Emergency visit, highest (level 5) at Mercy Hospital of Folsom. CPT 99285.
What Mercy Hospital of Folsom publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$2,405cash price (self-pay)
$21,701list price
$155–$34,241range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United | Medicaid|< 21 | $155 |
| United | Medicaid|> 21 | $155 |
| Hill Physicians | Medicaid|All Plans | $171 |
| Hill Physicians | Commercial|All Plans | $171 |
| Molina | Medicaid|All Plans | $291 |
| BCBS - Anthem | Medicaid|All Plans | $295 |
| California Health & Wellness | Medicaid|All Plans | $366 |
| Health Net | Medicaid|All Plans | $366 |
| Partnership Health Plan | Medicaid|All Plans | $667 |
| BCBS - Anthem | Medicare|All Other Plans | $760 |
| Humana | Commercial|All Plans | $806 |
| Aetna | Medicare|All Plans | $806 |
| WCMG | Commercial|All Plans | $2,387 |
| Western Health Advantage | Commercial|All Plans | $7,595 |
| Kaiser | Medicaid|All Plans | $8,897 |
| Blue Shield CA | Commercial|ACO Trio | $11,285 |
| United | Commercial|Non-Options PPO | $11,340 |
| Health Net | Commercial|EPPO | $11,389 |
| United | Commercial|All Other Plans | $13,379 |
| United | Commercial|HMO | $13,475 |
| Cigna | Commercial|LocalPlus | $14,323 |
| Blue Shield CA | Commercial|ACO Trio CalPers | $14,540 |
| BCBS - Anthem | Commercial|Connection EPO | $15,612 |
| First Health | Commercial|All Plans | $16,276 |
| Healthsmart | Commercial|All Plans | $16,276 |
| Blue Shield CA | Commercial|Exchange | $16,493 |
| Kaiser | Commercial|All Plans | $17,144 |
| Sutter Health | Commercial|All Plans | $17,361 |
| Blue Shield CA | Commercial|PPO Tandem | $17,795 |
| MultiPlan | Commercial|All Plans | $17,795 |
Inpatient
$2,405cash price (self-pay)
$21,701list price
$680–$30,520range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| WCMG | Commercial|All Plans | $2,387 |
| First Health | Commercial|All Plans | $16,276 |
| Healthsmart | Commercial|All Plans | $16,276 |
| Sutter Health | Commercial|All Plans | $17,361 |
| MultiPlan | Commercial|All Plans | $17,795 |
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