Supplies, drugs & other prices at Mercy Hospital of Folsom

Folsom, CA · every code in this section with a posted price and a Medicare benchmark.

55 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,339.33 $3,443 1.3×
2d tte w or w/o fol w/con,co (C8923) $1,470.04 $3,779 1.4×
2d tte w or w/o fol w/con,fu (C8924) $927.77 $2,385 2.0×
Adm tocilizu covid-19 1st (M0249) $401.45 $1,032 0.7×
Adm tocilizu covid-19 2nd (M0250) $401.45 $1,032 0.7×
Alcohol/subs interv 15-30mn (G0396) $50.19 $129 1.0×
Alcohol/subs interv >30 min (G0397) $80.92 $208 0.4×
Catheterize for urine spec (P9612)
range across 3 matching MRF lines
$153.27–$238.46 $394–$613 varies
Covid-19 lab test non-cdc (U0002)
range across 5 matching MRF lines
$33.26–$97.25 $85.50–$250 varies
Diab manage trn per indiv (G0108) $63.41 $163 1.1×
Diab manage trn ind/group (G0109) $63.41 $163 4.0×
Direct refer hospital observ (G0379) $411.96 $1,059 0.5×
Drug test def 1-7 classes (G0480)
range across 56 matching MRF lines
$5.83–$250.52 $9.78–$644 varies
Drug test def 15-21 classes (G0482)
range across 4 matching MRF lines
$29.18–$48.63 $75–$125 varies
Drug test def 22+ classes (G0483) $70.02 $180 0.3×
Drug test def 8-14 classes (G0481) $157.55 $405 1.0×
Fecal blood scrn immunoassay (G0328) $77.03 $198 4.3×
Fern test (Q0114) $55.24 $142 5.7×
Hbot, full body chamber, 30m (G0277)
range across 2 matching MRF lines
$369.94–$388.62 $951–$999 varies
Inj for sacroiliac jt anesth (G0260)
range across 3 matching MRF lines
$1,012.18–$1,254.92 $2,602–$3,226 varies
Mri w/o fol w/cont, breast, (C8908) $3,034.20 $7,800 6.7×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $1,962.90 $5,046 1.7×
Oth resp proc, group (G0239)
range across 8 matching MRF lines
$65.75–$515.43 $169–$1,325 varies
Oth resp proc, indiv (G0238) $65.75 $169 1.8×
Perq Sacral Augmt Bilat Inj (0201T) $4,734.13 $12,170 0.5×
Perq Sacral Augmt Unilat Inj (0200T) $6,754.21 $17,363 0.7×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
unusually low: confirm this is the full procedure
$7,285.97 $18,730 0.5×
Potassium hydroxide preps (Q0112) $52.52 $135 9.0×
Prolonged iv inf, req pump (C8957) $606.84 $1,560 2.2×
Prostate biopsy, any mthd (G0416) $153.66 $395 0.3×
Psa screening (G0103) $81.31 $209 4.2×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $82.16 $211.20 0.1×
Revasc intra lithotrip-ather (C9766)
range across 2 matching MRF lines
$14,417.90–$24,104.78 $37,064–$61,966 varies
Revasc intra lithotrip-stent (C9765)
range across 2 matching MRF lines
$14,417.90–$24,104.78 $37,064–$61,966 varies
Revasc intravasc lithotripsy (C9764)
range across 2 matching MRF lines
$7,208.95–$7,509.26 $18,532–$19,304 varies
Revasc lith-sten-ath tib/per (C9775) $24,083.38 $61,911 1.0×
Revasc lithotr-ather tib/per (C9774) $24,083.38 $61,911 1.0×
Revasc lithotr-stent tib/per (C9773) $24,083.38 $61,911 1.0×
Revasc lithotrip tibi/perone (C9772) $15,061.70 $38,719 1.0×
Revasc lithotrip-stent-ather (C9767) $23,203.47 $59,649 1.0×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $25,824.16 $66,386 1.0×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T)
unusually low: confirm this is the full procedure
$10,779.97 $27,712 0.4×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T)
unusually low: confirm this is the full procedure
$10,779.97 $27,712 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$10,779.97 $27,712 0.4×
Therapeutic procd strg endur (G0237) $66.13 $170 1.8×
Trauma respons w/hosp criti (G0390) $8,793.35 $22,605 5.1×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $1,361.50 $3,500 0.4×
Trluml perip athrc abd aorta (0236T)
unusually low: confirm this is the full procedure
$4,615.49 $11,865 0.3×
Trluml Perip Athrc Brchiocph (0237T)
unusually low: confirm this is the full procedure
$4,615.49 $11,865 0.3×
Trluml Perip Athrc Iliac Art (0238T)
likely a partial charge, not the full procedure
$4,615.49 $11,865 0.2×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
unusually low: confirm this is the full procedure
$4,615.49 $11,865 0.3×
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$2,198.63–$2,425.81 $5,652–$6,236 varies
Unsched dialysis esrd pt hos (G0257) $1,099.71 $2,827 1.2×
Ven blood coll snf/hha (G0471) $8.95 $23 0.8×
Wet mounts/ w preparations (Q0111) $52.52 $135 2.8×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.