CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Mercy Hospital of Folsom

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$9,471

about 1.7× the $5,676 Medicare rate · typically $7,849–$13,978

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,947

Below the fair price — a good deal

about $1,524 under the fair price · 1.4× Medicare

Medicare pays $5,676 Fair price $9,471 This hospital $7,947

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 $5,150 Priciest $7,947

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $9,471 (about 1.7× the $5,676 Medicare rate). Mercy Hospital of Folsom charges insurers about $7,947 — below the fair price — a good deal. Located in Folsom, CA.

What each insurance company pays

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

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

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

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	$8,106 - $15,103	143%
Blue Cross Blue Shieldmajor	$7,510 - $8,185	132%
Aetnamajor	$7,947	140%
Humanamajor	$7,947	140%
Kaiser Permanentemajor	$7,947	140%
Molina	$3,873	68%
+ 1 smaller / regional plan	$4,947

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Mercy Hospital of Folsom is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercy Hospital of Folsom

Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $5,150
Salinas Valley Memorial Hospital · Salinas $6,988
Shriners Hospitals for Children Northern Calif · Sacramento $7,300
Good Samaritan Hospital, LP · Bakersfield $7,405
Casa Colina Hospital · Pomona $7,407
French Hospital Medical Center · San Luis Obispo $7,451
Oak Valley Hospital District · Oakdale $7,456
Adventist Health and Rideout · Marysville $7,527

Insurance negotiated median for the same procedure, sorted lowest first.