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 |
|---|---|---|---|---|
| X-ray thoracic spine 3 views CPT 72072 | $457.08 | $1,175.00 | $31.96 – $963.50 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $410.01 | $1,054.00 | $27.48 – $864.28 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $410.40 | $1,055.00 | $34.21 – $865.10 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $455.91 | $1,172.00 | $56.31 – $961.04 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $611.51 | $1,572.00 | $105.63 – $1,289.04 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $677.64 | $1,742.00 | $92.54 – $1,428.44 | 18 |
| Xylose absorption test blood &/or urine CPT 84620 | $5.02 | $12.90 | $1.42 – $28.58 | 18 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $66,266.93 | $170,352.00 | $18,738.72 – $158,495.36 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $54.85 | $141.00 | $0.02 – $93.48 | 14 |
| Zika virus dna/rna amp probe CPT 87662 | $51.35 | $132.00 | $14.52 – $113.62 | 18 |
| Zika virus igm antibody CPT 86794 | $29.10 | $74.80 | $8.23 – $61.34 | 18 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $102.31 | $263.00 | $5.49 – $41.00 | 14 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $8,091.20 | $20,800.00 | $9.24 – $86.92 | 14 |
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.