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 |
|---|---|---|---|---|
| Target gsa panel hmtlmph neop CPT 81450 | $1,011.40 | $2,600.00 | $88.00 – $1,682.00 | 14 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,147.55 | $2,950.00 | $209.00 – $6,465.60 | 18 |
| Target gsa panel organ neop CPT 81445 | $564.05 | $1,450.00 | $159.50 – $1,411.07 | 18 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $2,697.52 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $132.96 – $804.40 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $4,639.40 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $809.90 | $2,082.00 | $0.37 – $894.62 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $29.18 | $75.00 | $3.30 – $137.27 | 18 |
| Tc-99m bicisate HCPCS A9557 | $1,470.42 | $3,780.00 | $339.34 – $8,698.43 | 18 |
| Tc-99m disofenin HCPCS A9510 | $132.65 | $341.00 | $34.83 – $279.62 | 15 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $4,059.22 | $10,435.00 | $656.81 – $4,896.22 | 15 |
| Tc-99m exametazime diag HCPCS A9521 | $2,196.30 | $5,646.00 | $454.09 – $4,629.72 | 18 |
| Tc-99m labeled rbc HCPCS A9560 | $216.68 | $557.00 | $51.80 – $456.74 | 15 |
| Tc-99m maa HCPCS A9540 | $232.24 | $597.00 | $21.70 – $489.54 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $59.13 | $152.00 | $16.72 – $131.23 | 15 |
| Tc-99m medronate HCPCS A9503 | $38.13 | $98.00 | $10.78 – $80.36 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $412.34 | $1,060.00 | $116.60 – $869.20 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $35.79 | $92.00 | $10.12 – $75.44 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $155.60 | $400.00 | $33.63 – $328.00 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.56 | $4.00 | $0.44 – $4.02 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $66.52 | $171.00 | $18.81 – $151.96 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $101.14 | $260.00 | $28.60 – $230.90 | 15 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $708.76 | $1,822.00 | $101.30 – $1,494.04 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $138.88 | $357.00 | $12.43 – $634.32 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $109.31 | $281.00 | $30.91 – $230.42 | 15 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,419.85 | $3,650.00 | $246.49 – $3,650.00 | 12 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $1,127.50 | 10 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $43.09 – $574.50 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $8.76 | $22.50 | $1.71 – $104.05 | 18 |
| T cells absolute cd 4 count CPT 86361 | $10.90 | $28.00 | $2.70 – $59.32 | 18 |
| T cells total count CPT 86359 | $8.76 | $22.50 | $1.71 – $83.54 | 18 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $1,820.96 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $954.74 – $7,348.21 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $1,376.96 – $1,376.96 | 1 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $4,263.74 | 10 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $4,263.74 | 10 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $4,263.74 | 10 |
| Tendon transfer with graft CPT 26492 | not published | not published | $532.32 – $4,263.74 | 10 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $13,776.83 | $35,416.00 | $54.54 – $9,569.40 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $598.11 – $9,387.58 | 10 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $371.68 – $4,263.74 | 10 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $4,263.74 | 10 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $768.57 – $9,387.58 | 10 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $484.05 – $2,601.75 | 10 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $378.95 – $2,036.83 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $206.35 – $4,263.74 | 10 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $192.68 – $2,103.10 | 10 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $33.85 | $87.00 | $1.41 – $41.00 | 14 |
| Tert gene targeted seq alys CPT 81345 | $81.69 | $210.00 | $23.10 – $410.13 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $868.64 | $2,233.00 | $37.69 – $1,831.06 | 17 |
| Tetanus immune globulin inj HCPCS J1670 | $705.26 | $1,813.00 | $108.87 – $1,486.66 | 15 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $389.00 | $1,000.00 | $110.00 – $1,000.00 | 8 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $22.34 – $574.50 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $28.01 | $72.00 | $7.92 – $59.04 | 18 |
| Therapeutic procd strg endur HCPCS G0237 | $66.13 | $170.00 | $10.37 – $1,867.00 | 15 |
| Therapy activation ipnss CPT 93150 | $1,315.21 | $3,381.00 | $371.91 – $3,381.00 | 8 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $93.75 | $241.00 | $11.00 – $100.00 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $80.14 | $206.00 | $11.66 – $106.00 | 17 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $87.15 – $4,261.72 | 10 |
| Ther/proph/diag inj ia CPT 96373 | $311.20 | $800.00 | $18.25 – $623.20 | 18 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $19.45 | $50.00 | $0.92 – $41.00 | 14 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,253.16 – $5,388.59 | 7 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,371.55 – $5,897.67 | 7 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,637.69 | $4,210.00 | $105.95 – $1,622.78 | 17 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,007.94 – $10,792.69 | 7 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.05 – $2,601.75 | 7 |
| Thoracic duct procedure CPT 38381 | not published | not published | $792.28 – $5,120.79 | 7 |
| Thoracic duct procedure CPT 38382 | not published | not published | $674.95 – $4,592.63 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $200.04 – $1,164.26 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,659.88 – $14,296.87 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $714.32 – $3,839.47 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,314.96 – $5,654.33 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $211.90 – $7,666.93 | 10 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,247.21 – $5,363.00 | 7 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $174.98 – $752.41 | 7 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,455.69 – $6,259.47 | 7 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $592.13 – $3,182.71 | 7 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,103.50 – $4,745.05 | 7 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $555.81 – $2,987.49 | 7 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $642.54 – $3,453.67 | 7 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $448.15 – $2,408.82 | 7 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $569.49 – $3,061.02 | 7 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $588.29 – $3,162.05 | 7 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $821.12 – $4,413.52 | 7 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $291.37 – $7,666.93 | 10 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $306.32 – $13,681.38 | 10 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $856.15 – $4,601.82 | 7 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $746.78 – $4,013.96 | 7 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $539.58 – $2,900.22 | 7 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $631.43 – $3,393.96 | 7 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $627.59 – $3,373.30 | 7 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $613.06 – $3,295.21 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $991.06 – $4,261.56 | 7 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $721.15 – $3,100.95 | 7 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $127.33 – $547.52 | 7 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $128.07 – $550.70 | 7 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $605.06 – $2,601.75 | 7 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $605.06 – $2,601.75 | 7 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $846.97 – $3,641.97 | 7 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $580.60 – $3,120.72 | 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.