Arthrd wrst iliac/oth agrft at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
not published by hospital
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.
not published by hospital
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.
$772.42 with Kaiser vs $59,060.56 with Sutter Health — 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $772.42 | — |
| Partnership Health Plan | Medicaid|> 21 | $772.42 | — |
| Partnership Health Plan | Medicaid|< 21 | $772.42 | — |
| BCBS - Anthem | Medicaid|> 21 | $772.42 | — |
| BCBS - Anthem | Medicaid|< 21 | $772.42 | — |
| Kaiser | Medicaid|> 21 | $772.42 | — |
| Health Net | Medicaid|> 21 | $950.08 | — |
| Health Net | Medicaid|< 21 | $950.08 | — |
| Brown Toland | Medicare|All Plans | $1,013.94 | — |
| Health Plan San Mateo | Medicaid|> 21 | $1,497.65 | — |
| Health Plan San Mateo | Medicaid|< 21 | $1,497.65 | — |
| Aetna | Commercial|All Plans | $8,544.00 | — |
| Blue Shield CA | Commercial|Exchange | $8,966.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $9,236.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $11,966.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $15,966.00 | — |
| Health Net | Commercial|Care Product | $18,505.00 | — |
| Humana | Commercial|All Plans | $18,869.19 | — |
| BCBS - Anthem | Medicare|All Plans | $18,869.19 | — |
| Humana | Medicare|All Plans | $18,869.19 | — |
| Health Net | Commercial|Canopy Health | $18,869.19 | — |
| Blue Shield CA | Medicare|All Plans | $18,869.19 | — |
| Health Net | Medicare|All Plans | $18,869.19 | — |
| United | Medicare|All Plans | $18,869.19 | — |
| Aetna | Medicare|All Plans | $18,869.19 | — |
| Chinese Community | Medicare|All Plans | $18,869.19 | — |
| Health Plan San Mateo | Medicare|All Plans | $18,869.19 | — |
| Kaiser | Medicare|All Plans | $18,869.19 | — |
| Brown Toland | Commercial|All Plans | $20,756.11 | — |
| Health Net | Commercial|FFS | $21,450.00 | — |
| BCBS - Anthem | Commercial|MCS | $27,062.00 | — |
| Sutter Health | Commercial|All Plans | $59,060.56 | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Connected Care | Commercial|Intel | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Arthrd wrst iliac/oth agrft at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,910.76 | $742.22 – $2,811.62 |
| Healdsburg Hospital | Healdsburg | $1,639.65 | $5,021.00 – $17,298.12 |
| St. John's Camarillo Hospital | Camarillo | not published | $950.08 – $32,697.16 |
| Petaluma Valley Hospital | Petaluma | not published | $4,129.00 – $17,654.63 |
| Arroyo Grande Hospital | Santa Maria | not published | $772.42 – $16,348.58 |
| French Hospital | San Luis Obispo | not published | $772.42 – $16,348.58 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $772.42 – $16,348.58 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $772.42 – $16,348.58 |