Cystostomy cystotomy w/drainage 51040 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.
$338.42 with Brown Toland vs $24,988.00 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 | Medicare|All Plans | $338.42 | — |
| BCBS - Anthem | Medicaid|> 21 | $512.67 | — |
| Partnership Health Plan | Medicaid|> 21 | $512.67 | — |
| Kaiser | Medicaid|< 21 | $512.67 | — |
| Kaiser | Medicaid|> 21 | $512.67 | — |
| BCBS - Anthem | Medicaid|< 21 | $512.67 | — |
| Partnership Health Plan | Medicaid|< 21 | $512.67 | — |
| Health Net | Medicaid|< 21 | $630.58 | — |
| Health Net | Medicaid|> 21 | $630.58 | — |
| Health Plan San Mateo | Medicaid|< 21 | $994.01 | — |
| Health Plan San Mateo | Medicaid|> 21 | $994.01 | — |
| Humana | Commercial|All Plans | $3,004.14 | — |
| Humana | Medicare|All Plans | $3,004.14 | — |
| Aetna | Medicare|All Plans | $3,004.14 | — |
| United | Medicare|All Plans | $3,004.14 | — |
| Health Net | Medicare|All Plans | $3,004.14 | — |
| Health Net | Commercial|Canopy Health | $3,004.14 | — |
| Kaiser | Medicare|All Plans | $3,004.14 | — |
| BCBS - Anthem | Medicare|All Plans | $3,004.14 | — |
| Blue Shield CA | Medicare|All Plans | $3,004.14 | — |
| Chinese Community | Medicare|All Plans | $3,004.14 | — |
| Health Plan San Mateo | Medicare|All Plans | $3,004.14 | — |
| Brown Toland | Commercial|All Plans | $3,304.55 | — |
| Aetna | Commercial|All Plans | $7,494.00 | — |
| Blue Shield CA | Commercial|Exchange | $7,886.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $8,124.00 | — |
| Health Net | Commercial|Care Product | $8,856.00 | — |
| Sutter Health | Commercial|All Plans | $9,402.96 | — |
| Health Net | Commercial|FFS | $10,265.00 | — |
| Blue Shield CA | Commercial|All Other Plans | $10,525.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $14,742.00 | — |
| BCBS - Anthem | Commercial|MCS | $24,988.00 | — |
| Connected Care | Commercial|Intel | not published by hospital | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Cystostomy cystotomy w/drainage 51040 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,776.04 | $2,817.02 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,395.80 | $2,968.05 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,584.28 | $2,688.58 – $11,046.00 |
| Healdsburg Hospital | Healdsburg | $1,892.10 | $2,816.47 – $6,323.17 |
| Redwood Memorial Hospital | Fortuna | $2,365.38 | $9,858.00 – $46,797.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $7,674.99 | $2,908.69 – $9,773.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $7,086.72 | $2,285.30 – $9,779.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,485.35 | $2,160.00 – $5,080.00 |