Consultation/report referred material w/preparation of slides at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$76.19
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.
$209.30
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.
$43.81 with Connected Care vs $245.27 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 |
|---|---|---|---|
| Connected Care | Commercial|Intel | $43.81 | ↓ -42% |
| United | Commercial|Options PPO | $59.71 | ↓ -22% |
| United | Commercial|All Other Plans | $59.71 | ↓ -22% |
| United | Commercial|HMO | $59.71 | ↓ -22% |
| Healthsmart | Commercial|All Plans | $69.28 | ↓ -9% |
| Health Net | Medicare|All Plans | $78.36 | ↑ +3% |
| Humana | Commercial|All Plans | $78.36 | ↑ +3% |
| Health Plan San Mateo | Medicare|All Plans | $78.36 | ↑ +3% |
| Health Net | Commercial|Canopy Health | $78.36 | ↑ +3% |
| BCBS - Anthem | Medicare|All Plans | $78.36 | ↑ +3% |
| Aetna | Medicare|All Plans | $78.36 | ↑ +3% |
| Blue Shield CA | Medicare|All Plans | $78.36 | ↑ +3% |
| United | Medicare|All Plans | $78.36 | ↑ +3% |
| Chinese Community | Medicare|All Plans | $78.36 | ↑ +3% |
| Kaiser | Medicare|All Plans | $78.36 | ↑ +3% |
| Humana | Medicare|All Plans | $78.36 | ↑ +3% |
| Kaiser | Commercial|All Plans | $78.44 | ↑ +3% |
| Multiplan | Commercial|All Plans | $83.54 | ↑ +10% |
| Brown Toland | Commercial|All Plans | $86.20 | ↑ +13% |
| BCBS - Anthem | Commercial|All Other Plans | $91.69 | ↑ +20% |
| Cigna | Commercial|All Plans | $95.18 | ↑ +25% |
| Health Plan San Mateo | Medicaid|> 21 | $101.87 | ↑ +34% |
| Aetna | Commercial|All Plans | $101.87 | ↑ +34% |
| Kaiser | Medicaid|< 21 | $101.87 | ↑ +34% |
| Kaiser | Medicaid|> 21 | $101.87 | ↑ +34% |
| BCBS - Anthem | Commercial|MCS | $101.87 | ↑ +34% |
| BCBS - Anthem | Medicaid|< 21 | $101.87 | ↑ +34% |
| BCBS - Anthem | Medicaid|> 21 | $101.87 | ↑ +34% |
| Partnership Health Plan | Medicaid|< 21 | $101.87 | ↑ +34% |
| Partnership Health Plan | Medicaid|> 21 | $101.87 | ↑ +34% |
| Health Plan San Mateo | Medicaid|< 21 | $101.87 | ↑ +34% |
| Health Net | Medicaid|> 21 | $125.31 | ↑ +64% |
| Health Net | Medicaid|< 21 | $125.31 | ↑ +64% |
| Brown Toland | Medicare|All Plans | $135.56 | ↑ +78% |
| Sutter Health | Commercial|All Plans | $245.27 | ↑ +222% |
Visitor-reported prices
Comments
Consultation/report referred material w/preparation of slides at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $254.04 | $13.50 – $100.00 |
| Banner Lassen Medical Center | Susanville | $76.38 | $10.69 – $175.57 |
| Arroyo Grande Hospital | Santa Maria | $162.22 | $27.50 – $70.44 |
| Mark Twain Medical Center | San Andreas | $33.30 | $7.35 – $28.40 |
| French Hospital | San Luis Obispo | $148.57 | $14.85 – $82.81 |
| Mercy Hospitals – Bakersfield | Bakersfield | $126.52 | $25.00 – $78.56 |
| Bakersfield Memorial Hospital | Bakersfield | $125.15 | $25.00 – $78.56 |
| St. Joseph's Medical Center Stockton | Stockton | $108.49 | $10.50 – $50.00 |