Antithrombin recombinant at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$430.98
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.
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What you pay up front if you don't use insurance.
$1,184.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$164.63 with Health Plan San Mateo vs $993.39 with Aetna — same scan, same building. Share
Negotiated rates by payer
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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 →
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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 |
|---|---|---|---|
| Health Plan San Mateo | Medicare|All Plans | $164.63 | ↓ -62% |
| Blue Shield CA | Commercial|All Other Plans | $168.60 | ↓ -61% |
| Blue Shield CA | Commercial|ACO Trio | $168.60 | ↓ -61% |
| Blue Shield CA | Commercial|Exchange | $168.60 | ↓ -61% |
| Health Plan San Mateo | Medicaid|> 21 | $260.48 | ↓ -40% |
| Health Plan San Mateo | Medicaid|< 21 | $260.48 | ↓ -40% |
| BCBS - Anthem | Commercial|All Other Plans | $278.04 | ↓ -35% |
| Sutter Health | Commercial|All Plans | $296.00 | ↓ -31% |
| Health Net | Commercial|Care Product | $305.17 | ↓ -29% |
| Health Net | Commercial|FFS | $354.06 | ↓ -18% |
| BCBS - Anthem | Commercial|MCS | $471.65 | ↑ +9% |
| Connected Care | Commercial|Intel | $509.12 | ↑ +18% |
| Cigna | Commercial|All Plans | $710.40 | ↑ +65% |
| Healthsmart | Commercial|All Plans | $805.12 | ↑ +87% |
| Kaiser | Commercial|All Plans | $911.68 | ↑ +112% |
| Multiplan | Commercial|All Plans | $970.88 | ↑ +125% |
| Aetna | Commercial|All Plans | $993.39 | ↑ +130% |
Visitor-reported prices
Comments
Antithrombin recombinant at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | not published | $129.73 – $129.73 |
| Queen of The Valley Medical Center | Napa | not published | $140.42 – $140.42 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $167.50 – $167.50 |
| Healdsburg Hospital | Healdsburg | not published | $143.31 – $330.77 |
| Redwood Memorial Hospital | Fortuna | not published | $167.91 – $167.91 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $139.47 – $139.47 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $171.70 – $171.70 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $143.31 – $361.58 |