Alpha-fetoprotein tumor marker at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$2.92
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$8.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$1.76 with Blue Shield CA vs $58.38 with Cigna — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Blue Shield CA | Commercial|ACO Trio | $1.76 | ↓ -40% |
| Blue Shield CA | Commercial|Exchange | $1.84 | ↓ -37% |
| Blue Shield CA | Commercial|All Other Plans | $2.24 | ↓ -23% |
| Connected Care | Commercial|Intel | $3.44 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $5.44 | ↑ +86% |
| Kaiser | Commercial|All Plans | $6.16 | ↑ +111% |
| Multiplan | Commercial|All Plans | $6.56 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $7.20 | ↑ +147% |
| Health Net | Medicare|All Plans | $8.00 | ↑ +174% |
| Health Net | Commercial|Canopy Health | $8.00 | ↑ +174% |
| Kaiser | Medicare|All Plans | $8.00 | ↑ +174% |
| Kaiser | Medicaid|< 21 | $8.00 | ↑ +174% |
| Kaiser | Medicaid|> 21 | $8.00 | ↑ +174% |
| BCBS - Anthem | Medicare|All Plans | $8.00 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $8.00 | ↑ +174% |
| BCBS - Anthem | Medicaid|< 21 | $8.00 | ↑ +174% |
| BCBS - Anthem | Medicaid|> 21 | $8.00 | ↑ +174% |
| Health Plan San Mateo | Medicaid|> 21 | $8.00 | ↑ +174% |
| Humana | Medicare|All Plans | $8.00 | ↑ +174% |
| Aetna | Commercial|All Plans | $8.00 | ↑ +174% |
| Aetna | Medicare|All Plans | $8.00 | ↑ +174% |
| United | Commercial|All Other Plans | $8.00 | ↑ +174% |
| United | Medicare|All Plans | $8.00 | ↑ +174% |
| United | Commercial|HMO | $8.00 | ↑ +174% |
| United | Commercial|Options PPO | $8.00 | ↑ +174% |
| Partnership Health Plan | Medicaid|> 21 | $8.00 | ↑ +174% |
| Chinese Community | Medicare|All Plans | $8.00 | ↑ +174% |
| Health Plan San Mateo | Medicare|All Plans | $8.00 | ↑ +174% |
| Health Plan San Mateo | Medicaid|< 21 | $8.00 | ↑ +174% |
| Humana | Commercial|All Plans | $8.00 | ↑ +174% |
| Blue Shield CA | Medicare|All Plans | $8.00 | ↑ +174% |
| Partnership Health Plan | Medicaid|< 21 | $8.00 | ↑ +174% |
| Brown Toland | Commercial|All Plans | $8.80 | ↑ +201% |
| Health Net | Medicaid|> 21 | $9.84 | ↑ +237% |
| Health Net | Medicaid|< 21 | $9.84 | ↑ +237% |
| Sutter Health | Commercial|All Plans | $25.04 | ↑ +758% |
| Cigna | Commercial|All Plans | $58.38 | ↑ +1899% |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $21.90 | $2.16 – $44.49 |
| Banner Lassen Medical Center | Susanville | $6.89 | $3.28 – $140.25 |
| Petaluma Valley Hospital | Petaluma | $148.92 | $16.43 – $136.95 |
| Mark Twain Medical Center | San Andreas | $295.04 | $4.34 – $8.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $43.78 | $4.00 – $48.19 |
| Bakersfield Memorial Hospital | Bakersfield | $43.31 | $4.00 – $48.19 |
| Queen of The Valley Medical Center | Napa | $167.79 | $16.77 – $173.07 |
| Providence St Joseph Hospital Eureka | Eureka | $85.68 | $16.77 – $196.27 |