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 |
|---|---|---|---|---|
| Warde sugars single qualitative each specimen stool CPT 84376 | $17.90 | $46.00 | $1.32 – $12.20 | 18 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $5.45 | $14.00 | $1.54 – $34.89 | 18 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $15.23 | $39.15 | $4.31 – $112.64 | 18 |
| Warde topiramate therapeutic drug level CPT 80201 | $5.45 | $14.00 | $1.54 – $26.40 | 18 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $141.99 | $365.00 | $2.41 – $57.75 | 18 |
| Warde viscosity CPT 85810 | $3.87 | $9.93 | $1.10 – $25.86 | 18 |
| Warde vitamin a CPT 84590 | $4.10 | $10.52 | $1.16 – $25.72 | 18 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $8.99 | $23.11 | $2.55 – $47.02 | 18 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $2.73 | $7.00 | $0.77 – $62.25 | 18 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $7.01 | $18.00 | $1.98 – $21.91 | 18 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $13.07 | $33.59 | $3.70 – $85.28 | 18 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $4.67 | $12.00 | $1.32 – $31.41 | 18 |
| Warde zinc CPT 84630 | $28.01 | $72.00 | $1.13 – $25.21 | 18 |
| Wash harvest stem cells CPT 38209 | not published | not published | $23.94 – $574.50 | 4 |
| Wbc automated CPT 85048 | $85.20 | $219.00 | $2.26 – $179.58 | 18 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $468.66 – $2,519.04 | 7 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $718.22 – $9,717.52 | 10 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $127.33 – $547.52 | 7 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $127.33 – $547.52 | 7 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $770.66 – $3,313.84 | 7 |
| Wedging of cast CPT 29740 | not published | not published | $68.74 – $450.07 | 10 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $71.34 – $383.46 | 10 |
| Wet mounts/ w preparations HCPCS Q0111 | $52.52 | $135.00 | $3.66 – $110.70 | 18 |
| Whfo nontorsion joint prefab HCPCS L3931 | $116.70 | $300.00 | $33.00 – $288.00 | 17 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $291.75 | $750.00 | $82.50 – $720.00 | 17 |
| Whole blood for transfusion HCPCS P9010 | $219.79 | $565.00 | $62.15 – $565.00 | 17 |
| Who nontorsion jnts pre cst HCPCS L3915 | $29.57 | $76.00 | $8.36 – $76.00 | 17 |
| Wilate injection HCPCS J7183 | $1,556.00 | $4,000.00 | $0.02 – $4.92 | 15 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | not published | not published | $87.34 – $430.65 | 7 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $535.66 | $1,377.00 | $20.98 – $390.00 | 13 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $535.66 | $1,377.00 | $23.94 – $635.00 | 13 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $531.38 | $1,366.00 | $24.93 – $634.00 | 13 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $607.23 | $1,561.00 | $26.98 – $1,312.00 | 13 |
| Wrist arthroscopy CPT 29840 | not published | not published | $306.74 – $4,263.74 | 10 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $417.40 – $4,263.74 | 10 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $430.22 – $4,263.74 | 10 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $522.92 – $4,263.74 | 10 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $550.33 – $4,263.74 | 10 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $495.15 – $9,387.58 | 10 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $287.52 – $2,103.10 | 10 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $873.45 – $5,286.44 | 4 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $770.32 – $4,338.40 | 10 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $823.92 – $5,286.44 | 4 |
| Xcellistem, 1 mg HCPCS A2004 | $4,059.22 | $10,435.00 | $308.55 – $2,692.80 | 16 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $387.06 – $2,403.79 | 10 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,545.62 | $6,544.00 | $290.51 – $5,366.08 | 17 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $315.71 – $1,357.55 | 7 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $188.77 – $1,370.37 | 7 |
| X-ray abdomen 1 view CPT 74018 | $410.01 | $1,054.00 | $23.74 – $864.28 | 18 |
| X-ray abdomen 2 views CPT 74019 | $455.13 | $1,170.00 | $28.97 – $959.40 | 18 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $455.13 | $1,170.00 | $38.70 – $959.40 | 18 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $430.63 | $1,107.00 | $22.24 – $907.74 | 18 |
| X-ray bone length studies CPT 77073 | $480.03 | $1,234.00 | $32.05 – $1,011.88 | 18 |
| X-ray bone survey complete CPT 77075 | $525.54 | $1,351.00 | $78.50 – $1,107.82 | 18 |
| X-ray bone survey infant CPT 77076 | $525.54 | $1,351.00 | $63.60 – $1,107.82 | 18 |
| X-ray cervical spine 2-3 views CPT 72040 | $410.01 | $1,054.00 | $32.34 – $864.28 | 18 |
| X-ray cervical spine 4-5 views CPT 72050 | $455.13 | $1,170.00 | $45.80 – $959.40 | 18 |
| X-ray cervical spine >= 6 views CPT 72052 | $455.13 | $1,170.00 | $53.28 – $959.40 | 18 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $657.03 | $1,689.00 | $74.46 – $1,384.98 | 18 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $657.03 | $1,689.00 | $90.14 – $1,384.98 | 18 |
| Xray endovasc thor ao repr CPT 75956 | $4,027.32 | $10,353.00 | $326.19 – $8,489.46 | 15 |
| Xray endovasc thor ao repr CPT 75957 | $4,510.46 | $11,595.00 | $279.43 – $9,507.90 | 15 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $677.64 | $1,742.00 | $54.64 – $1,428.44 | 18 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $455.91 | $1,172.00 | $61.12 – $961.04 | 18 |
| X-ray exam of eye sockets CPT 70200 | $504.15 | $1,296.00 | $38.32 – $1,062.72 | 18 |
| X-ray exam of sinuses CPT 70210 | $430.63 | $1,107.00 | $26.73 – $907.74 | 18 |
| X-ray exam thorac spine4/>vw CPT 72074 | $457.08 | $1,175.00 | $36.83 – $963.50 | 18 |
| X-ray facial bones complete > 3 views CPT 70150 | $413.90 | $1,064.00 | $38.32 – $872.48 | 18 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $455.13 | $1,170.00 | $34.21 – $959.40 | 18 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $455.13 | $1,170.00 | $43.85 – $959.40 | 18 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $455.13 | $1,170.00 | $51.04 – $959.40 | 18 |
| X-ray knee ap standing bilateral CPT 73565 | $434.52 | $1,117.00 | $27.28 – $915.94 | 18 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $457.08 | $1,175.00 | $33.46 – $963.50 | 18 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $457.08 | $1,175.00 | $43.93 – $963.50 | 18 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $457.08 | $1,175.00 | $52.16 – $963.50 | 18 |
| X-ray mandible complete > 4 views CPT 70110 | $500.65 | $1,287.00 | $35.33 – $1,055.34 | 18 |
| X-ray mandible ltd <4 views CPT 70100 | $450.47 | $1,158.00 | $33.46 – $949.56 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $450.86 | $1,159.00 | $32.71 – $950.38 | 18 |
| X-ray neck soft tissue CPT 70360 | $410.01 | $1,054.00 | $24.82 – $864.28 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $410.01 | $1,054.00 | $22.99 – $864.28 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $457.08 | $1,175.00 | $21.87 – $963.50 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $457.08 | $1,175.00 | $33.46 – $963.50 | 18 |
| Xray place dist ext thor ao CPT 75959 | $1,280.59 | $3,292.00 | $163.19 – $2,699.44 | 15 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,082.59 | $2,783.00 | $60.01 – $2,282.06 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $457.08 | $1,175.00 | $33.46 – $963.50 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $457.08 | $1,175.00 | $41.31 – $963.50 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $455.13 | $1,170.00 | $31.96 – $959.40 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $410.01 | $1,054.00 | $27.10 – $864.28 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $430.63 | $1,107.00 | $30.47 – $907.74 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $919.21 | $2,363.00 | $39.44 – $1,952.35 | 18 |
| X-ray skull < 4 views CPT 70250 | $457.08 | $1,175.00 | $30.47 – $963.50 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $457.08 | $1,175.00 | $34.96 – $963.50 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $745.33 | $1,916.00 | $91.79 – $1,571.12 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $894.32 | $2,299.00 | $54.03 – $1,885.18 | 15 |
| X-ray spine single view CPT 72020 | $410.01 | $1,054.00 | $18.50 – $864.28 | 18 |
| X-ray sternum > 2 views CPT 71120 | $410.01 | $1,054.00 | $26.73 – $864.28 | 18 |
| X-ray surgical specimen CPT 76098 | $684.64 | $1,760.00 | $20.77 – $1,952.35 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $677.64 | $1,742.00 | $74.46 – $1,428.44 | 18 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $430.63 | $1,107.00 | $46.55 – $907.74 | 18 |
| X-ray thoracic spine 2 views CPT 72070 | $457.08 | $1,175.00 | $25.98 – $963.50 | 18 |
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.