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 |
|---|---|---|---|---|
| Partial proctectomy CPT 45113 | not published | not published | $1,588.41 – $8,537.70 | 7 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $993.29 – $5,338.95 | 7 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,010.86 – $7,535.41 | 7 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,437.81 – $9,134.66 | 7 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,693.71 – $10,093.61 | 7 |
| Partial removal finger bone CPT 26235 | not published | not published | $327.25 – $2,103.10 | 10 |
| Partial removal finger bone CPT 26236 | not published | not published | $305.03 – $2,103.10 | 10 |
| Partial removal foot fascia CPT 28060 | not published | not published | $290.51 – $4,263.74 | 10 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $533.17 – $4,263.74 | 10 |
| Partial removal of bladder CPT 51550 | not published | not published | $871.11 – $4,682.19 | 7 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,149.78 – $11,555.04 | 7 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,219.84 – $11,931.66 | 7 |
| Partial removal of esophagus CPT 43121 | not published | not published | $1,913.10 – $10,282.91 | 7 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,219.84 – $11,931.66 | 7 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,107.05 – $11,325.41 | 7 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $1,913.10 – $10,282.91 | 7 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $497.68 – $3,444.47 | 10 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $568.42 – $6,888.95 | 10 |
| Partial removal of fibula CPT 27641 | not published | not published | $580.60 – $4,263.74 | 10 |
| Partial removal of foot bone CPT 28288 | not published | not published | $230.70 – $4,263.74 | 10 |
| Partial removal of hand bone CPT 26230 | not published | not published | $341.78 – $4,263.74 | 10 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,346.60 – $7,237.99 | 7 |
| Partial removal of larynx CPT 31367 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Partial removal of larynx CPT 31368 | not published | not published | $1,645.23 – $8,843.13 | 7 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,451.70 – $7,802.91 | 7 |
| Partial removal of larynx CPT 31375 | not published | not published | $967.66 – $5,201.16 | 7 |
| Partial removal of larynx CPT 31380 | not published | not published | $967.66 – $5,201.16 | 7 |
| Partial removal of larynx CPT 31382 | not published | not published | $967.66 – $5,201.16 | 7 |
| Partial removal of lip CPT 40530 | not published | not published | $290.51 – $4,261.72 | 10 |
| Partial removal of liver CPT 47125 | not published | not published | $1,124.02 – $6,041.60 | 7 |
| Partial removal of liver CPT 47130 | not published | not published | $1,068.05 – $5,740.79 | 7 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,227.83 – $6,599.61 | 7 |
| Partial removal of nose CPT 30150 | not published | not published | $687.82 – $7,773.77 | 10 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,064.63 – $5,722.41 | 7 |
| Partial removal of pancreas CPT 48150 | not published | not published | $1,645.23 – $8,843.13 | 7 |
| Partial removal of penis CPT 54120 | not published | not published | $484.05 – $4,532.29 | 10 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $857.86 – $7,773.77 | 10 |
| Partial removal of radius CPT 25151 | not published | not published | $405.43 – $4,263.74 | 10 |
| Partial removal of radius CPT 25230 | not published | not published | $241.81 – $4,263.74 | 10 |
| Partial removal of rectum CPT 45111 | not published | not published | $948.00 – $5,095.50 | 7 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,416.67 – $7,614.61 | 7 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,249.63 – $6,716.74 | 7 |
| Partial removal of rib CPT 21600 | not published | not published | $312.30 – $9,387.58 | 10 |
| Partial removal of sternum CPT 21620 | not published | not published | $508.36 – $3,453.67 | 7 |
| Partial removal of thyroid CPT 60220 | not published | not published | $635.70 – $7,666.93 | 10 |
| Partial removal of thyroid CPT 60225 | not published | not published | $677.58 – $7,666.93 | 10 |
| Partial removal of tibia CPT 27640 | not published | not published | $580.60 – $4,263.74 | 10 |
| Partial removal of toe CPT 28160 | not published | not published | $201.22 – $4,263.74 | 10 |
| Partial removal of tongue CPT 41120 | not published | not published | $387.06 – $7,773.77 | 10 |
| Partial removal of tongue CPT 41130 | not published | not published | $580.60 – $3,120.72 | 7 |
| Partial removal of ulna CPT 25119 | not published | not published | $484.05 – $4,263.74 | 10 |
| Partial removal of ulna CPT 25150 | not published | not published | $344.77 – $4,263.74 | 10 |
| Partial removal of ulna CPT 25240 | not published | not published | $290.51 – $4,263.74 | 10 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $423.74 – $4,178.22 | 10 |
| Partial removal tear gland CPT 68505 | not published | not published | $580.60 – $4,955.47 | 10 |
| Partial thyroid excision CPT 60210 | not published | not published | $648.95 – $7,666.93 | 10 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $839.92 – $7,666.93 | 10 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $5,278.73 | $13,570.00 | $1.86 – $552.00 | 17 |
| Part removal hip bone deep CPT 27071 | not published | not published | $580.60 – $3,120.72 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $215.32 – $4,263.74 | 10 |
| Part removal of metatarsal CPT 28113 | not published | not published | $233.27 – $4,263.74 | 10 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $228.14 – $4,263.74 | 10 |
| Part remove hip bone super CPT 27070 | not published | not published | $535.73 – $2,879.56 | 7 |
| Passy muir valve metal trach HCPCS L8501 | $291.75 | $750.00 | $48.40 – $422.40 | 16 |
| Pdgfra gene CPT 81314 | $194.50 | $500.00 | $44.47 – $729.71 | 18 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $666.04 – $3,579.98 | 10 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $362.71 – $2,403.79 | 10 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,761.52 | $7,099.00 | $220.61 – $5,821.18 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,761.52 | $7,099.00 | $196.67 – $5,821.18 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,841.14 | $4,733.00 | $94.04 – $3,925.00 | 18 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,003.67 – $10,769.74 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,707.17 | $9,530.00 | $266.03 – $7,814.60 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $3,707.17 | $9,530.00 | $214.05 – $7,814.60 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $2,409.86 | $6,195.00 | $182.09 – $5,397.00 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $728.99 | $1,874.00 | $80.76 – $1,536.68 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $320.93 | $825.00 | $29.72 – $676.50 | 18 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $0.02 | $0.03 | $0.01 – $138.05 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $285.92 | $735.00 | $4.37 – $602.70 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $214.73 | $552.00 | $0.82 – $41.00 | 14 |
| Penile injection CPT 54235 | not published | not published | $75.98 – $319.60 | 5 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $23,727.06 | $60,995.00 | $63.25 – $552.00 | 16 |
| Penile vascular study CPT 93980 | $765.56 | $1,968.00 | $64.87 – $1,613.76 | 18 |
| Penile vascular study CPT 93981 | $765.56 | $1,968.00 | $55.15 – $1,613.76 | 18 |
| Penile venous occlusion CPT 37790 | not published | not published | $493.93 – $4,532.29 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $610.93 – $4,532.29 | 10 |
| Penis study CPT 54240 | not published | not published | $49.72 – $486.83 | 10 |
| Pentobarbital sodium inj HCPCS J2515 | $4,214.43 | $10,834.00 | $2.26 – $3,790.04 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $4,508.51 | $11,590.00 | $452.97 – $11,590.00 | 17 |
| Perc d-e cor revasc chro add HCPCS C9608 | $14,253.35 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $14,253.35 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $14,253.35 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $14,253.35 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc rf ablate renal tumor CPT 50592 | $4,283.28 | $11,011.00 | $90.44 – $10,547.00 | 15 |
| Percut ablate liver rf CPT 47382 | $4,477.39 | $11,510.00 | $553.98 – $8,988.84 | 17 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $193.22 – $830.85 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,549.53 – $8,328.73 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,933.06 | $7,540.00 | $200.67 – $4,204.14 | 17 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $799.15 – $4,771.75 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $484.05 – $5,032.06 | 10 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $276.01 – $4,178.22 | 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.