#coxa-coxsackie a serotype a16 at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$12.34
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.
$33.88
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.
$4.92 with Blue Shield CA vs $45.37 with Cigna — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|ACO Trio | $4.92 | ↓ -60% |
| Blue Shield CA | Commercial|Exchange | $5.15 | ↓ -58% |
| Blue Shield CA | Commercial|All Other Plans | $6.26 | ↓ -49% |
| Connected Care | Commercial|Intel | $9.62 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $13.03 | ↑ +6% |
| Chinese Community | Medicare|All Plans | $13.03 | ↑ +6% |
| Blue Shield CA | Medicare|All Plans | $13.03 | ↑ +6% |
| Kaiser | Medicare|All Plans | $13.03 | ↑ +6% |
| Humana | Medicare|All Plans | $13.03 | ↑ +6% |
| Humana | Commercial|All Plans | $13.03 | ↑ +6% |
| Aetna | Medicare|All Plans | $13.03 | ↑ +6% |
| United | Medicare|All Plans | $13.03 | ↑ +6% |
| Health Net | Medicare|All Plans | $13.03 | ↑ +6% |
| Health Plan San Mateo | Medicare|All Plans | $13.03 | ↑ +6% |
| Health Net | Commercial|Canopy Health | $13.03 | ↑ +6% |
| Brown Toland | Commercial|All Plans | $14.33 | ↑ +16% |
| Healthsmart | Commercial|All Plans | $15.20 | ↑ +23% |
| United | Commercial|All Other Plans | $15.64 | ↑ +27% |
| United | Commercial|HMO | $15.64 | ↑ +27% |
| United | Commercial|Options PPO | $15.64 | ↑ +27% |
| Kaiser | Medicaid|> 21 | $16.61 | ↑ +35% |
| Kaiser | Medicaid|< 21 | $16.61 | ↑ +35% |
| BCBS - Anthem | Medicaid|< 21 | $16.61 | ↑ +35% |
| BCBS - Anthem | Medicaid|> 21 | $16.61 | ↑ +35% |
| Partnership Health Plan | Medicaid|< 21 | $16.61 | ↑ +35% |
| Partnership Health Plan | Medicaid|> 21 | $16.61 | ↑ +35% |
| Kaiser | Commercial|All Plans | $17.21 | ↑ +39% |
| Multiplan | Commercial|All Plans | $18.33 | ↑ +49% |
| BCBS - Anthem | Commercial|All Other Plans | $20.12 | ↑ +63% |
| Health Plan San Mateo | Medicaid|< 21 | $20.43 | ↑ +66% |
| Health Plan San Mateo | Medicaid|> 21 | $20.43 | ↑ +66% |
| Health Net | Medicaid|> 21 | $20.43 | ↑ +66% |
| Health Net | Medicaid|< 21 | $20.43 | ↑ +66% |
| BCBS - Anthem | Commercial|MCS | $22.35 | ↑ +81% |
| Aetna | Commercial|All Plans | $22.35 | ↑ +81% |
| Sutter Health | Commercial|All Plans | $40.78 | ↑ +230% |
| Cigna | Commercial|All Plans | $45.37 | ↑ +268% |
Visitor-reported prices
Comments
#coxa-coxsackie a serotype a16 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $36.80 | $3.78 – $34.57 |
| Banner Lassen Medical Center | Susanville | $19.11 | $1.23 – $19.11 |
| Petaluma Valley Hospital | Petaluma | $13.62 | $12.77 – $107.66 |
| Arroyo Grande Hospital | Santa Maria | $14.51 | $6.48 – $33.58 |
| Mark Twain Medical Center | San Andreas | $22.57 | $7.58 – $14.00 |
| French Hospital | San Luis Obispo | $13.29 | $3.50 – $39.47 |
| Mercy Hospitals – Bakersfield | Bakersfield | $8.30 | $1.98 – $37.45 |
| Bakersfield Memorial Hospital | Bakersfield | $8.21 | $1.98 – $37.45 |