Biliary endoscopy thru skin 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.
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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.
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The hospital's undiscounted list price — almost no one pays this.
$394.76 with Kaiser vs $47,789.00 with Sutter Health — 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 |
|---|---|---|---|
| Kaiser | Medicaid|< 21 | $394.76 | — |
| Partnership Health Plan | Medicaid|> 21 | $394.76 | — |
| Partnership Health Plan | Medicaid|< 21 | $394.76 | — |
| BCBS - Anthem | Medicaid|> 21 | $394.76 | — |
| BCBS - Anthem | Medicaid|< 21 | $394.76 | — |
| Kaiser | Medicaid|> 21 | $394.76 | — |
| Brown Toland | Medicare|All Plans | $398.73 | — |
| Health Net | Medicaid|< 21 | $485.55 | — |
| Health Net | Medicaid|> 21 | $485.55 | — |
| Health Plan San Mateo | Medicaid|> 21 | $765.39 | — |
| Health Plan San Mateo | Medicaid|< 21 | $765.39 | — |
| Aetna | Commercial|All Plans | $6,083.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $11,047.00 | — |
| Health Net | Commercial|Care Product | $11,892.00 | — |
| Health Net | Commercial|FFS | $13,783.00 | — |
| Health Net | Commercial|Canopy Health | $15,268.05 | — |
| Humana | Commercial|All Plans | $15,268.05 | — |
| BCBS - Anthem | Medicare|All Plans | $15,268.05 | — |
| Humana | Medicare|All Plans | $15,268.05 | — |
| Kaiser | Medicare|All Plans | $15,268.05 | — |
| Health Net | Medicare|All Plans | $15,268.05 | — |
| Blue Shield CA | Medicare|All Plans | $15,268.05 | — |
| United | Medicare|All Plans | $15,268.05 | — |
| Aetna | Medicare|All Plans | $15,268.05 | — |
| Chinese Community | Medicare|All Plans | $15,268.05 | — |
| Health Plan San Mateo | Medicare|All Plans | $15,268.05 | — |
| Blue Shield CA | Commercial|Exchange | $16,754.00 | — |
| Brown Toland | Commercial|All Plans | $16,794.85 | — |
| Blue Shield CA | Commercial|ACO Trio | $17,260.00 | — |
| BCBS - Anthem | Commercial|MCS | $18,725.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $22,360.00 | — |
| Sutter Health | Commercial|All Plans | $47,789.00 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Connected Care | Commercial|Intel | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Biliary endoscopy thru skin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,776.92 | $485.55 – $12,680.00 |
| Arroyo Grande Hospital | Santa Maria | $2,499.10 | $394.76 – $5,839.00 |
| French Hospital | San Luis Obispo | $2,288.89 | $394.76 – $5,839.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,389.95 | $394.76 – $15,935.20 |
| Bakersfield Memorial Hospital | Bakersfield | $7,310.28 | $394.76 – $15,736.01 |
| St. Joseph's Medical Center Stockton | Stockton | $6,438.90 | $394.76 – $15,917.16 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,858.40 | $8,912.00 – $20,774.00 |
| Mercy Medical Center Merced | Merced | $9,987.91 | $394.76 – $19,200.06 |