Epoetin alfa, 100 units esrd at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$1,868.05
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.
$5,132.00
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.
$0.89 with Brown Toland vs $261.58 with Multiplan — 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 | $0.89 | ↓ -100% |
| United | Commercial|Options PPO | $1.07 | ↓ -100% |
| United | Commercial|All Other Plans | $1.07 | ↓ -100% |
| United | Commercial|HMO | $1.07 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $1.99 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $1.99 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $1.99 | ↓ -100% |
| Health Net | Commercial|Care Product | $3.60 | ↓ -100% |
| BCBS - Anthem | Commercial|All Other Plans | $3.70 | ↓ -100% |
| Health Net | Commercial|FFS | $4.18 | ↓ -100% |
| Aetna | Commercial|All Plans | $4.18 | ↓ -100% |
| Partnership Health Plan | Medicaid|< 21 | $5.17 | ↓ -100% |
| Kaiser | Medicaid|< 21 | $5.17 | ↓ -100% |
| Kaiser | Medicaid|> 21 | $5.17 | ↓ -100% |
| BCBS - Anthem | Medicaid|< 21 | $5.17 | ↓ -100% |
| BCBS - Anthem | Medicaid|> 21 | $5.17 | ↓ -100% |
| Partnership Health Plan | Medicaid|> 21 | $5.17 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $6.27 | ↓ -100% |
| Health Net | Medicaid|< 21 | $6.36 | ↓ -100% |
| Health Plan San Mateo | Medicaid|> 21 | $6.36 | ↓ -100% |
| Health Net | Medicaid|> 21 | $6.36 | ↓ -100% |
| Health Plan San Mateo | Medicaid|< 21 | $6.36 | ↓ -100% |
| Sutter Health | Commercial|All Plans | $79.75 | ↓ -96% |
| Connected Care | Commercial|Intel | $137.17 | ↓ -93% |
| Cigna | Commercial|All Plans | $191.40 | ↓ -90% |
| Healthsmart | Commercial|All Plans | $216.92 | ↓ -88% |
| Kaiser | Commercial|All Plans | $245.63 | ↓ -87% |
| Multiplan | Commercial|All Plans | $261.58 | ↓ -86% |
Visitor-reported prices
Comments
Epoetin alfa, 100 units esrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $18.54 | $0.34 – $8.53 |
| St. Joseph's Medical Center Stockton | Stockton | $2.36 | $1.05 – $5.00 |
| Dominican Hospital | Santa Cruz | $115.46 | $1.07 – $218.08 |
| Sierra Nevada Memorial Hospital | Grass Valley | $122.63 | $0.81 – $58.80 |
| St. Elizabeth Community Hospital | Red Bluff | $81.76 | $5.17 – $112.70 |
| Petaluma Valley Hospital | Petaluma | not published | $1.42 – $1.73 |
| Queen of The Valley Medical Center | Napa | not published | $1.42 – $1.87 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1.53 – $2.23 |