18/100
#2,223 nationally
Mercy Hospital Of Folsom
1650 Creekside Drive, Folsom, CA 95630 · (916) 983-7400
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Mercy Hospital Of Folsom billed $6.88 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 51
- inpatient and outpatient combined
- Rank in CA
- #174
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 18% of U.S. hospitals.
Better than 22% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 28% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
448 | $39,291 | $3,459 | +102% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
218 | $112,129 | $19,759 | +72% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
125 | $88,091 | $12,756 | +103% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
89 | $112,374 | $16,263 | +80% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
66 | $63,416 | $10,247 | +62% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
52 | $89,713 | $16,019 | +63% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
50 | $76,169 | $7,370 | +117% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
48 | $87,047 | $16,802 | +87% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
43 | $68,682 | $10,218 | +66% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
39 | $58,091 | $8,656 | +80% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$62,167 | $4,419 | +167% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$30,935 | $2,430 | +163% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$50,434 | $4,134 | +148% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$70,252 | $7,554 | +130% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$73,647 | $8,834 | +126% |
|
Spinal Fusion Except Cervical without Major Complications
MS-DRG 460 · Inpatient stay |
$321,147 | $36,013 | +122% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$67,369 | $9,870 | +121% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$76,169 | $7,370 | +117% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$10,980 | $2,053 | about average |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$69,442 | $18,469 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$222,899 | $43,371 | +25% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$69,934 | $12,864 | +36% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$86,395 | $14,762 | +41% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$68,400 | $12,448 | +41% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$69,246 | $13,185 | +43% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$102,482 | $18,121 | +44% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.