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Mercy Hospital of Folsom

1650 Creekside Drive, Folsom, CA 95630 · (916) 983-7400

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Sacramento, CA metroWebsite ↗

Price file

Prices published

File dated 2026-09-30

3,614 price rows for 56 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $85

$131
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,234

$3,740
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,243

$1,889
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,922

$2,834
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $8

$12
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $49

$72
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $193

$297
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $112

$226
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $123

$182
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $8

$12
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $9,705

$14,312
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $3

$3
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $76

$118
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,090

$3,432
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,942

$1,942
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,174

$2,174
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 6 lines · metro median $1,098

$1,137
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $101

$149
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $117

$172
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $188

$199
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $6

$6
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $2

$2
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $485

$485
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $2

$1
cash
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Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $935

$935
cash
TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $3

$3
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $474

$699
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $674

$699
cash
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Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $30

$46
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $352

$438
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.