Diagnostic Mammogram (both breasts) at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$403.32
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.
$1,108.00
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.
$148.03 with Partnership Health Plan vs $1,108.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $148.03 | ↓ -63% |
| Partnership Health Plan | Medicaid|< 21 | $148.03 | ↓ -63% |
| Kaiser | Medicaid|< 21 | $148.03 | ↓ -63% |
| BCBS - Anthem | Medicaid|> 21 | $148.03 | ↓ -63% |
| BCBS - Anthem | Medicaid|< 21 | $148.03 | ↓ -63% |
| Kaiser | Medicaid|> 21 | $148.03 | ↓ -63% |
| Health Plan San Mateo | Medicaid|> 21 | $182.08 | ↓ -55% |
| Health Net | Medicaid|< 21 | $182.08 | ↓ -55% |
| Health Net | Medicaid|> 21 | $182.08 | ↓ -55% |
| Health Plan San Mateo | Medicaid|< 21 | $182.08 | ↓ -55% |
| Brown Toland | Medicare|All Plans | $210.12 | ↓ -48% |
| United | Commercial|All Other Plans | $263.00 | ↓ -35% |
| United | Commercial|Options PPO | $263.00 | ↓ -35% |
| United | Commercial|HMO | $263.00 | ↓ -35% |
| Connected Care | Commercial|Intel | $476.44 | ↑ +18% |
| Aetna | Commercial|All Plans | $641.07 | ↑ +59% |
| Cigna | Commercial|All Plans | $658.47 | ↑ +63% |
| Healthsmart | Commercial|All Plans | $753.44 | ↑ +87% |
| Kaiser | Commercial|All Plans | $853.16 | ↑ +112% |
| Multiplan | Commercial|All Plans | $908.56 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $997.20 | ↑ +147% |
| BCBS - Anthem | Commercial|MCS | $1,108.00 | ↑ +175% |
Visitor-reported prices
Comments
Diagnostic Mammogram (both breasts) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $247.04 | $152.28 – $501.84 |
| Banner Lassen Medical Center | Susanville | $388.22 | $192.70 – $455.90 |
| Petaluma Valley Hospital | Petaluma | $1,454.01 | $118.38 – $762.69 |
| Arroyo Grande Hospital | Santa Maria | $377.93 | $148.03 – $823.20 |
| Mark Twain Medical Center | San Andreas | $283.05 | $104.78 – $396.90 |
| French Hospital | San Luis Obispo | $275.97 | $59.67 – $572.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $303.48 | $127.00 – $543.52 |
| Bakersfield Memorial Hospital | Bakersfield | $300.21 | $127.00 – $543.52 |