Cath ptca pcltxl agent 3x20mm at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$13,234.32
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.
$36,358.00
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.
$27.50 with Brown Toland vs $27,966.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Brown Toland | Commercial|All Plans | $27.50 | ↓ -100% |
| Health Plan San Mateo | Medicaid|> 21 | $6,152.52 | ↓ -54% |
| Health Plan San Mateo | Medicaid|< 21 | $6,152.52 | ↓ -54% |
| Sutter Health | Commercial|All Plans | $6,991.50 | ↓ -47% |
| Connected Care | Commercial|Intel | $12,025.38 | ↓ -9% |
| Cigna | Commercial|All Plans | $13,983.00 | ↑ +6% |
| United | Commercial|HMO | $13,983.00 | ↑ +6% |
| Health Net | Commercial|Care Product | $16,779.60 | ↑ +27% |
| United | Commercial|All Other Plans | $17,338.92 | ↑ +31% |
| United | Commercial|Options PPO | $17,338.92 | ↑ +31% |
| Healthsmart | Commercial|All Plans | $19,016.88 | ↑ +44% |
| Health Net | Commercial|FFS | $19,576.20 | ↑ +48% |
| Kaiser | Commercial|All Plans | $21,533.82 | ↑ +63% |
| Multiplan | Commercial|All Plans | $22,932.12 | ↑ +73% |
| Aetna | Commercial|All Plans | $24,330.42 | ↑ +84% |
| Blue Shield CA | Commercial|ACO Trio | $25,449.06 | ↑ +92% |
| Blue Shield CA | Commercial|Exchange | $25,449.06 | ↑ +92% |
| Blue Shield CA | Commercial|All Other Plans | $25,449.06 | ↑ +92% |
| BCBS - Anthem | Commercial|MCS | $27,966.00 | ↑ +111% |
| BCBS - Anthem | Commercial|All Other Plans | $27,966.00 | ↑ +111% |
Visitor-reported prices
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Cath ptca pcltxl agent 3x20mm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $17,519.52 | not published |
| Queen of The Valley Medical Center | Napa | $17,519.52 | not published |
| Providence St Joseph Hospital Eureka | Eureka | $7,002.05 | not published |
| Healdsburg Hospital | Healdsburg | $8,356.35 | not published |
| Redwood Memorial Hospital | Fortuna | $7,002.05 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,519.52 | not published |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $13,424.40 | not published |
| Dominican Hospital | Santa Cruz | $15,373.35 | $5,781.60 – $26,280.00 |