Visits & medical services prices at Mercy Hospital of Folsom
Folsom, CA · every code in this section with a posted price and a Medicare benchmark.
199 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $13,518.53 | $34,752 | 1.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $120.59 | $310 | 2.3× |
| Airway Inhalation Treatment (94640) range across 5 matching MRF lines |
$269.58–$551.61 | $693–$1,418 | varies |
| Application on-body injector (96377) | $53.30 | $137 | 0.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$457.86–$502.98 | $1,177–$1,293 | varies |
| C motor evoked upr&lwr limbs (95939) | $702.93 | $1,807 | 0.6× |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$36.18–$37.74 | $93–$97 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $868.64 | $2,233 | 3.1× |
| Cardiopulmonary exercise testing (94621) | $801.34 | $2,060 | 1.7× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$382.78–$1,184.51 | $984–$3,045 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$959.67–$1,776.96 | $2,467–$4,568 | varies |
| Cardioversion elective internal (92961) range across 2 matching MRF lines |
$1,291.48–$1,352.56 | $3,320–$3,477 | varies |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $20,056.84 | $51,560 | 4.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $16,306.50 | $41,919 | 3.9× |
| Cbt 1st hour (94644) | $437.24 | $1,124 | 2.5× |
| Chemo Admin Peritoneal Cavity (96446) | $378.89 | $974 | 0.9× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$198.78–$276.19 | $511–$710 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$113.20–$198.78 | $291–$511 | varies |
| Chemo Ia Push (96420) range across 2 matching MRF lines |
$446.58–$450.86 | $1,148–$1,159 | varies |
| Chemo IV infusion addl hr (96415) | $181.67 | $467 | 1.9× |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$95.31–$263.36 | $245–$677 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $698.65 | $1,796 | 1.6× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $290.59 | $747 | 0.7× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $57.97 | $149 | 1.0× |
| Chemotherapy Into Cns (96450) | $724.32 | $1,862 | 1.7× |
| Chemotherapy Intracavitary (96440) | $637.19 | $1,638 | 1.5× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) range across 2 matching MRF lines |
$446.58–$450.86 | $1,148–$1,159 | varies |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $276.97 | $712 | 3.0× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $698.65 | $1,796 | 1.6× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$290.59–$453.97 | $747–$1,167 | varies |
| Chest Wall Manipulation (94668) | $147.05 | $378 | 0.9× |
| Color/duplex Doppler, complete (93975) | $1,263.87 | $3,249 | 4.1× |
| Color/duplex Doppler, limited (93976) | $848.02 | $2,180 | 6.3× |
| Continuous Pulse Ox (94762) | $1,141.33 | $2,934 | 6.8× |
| Coronary Art/Grft Angio S&I (93455) | $13,251.68 | $34,066 | 3.1× |
| Coronary Artery Angio S&I (93454) | $12,046.95 | $30,969 | 2.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,716.66 | $4,413 | 6.0× |
| Cpt initial (94667) | $214.73 | $552 | 1.2× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$3,307.28–$23,282.04 | $8,502–$59,851 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$246.63–$304.20 | $634–$782 | varies |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$863.97–$949.55 | $2,221–$2,441 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,263.87 | $3,249 | 4.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $848.02 | $2,180 | 6.3× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $765.56 | $1,968 | 5.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,303.93 | $3,352 | 4.2× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,120.71 | $2,881 | 3.6× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $1,061.59 | $2,729 | 3.4× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) | $712.65 | $1,832 | 5.3× |
| Duplex Scan Hemodialysis Access (93990) | $712.65 | $1,832 | 5.3× |
| Duplex up extrem art bilat (93930) | $1,112.93 | $2,861 | 3.6× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$660.14–$786.17 | $1,697–$2,021 | varies |
| Echo r-t 2d w/probe placement only (93313) | $2,041.09 | $5,247 | 2.9× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$1,934.50–$2,125.89 | $4,973–$5,465 | varies |
| Eeg 41-60 Minutes (95812) | $931.27 | $2,394 | 3.3× |
| EEG awake and asleep (95819) | $801.73 | $2,061 | 2.9× |
| EEG awake drowsy (95816) | $703.32 | $1,808 | 2.5× |
| EEG cerebral death evaluation (95824) | $732.10 | $1,882 | 1.5× |
| EEG cont rec w/video by tech min 8 channels (95700) | $431.41 | $1,109 | 1.5× |
| EEG extended monitoring 61-119 minutes (95813) | $1,117.21 | $2,872 | 4.0× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$939.44–$1,032.02 | $2,415–$2,653 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $431.41 | $1,109 | 1.5× |
| EEG w/o vid 2-12hr cont mntr (95707) | $431.41 | $1,109 | 1.5× |
| EEG w/o vid ea 12-26hr intmt (95709) | $828.19 | $2,129 | 1.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $828.19 | $2,129 | 1.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $431.41 | $1,109 | 1.5× |
| EEG wo vid ea 12-26hr unmntr (95708) | $828.19 | $2,129 | 1.7× |
| Electrocardiogram Tracing (93005) | $223.68 | $575 | 2.9× |
| Electrophysiology Evaluation (93642) | $1,906.49 | $4,901 | 1.2× |
| Emergency Dept Visit Level 2 (99282) | $529.04 | $1,360 | 2.7× |
| Emergency Dept Visit Level 3 (99283) | $1,010.24 | $2,597 | 2.9× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$1,659.48–$7,816.18 | $4,266–$20,093 | varies |
| Endomyocardial Biopsy (93505) | $1,466.53 | $3,770 | 0.4× |
| Ep & ablate supravent arrhyt (93653) | $19,591.99 | $50,365 | 0.6× |
| Ep & ablate ventric tachy (93654) | $25,469.78 | $65,475 | 0.8× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $9,771.30 | $25,119 | 1.0× |
| Er level 1 (99281) | $216.29 | $556 | 2.0× |
| Er level v (99285) range across 2 matching MRF lines |
$2,405.19–$14,478.20 | $6,183–$37,219 | varies |
| Esophagus acid perfusion test esophagitis (91030) | $1,977.68 | $5,084 | 4.1× |
| Evaluate pt use of inhaler (94664) | $275.03 | $707 | 1.0× |
| External ECG rec>48hr<7d recording (93242) | $217.46 | $559 | 4.5× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $217.46 | $559 | 1.3× |
| External ECG rec>7d<15d recording (93246) | $217.46 | $559 | 4.5× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $217.46 | $559 | 1.3× |
| Extracranial Bilat Study (93880) | $1,086.48 | $2,793 | 3.5× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $1,700.71 | $4,372 | 2.4× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $1,943.45 | $4,996 | 4.0× |
| Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) | $1,973.01 | $5,072 | 7.0× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $883.03 | $2,270 | 0.8× |
| Gi tract capsule endoscopy (91110) | $2,324.67 | $5,976 | 2.0× |
| Gi wireless capsule measure (91112) | $818.46 | $2,104 | 0.7× |
| Health Behavior Assessment/Re-Assessment (96156) | $83.64 | $215 | 0.6× |
| Health behavior ivntj fam w/pt f2f 1st 30 min (96167) | $150.16 | $386 | 3.1× |
| Health behavior ivntj group f2f 1st 30 min (96164) | $37.74 | $97 | 0.8× |
| Health behavior ivntj indiv f2f 1st 30 min (96158) range across 2 matching MRF lines |
$102.31–$117.48 | $263–$302 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $21,361.55 | $54,914 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 3 matching MRF lines |
$1,023.07–$1,764.12 | $2,630–$4,535 | varies |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$155.60–$163.38 | $400–$420 | varies |
| Icd Device Interrogate (93289) | $176.61 | $454 | 3.6× |
| Icd device progr eval dual (93283) | $172.33 | $443 | 3.6× |
| Icd Device Progr Eval Mult (93284) range across 2 matching MRF lines |
$122.54–$185.56 | $315–$477 | varies |
| Icm Device Eval (93290) | $47.46 | $122 | 1.0× |
| Ilr Device Interrogate (93291) | $170 | $437 | 4.5× |
| Immunization administration (90471) | $108.92 | $280 | 1.2× |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $699.82 | $1,799 | 1.4× |
| Insert/Place Heart Catheter (93503) range across 3 matching MRF lines |
$2,179.96–$2,637.81 | $5,604–$6,781 | varies |
| Interrog&prgrmg impl phrenic nrv stimulator sys (93151) | $1,315.21 | $3,381 | 10.7× |
| Interrog&prgrmg ipnss during polysomnography (93152) | $1,315.21 | $3,381 | 3.3× |
| Interrogation vad in person (93750) | $194.12 | $499 | 1.6× |
| Interrogation without programming ipnss (93153) | $1,315.21 | $3,381 | 10.7× |
| Intra-atrial pacing (93610) | $8,531.55 | $21,932 | 0.8× |
| Intracranial Complete Study (93886) | $1,195.01 | $3,072 | 3.9× |
| Irrig Drug Delivery Device (96523) | $145.49 | $374 | 1.9× |
| IV infusion hydration each additional hour (96361) | $172.33 | $443 | 2.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $453.97 | $1,167 | 1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $172.33 | $443 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $195.28 | $502 | 3.2× |
| IV push initial (96374) range across 5 matching MRF lines |
$199.17–$283.20 | $512–$728 | varies |
| L Hrt Art/Grft Angio (93459) | $17,447.82 | $44,853 | 4.1× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $1,314.82 | $3,380 | 4.7× |
| Mechanical chest wall oscillation per session (94669) | $120.21 | $309 | 0.4× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$41.24–$80.14 | $106–$206 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$38.90–$93.75 | $100–$241 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $24.90 | $64 | 1.5× |
| Methacholine challenge (94070) | $487.81 | $1,254 | 1.0× |
| Motility study esophagus (91010) | $2,733.12 | $7,026 | 5.6× |
| Muscle Test 2 Limbs (95861) | $186.72 | $480 | 1.1× |
| Muscle Test Nonparaspinal (95870) | $157.16 | $404 | 0.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 3 matching MRF lines |
$151.71–$535.66 | $390–$1,377 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 3 matching MRF lines |
$247.02–$535.66 | $635–$1,377 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 6 matching MRF lines |
$246.63–$531.38 | $634–$1,366 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 5 matching MRF lines |
$510.37–$607.23 | $1,312–$1,561 | varies |
| Neurobehavioral Status Exam (96116) range across 2 matching MRF lines |
$440.35–$550.44 | $1,132–$1,415 | varies |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $204.62 | $526 | 1.2× |
| Nrpsyc tst eval phys/qhp 1st (96132) | $597.12 | $1,535 | 1.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $141.60 | $364 | 0.8× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $128.76 | $331 | 0.8× |
| Penile Vascular Study,Ltd or F/U (93981) | $765.56 | $1,968 | 5.6× |
| Peripheral arterial disease rehab per session (93668) | $91.81 | $236 | 1.2× |
| Perq transcath closure pda (93582) unusually low: confirm this is the full procedure |
$9,927.67 | $25,521 | 0.4× |
| Perq Transcath Cls Aortic (93591) | $22,052.80 | $56,691 | 0.9× |
| Phlebotomy therapeutic (99195) | $221.35 | $569 | 1.3× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $239.63 | $616 | 3.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $239.63 | $616 | 3.1× |
| Plethysmography (94726) | $323.26 | $831 | 0.7× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$170–$176.61 | $437–$454 | varies |
| Pm device progr eval dual (93280) | $235.35 | $605 | 4.9× |
| Pm device progr eval multi (93281) | $185.95 | $478 | 3.8× |
| Pm Device Progr Eval Sngl (93279) | $216.68 | $557 | 4.5× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $145.10 | $373 | 3.0× |
| Psyl/nrpsycl tst phys/qhp 2+ tst 1st 30 min (96136) | $597.12 | $1,535 | 3.5× |
| Pulm function test by gas (94727) | $258.69 | $665 | 0.9× |
| Pulmonary service/procedure (94799) | $227.57 | $585 | 1.4× |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$222.90–$253.24 | $573–$651 | varies |
| R Hrt Art/Grft Angio (93457) | $18,915.52 | $48,626 | 4.5× |
| R hrt coronary artery angio (93456) | $17,773.80 | $45,691 | 4.2× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $19,231.78 | $49,439 | 4.6× |
| Refill/Maint Portable Pump (96521) | $263.75 | $678 | 1.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $263.75 | $678 | 1.0× |
| Rem interrog icpms <30 d phys/qhp (93297) | $246.24 | $633 | 5.1× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $246.24 | $633 | 5.1× |
| Rem Mntr Wrls P-Art Prs Snr (93264) | $246.24 | $633 | 5.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $72.36 | $186 | 1.5× |
| Remote 30 Day Ecg Tech Supp (93229) | $224.07 | $576 | 0.5× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $102.31 | $263 | 1.3× |
| Right Heart Cath (93451) | $6,631.68 | $17,048 | 1.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $135.38 | $348 | 0.5× |
| Sleep study unattended (95806) | $262.19 | $674 | 0.9× |
| Somatosensory Testing (95938) | $865.92 | $2,226 | 0.8× |
| Spirometry (94010) | $229.13 | $589 | 0.8× |
| Stress Tte Only (93350) | $1,700.71 | $4,372 | 2.4× |
| Temp transcutaneous pacing (92953) | $353.22 | $908 | 0.4× |
| Ther Activation Impl Phrenic Nrv Stimulator Sys (93150) | $1,315.21 | $3,381 | 10.7× |
| Ther/Proph/Diag Inj Ia (96373) range across 2 matching MRF lines |
$295.64–$311.20 | $760–$800 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$158.72–$199.17 | $408–$512 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $453.97 | $1,167 | 1.6× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,597.24 | $4,106 | 3.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 2 matching MRF lines |
$86.75–$103.09 | $223–$265 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$26.85–$49.80 | $69–$128 | varies |
| Transcath Closure of Asd (93580) | $18,638.55 | $47,914 | 0.8× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $800.57 | $2,058 | 5.9× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$1,724.83–$1,895.21 | $4,434–$4,872 | varies |
| Tte W/O Doppler Complete (93307) | $660.14 | $1,697 | 2.1× |
| Tx atrial fib pulm vein isol (93656) | $25,694.62 | $66,053 | 0.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$199.17–$311.20 | $512–$800 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 5 matching MRF lines |
$249.35–$6,802.45 | $641–$17,487 | varies |
| Unlisted Psychiatric Service/Procedure (90899) range across 2 matching MRF lines |
$108.54–$130.32 | $279–$335 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$317.43–$447.35 | $816–$1,150 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $657.41 | $1,690 | 2.3× |
| Valvuloplasty aortic valve (92986) | $8,198.57 | $21,076 | 1.1× |
| Valvuloplasty mitral valve (92987) unusually low: confirm this is the full procedure |
$5,083.07 | $13,067 | 0.3× |
| Veeg 2-12 Hr Cont Mntr (95713) | $828.19 | $2,129 | 1.7× |
| Veeg 2-12 hr intmt mntr (95712) | $431.41 | $1,109 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $431.41 | $1,109 | 1.5× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $828.19 | $2,129 | 1.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $828.19 | $2,129 | 1.7× |
| Veeg ea 12-26hr cont mntr (95716) | $2,165.18 | $5,566 | 1.9× |
| Vent Mgmt Inpat Init Day (94002) | $3,939.02 | $10,126 | 4.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $3,787.70 | $9,737 | 4.7× |
| Vital capacity, total (94150) | $104.26 | $268 | 0.6× |
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.