CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Mercy Hospital of Folsom

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$148
about 1.3× the $118 Medicare rate · typically $83–$285
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
Above the fair price
about $61 over the fair price · 1.8× Medicare
Medicare pays $118 Fair price $148 This hospital $209 Cash price $156 Hospital's list price $400

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 $34 Priciest $209

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

A fair price for a New patient office visit (30-44 min) is about $148 (about 1.3× the $118 Medicare rate). Mercy Hospital of Folsom charges insurers about $209, or about $156 in cash — 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 $148. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Kaiser Permanente AetnaHumana

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 $102 - $400 87%
Blue Cross Blue Shieldmajor $98 - $400 83%
Cignamajor $168 - $225 143%
Kaiser Permanentemajor $164 - $316 139%
Health Net $240 204%
Molina $192 163%
+ 5 smaller / regional plans $82 - $400
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.

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Facility Profile & Credentials

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