CMS Price Transparency Data

CT scan, sinuses

Facility: Mercy Hospital of Folsom

Billing Code: 70486 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$278
about 2.6× the $107 Medicare rate · typically $141–$565
modeled estimate · not a bill or quote
What this hospital charges insurers
$591
Well above the fair price
about $313 over the fair price · 5.5× Medicare
Medicare pays $107 Fair price $278 This hospital $591 Cash price $1,841 Hospital's list price $4,733

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $591

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $278 (about 2.6× the $107 Medicare rate). Mercy Hospital of Folsom charges insurers about $591, or about $1,841 in cash — well above the fair price. Located in Folsom, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $278. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $140 - $245 131%
Blue Cross Blue Shieldmajor $132 - $4,515 124%
Aetnamajor $140 - $613 131%
Cignamajor $3,925 - $5,233 3675%
Humanamajor $140 131%
Kaiser Permanentemajor $140 - $3,739 131%
Health Net $418 391%
Molina $333 312%
+ 5 smaller / regional plans $100 - $3,786
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1650 Creekside Drive, Folsom, CA 95630
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals