Emergency visit, moderate (level 3) at Mercy Hospital of Folsom. CPT 99283.
What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,010cash price (self-pay)
$2,597list price
$63.97–$13,475range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicaid|< 21 | $63.97 |
| United | Medicaid|> 21 | $63.97 |
| Hill Physicians | Commercial|All Plans | $69.50 |
| Hill Physicians | Medicaid|All Plans | $70.37 |
| Molina | Medicaid|All Plans | $120 |
| BCBS - Anthem | Medicaid|All Plans | $122 |
| California Health & Wellness | Medicaid|All Plans | $151 |
| Health Net | Medicaid|All Plans | $151 |
| Partnership Health Plan | Medicaid|All Plans | $275 |
| WCMG | Commercial|All Plans | $286 |
| BCBS - Anthem | Medicare|All Other Plans | $343 |
| Humana | Commercial|All Plans | $364 |
| Aetna | Medicare|All Plans | $364 |
| Western Health Advantage | Commercial|All Plans | $909 |
| Kaiser | Medicaid|All Plans | $1,065 |
| Blue Shield CA | Commercial|ACO Trio | $1,350 |
| Cigna | Commercial|LocalPlus | $1,714 |
| Blue Shield CA | Commercial|ACO Trio CalPers | $1,740 |
| First Health | Commercial|All Plans | $1,948 |
| Healthsmart | Commercial|All Plans | $1,948 |
| Blue Shield CA | Commercial|Exchange | $1,974 |
| Kaiser | Commercial|All Plans | $2,052 |
| Sutter Health | Commercial|All Plans | $2,078 |
| Blue Shield CA | Commercial|PPO Tandem | $2,130 |
| MultiPlan | Commercial|All Plans | $2,130 |
| Cigna | Commercial|All Other Plans | $2,285 |
| Blue Shield CA | Commercial|All Other Plans | $2,337 |
| Blue Shield CA | Commercial|HMO | $2,337 |
| Aetna | Commercial|All Other Plans | $2,363 |
| Aetna | Commercial|HMO | $2,363 |
Inpatient
$1,010cash price (self-pay)
$2,597list price
$286–$2,130range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WCMG | Commercial|All Plans | $286 |
| First Health | Commercial|All Plans | $1,948 |
| Healthsmart | Commercial|All Plans | $1,948 |
| Sutter Health | Commercial|All Plans | $2,078 |
| MultiPlan | Commercial|All Plans | $2,130 |
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