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 |
|---|---|---|---|---|
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $217.88 – $4,261.72 | 10 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $68.78 – $669.21 | 10 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,281.67 – $7,773.77 | 10 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,025.33 – $7,773.77 | 10 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $692.42 | $1,780.00 | $85.45 – $1,459.60 | 18 |
| Ultrasound chest CPT 76604 | $728.99 | $1,874.00 | $34.58 – $1,536.68 | 18 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $765.56 | $1,968.00 | $22.99 – $1,613.76 | 18 |
| Ultrasound dx ophth b-scan CPT 76512 | $239.63 | $616.00 | $19.63 – $505.12 | 18 |
| Ultrasound encephalogram CPT 76506 | $838.30 | $2,155.00 | $88.80 – $1,767.10 | 18 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $748.44 | $1,924.00 | $110.40 – $1,577.68 | 18 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $838.30 | $2,155.00 | $55.33 – $1,767.10 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | $542.66 | $1,395.00 | $27.85 – $938.08 | 15 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $727.05 | $1,869.00 | $32.34 – $1,148.82 | 15 |
| Ultrasound guide intraoperative CPT 76998 | $411.57 | $1,058.00 | $69.85 – $520.70 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $576.11 | $1,481.00 | $109.11 – $1,214.42 | 18 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $459.02 | $1,180.00 | $45.05 – $967.60 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $313.54 | $806.00 | $23.18 – $660.92 | 15 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,086.48 | $2,793.00 | $98.51 – $2,290.26 | 18 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $728.99 | $1,874.00 | $74.36 – $1,536.68 | 18 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $728.99 | $1,874.00 | $55.90 – $1,536.68 | 18 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $728.99 | $1,874.00 | $63.00 – $1,536.68 | 18 |
| Ultrasound retroperitoneal limited CPT 76775 | $728.99 | $1,874.00 | $37.20 – $1,536.68 | 18 |
| Ultrasound scrotum and contents CPT 76870 | $728.99 | $1,874.00 | $77.76 – $1,536.68 | 18 |
| Ultrasound spinal canal and contents CPT 76800 | $838.30 | $2,155.00 | $80.98 – $1,767.10 | 18 |
| Ultrasound transabd ea addl gest CPT 76812 | $347.77 | $894.00 | $98.34 – $733.08 | 15 |
| Ultrasound transvaginal non obstetric CPT 76830 | $728.99 | $1,874.00 | $94.97 – $1,536.68 | 18 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $36.32 – $195.21 | 7 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $284.26 – $1,222.32 | 10 |
| Unit mobile power mpu HCPCS Q0479 | $19,609.49 | $50,410.00 | $5,545.10 – $48,393.60 | 16 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted CT procedure CPT 76497 | $1,307.43 | $3,361.00 | $109.11 – $3,925.00 | 15 |
| Unlisted cytogenetic study CPT 88299 | $178.94 | $460.00 | $50.60 – $377.20 | 15 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $249.29 – $264.36 | 4 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $249.29 – $264.36 | 4 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $589.53 – $7,666.93 | 4 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px renal CPT 50549 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px testis CPT 54699 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted procedure colon CPT 45399 | not published | not published | $422.10 – $1,198.08 | 4 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,161.82 – $1,232.05 | 4 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $370.43 – $392.82 | 4 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted procedure liver CPT 47399 | not published | not published | $871.89 – $924.59 | 4 |
| Unlisted procedure microbiology CPT 87999 | $1,039.10 | $2,671.20 | $37.40 – $282.20 | 13 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $370.43 – $392.82 | 4 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $871.89 – $924.59 | 4 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $1,129.79 – $1,198.08 | 4 |
| Unlisted procedure spine CPT 22899 | $10,937.91 | $28,118.00 | $297.26 – $28,118.00 | 14 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $911.01 – $911.01 | 1 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $130.32 | $335.00 | $30.69 – $279.00 | 14 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,826.27 – $2,997.11 | 4 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,161.82 – $1,232.05 | 4 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $195.53 – $207.35 | 4 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $370.43 – $392.82 | 4 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $871.89 – $924.59 | 4 |
| Unlisted px external ear CPT 69399 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $370.43 – $392.82 | 4 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px inner ear CPT 69949 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $370.43 – $392.82 | 4 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $301.38 – $319.60 | 4 |
| Unlisted px middle ear CPT 69799 | not published | not published | $250.63 – $305.16 | 4 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $297.26 – $315.23 | 4 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,826.27 – $2,997.11 | 4 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px small intestine CPT 44799 | not published | not published | $1,161.82 – $1,232.05 | 4 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $287.77 – $305.16 | 4 |
| Unlisted transfusion med px CPT 86999 | $126.43 | $325.00 | $5.50 – $55.87 | 15 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $766.15 – $812.46 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $7,229.91 – $7,666.93 | 4 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,099.71 | $2,827.00 | $310.97 – $2,318.14 | 12 |
| Upgrade pm system CPT 33214 | $4,989.32 | $12,826.00 | $455.42 – $12,826.00 | 17 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,259.05 | $8,378.00 | $242.85 – $6,869.96 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,356.69 | $8,629.00 | $215.55 – $7,075.78 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,118.50 | $5,446.00 | $138.71 – $5,397.00 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $123.03 – $1,382.35 | 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.