Established Patient Office Visit (level 1) at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$160.53
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.
$441.00
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.
$21.37 with BCBS - Anthem vs $24,323.00 with United — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|< 21 | $21.37 | ↓ -87% |
| Partnership Health Plan | Medicaid|> 21 | $21.37 | ↓ -87% |
| Partnership Health Plan | Medicaid|< 21 | $21.37 | ↓ -87% |
| Kaiser | Medicaid|< 21 | $21.37 | ↓ -87% |
| Kaiser | Medicaid|> 21 | $21.37 | ↓ -87% |
| BCBS - Anthem | Medicaid|> 21 | $21.37 | ↓ -87% |
| Health Net | Medicaid|< 21 | $26.29 | ↓ -84% |
| Health Plan San Mateo | Medicaid|> 21 | $26.29 | ↓ -84% |
| Health Plan San Mateo | Medicaid|< 21 | $26.29 | ↓ -84% |
| Health Net | Medicaid|> 21 | $26.29 | ↓ -84% |
| Brown Toland | Medicare|All Plans | $28.72 | ↓ -82% |
| Connected Care | Commercial|Intel | $134.59 | ↓ -16% |
| Blue Shield CA | Commercial|Exchange | $144.00 | ↓ -10% |
| Blue Shield CA | Commercial|ACO Trio | $149.00 | ↓ -7% |
| Blue Shield CA | Commercial|All Other Plans | $189.00 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $212.84 | ↑ +33% |
| Cigna | Commercial|All Plans | $236.00 | ↑ +47% |
| Kaiser | Commercial|All Plans | $241.01 | ↑ +50% |
| Multiplan | Commercial|All Plans | $256.66 | ↑ +60% |
| BCBS - Anthem | Commercial|All Other Plans | $278.57 | ↑ +74% |
| BCBS - Anthem | Commercial|MCS | $698.91 | ↑ +335% |
| United | Commercial|All Other Plans | $18,445.00 | ↑ +11390% |
| United | Commercial|Options PPO | $18,445.00 | ↑ +11390% |
| United | Commercial|HMO | $24,323.00 | ↑ +15052% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 1) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $500.91 | $12.38 – $204.18 |
| Banner Lassen Medical Center | Susanville | $290.87 | $19.80 – $150.35 |
| Arroyo Grande Hospital | Santa Maria | $145.10 | $17.21 – $232.00 |
| Mark Twain Medical Center | San Andreas | $51.95 | $3.11 – $12.00 |
| French Hospital | San Luis Obispo | $112.90 | $17.21 – $234.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $86.08 | $21.37 – $232.00 |
| Bakersfield Memorial Hospital | Bakersfield | $93.59 | $21.37 – $232.00 |
| Healdsburg Hospital | Healdsburg | $155.55 | not published |