| Lung perfusion imaging CPT 78580 | $1,717.83 | $4,416.00 | $161.37 – $3,621.12 | 18 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $16,469.21 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $3,104.72 – $3,988.99 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $14,324.44 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $17,396.87 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $4,344.81 | 7 |
| Lvad shower bag heartmate HCPCS Q0501 | $5,278.73 | $13,570.00 | $21.45 – $187.20 | 16 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $66.61 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $720.06 – $1,070.33 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $2,260.09 | $5,810.00 | $271.89 – $4,764.20 | 18 |
| Lymphocytotoxicity assay CPT 86806 | $126.43 | $325.00 | $35.75 – $266.50 | 18 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $669.21 | 10 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $4,178.22 | 10 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $2,691.95 | 10 |
| Macroscopic exam arthropod CPT 87168 | $11.32 | $29.10 | $3.19 – $23.78 | 18 |
| Macroscopic exam parasite CPT 87169 | $29.18 | $75.00 | $0.52 – $9.54 | 18 |
| Magnesium CPT 83735 | $79.36 | $204.00 | $0.67 – $14.85 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $224.07 | $576.00 | $0.35 – $41.00 | 14 |
| Male sling procedure CPT 53440 | not published | not published | $762.81 – $17,073.34 | 10 |
| Mammosite ced HCPCS C1728 | $6,863.91 | $17,645.00 | $48.40 – $422.40 | 16 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $9,022.25 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $2,103.10 | 10 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $2,103.10 | 10 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $147.05 | $378.00 | $20.84 – $1,867.00 | 18 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $214.73 | $552.00 | $23.17 – $1,867.00 | 18 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $2,103.10 | 10 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $2,103.10 | 10 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $315.23 | 10 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $23.34 | $60.00 | $2.26 – $49.20 | 14 |
| Manual diff wbc count b-coat CPT 85009 | $24.51 | $63.00 | $4.05 – $51.66 | 18 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $478.68 | 7 |
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.