ER Visit (level 1, minor) at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$606.06
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.
?
What you pay up front if you don't use insurance.
$1,665.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$21.77 with Partnership Health Plan vs $3,944.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $21.77 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $21.77 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $21.77 | ↓ -96% |
| Kaiser | Medicaid|< 21 | $21.77 | ↓ -96% |
| BCBS - Anthem | Medicaid|> 21 | $21.77 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $21.77 | ↓ -96% |
| Brown Toland | Medicare|All Plans | $23.94 | ↓ -96% |
| Health Plan San Mateo | Medicaid|> 21 | $26.78 | ↓ -96% |
| Health Net | Medicaid|< 21 | $26.78 | ↓ -96% |
| Health Net | Medicaid|> 21 | $26.78 | ↓ -96% |
| Health Plan San Mateo | Medicaid|< 21 | $26.78 | ↓ -96% |
| Aetna | Medicare|All Plans | $129.13 | ↓ -79% |
| Health Net | Medicare|All Plans | $129.13 | ↓ -79% |
| Health Plan San Mateo | Medicare|All Plans | $129.13 | ↓ -79% |
| Humana | Commercial|All Plans | $129.13 | ↓ -79% |
| Health Net | Commercial|Canopy Health | $129.13 | ↓ -79% |
| Kaiser | Medicare|All Plans | $129.13 | ↓ -79% |
| United | Medicare|All Plans | $129.13 | ↓ -79% |
| Humana | Medicare|All Plans | $129.13 | ↓ -79% |
| BCBS - Anthem | Medicare|All Plans | $129.13 | ↓ -79% |
| Blue Shield CA | Medicare|All Plans | $129.13 | ↓ -79% |
| Brown Toland | Commercial|All Plans | $142.04 | ↓ -77% |
| Chinese Community | Medicare|All Plans | $167.87 | ↓ -72% |
| Sutter Health | Commercial|All Plans | $404.18 | ↓ -33% |
| Connected Care | Commercial|Intel | $715.95 | ↑ +18% |
| Blue Shield CA | Commercial|ACO Trio | $1,032.30 | ↑ +70% |
| Blue Shield CA | Commercial|Exchange | $1,048.95 | ↑ +73% |
| Aetna | Commercial|All Plans | $1,048.95 | ↑ +73% |
| Healthsmart | Commercial|All Plans | $1,132.20 | ↑ +87% |
| Kaiser | Commercial|All Plans | $1,282.05 | ↑ +112% |
| Blue Shield CA | Commercial|All Other Plans | $1,332.00 | ↑ +120% |
| Multiplan | Commercial|All Plans | $1,365.30 | ↑ +125% |
| Health Net | Commercial|Care Product | $1,404.00 | ↑ +132% |
| Health Net | Commercial|FFS | $1,630.00 | ↑ +169% |
| BCBS - Anthem | Commercial|All Other Plans | $1,853.00 | ↑ +206% |
| Cigna | Commercial|All Plans | $2,120.00 | ↑ +250% |
| BCBS - Anthem | Commercial|MCS | $3,141.00 | ↑ +418% |
| United | Commercial|HMO | $3,832.00 | ↑ +532% |
| United | Commercial|All Other Plans | $3,944.00 | ↑ +551% |
| United | Commercial|Options PPO | $3,944.00 | ↑ +551% |
Visitor-reported prices
Comments
ER Visit (level 1, minor) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $370.99 | $27.95 – $694.54 |
| Banner Lassen Medical Center | Susanville | $311.68 | $17.06 – $331.74 |
| Petaluma Valley Hospital | Petaluma | $587.01 | $113.64 – $115.95 |
| Arroyo Grande Hospital | Santa Maria | $350.54 | $21.77 – $743.82 |
| Mark Twain Medical Center | San Andreas | $262.41 | $16.04 – $60.76 |
| French Hospital | San Luis Obispo | $335.56 | $21.77 – $838.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $176.60 | $21.77 – $334.56 |
| Bakersfield Memorial Hospital | Bakersfield | $174.70 | $21.77 – $390.32 |