Infect ag if pneumocystis carinii at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$5.46
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.
$15.00
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.
$3.30 with Blue Shield CA vs $41.72 with Cigna — 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 |
|---|---|---|---|
| Blue Shield CA | Commercial|ACO Trio | $3.30 | ↓ -40% |
| Blue Shield CA | Commercial|Exchange | $3.45 | ↓ -37% |
| Blue Shield CA | Commercial|All Other Plans | $4.20 | ↓ -23% |
| Connected Care | Commercial|Intel | $6.45 | ↑ +18% |
| Partnership Health Plan | Medicaid|> 21 | $10.10 | ↑ +85% |
| BCBS - Anthem | Medicaid|> 21 | $10.10 | ↑ +85% |
| Partnership Health Plan | Medicaid|< 21 | $10.10 | ↑ +85% |
| Kaiser | Medicaid|< 21 | $10.10 | ↑ +85% |
| Kaiser | Medicaid|> 21 | $10.10 | ↑ +85% |
| BCBS - Anthem | Medicaid|< 21 | $10.10 | ↑ +85% |
| Healthsmart | Commercial|All Plans | $10.20 | ↑ +87% |
| Kaiser | Commercial|All Plans | $11.55 | ↑ +112% |
| Humana | Commercial|All Plans | $11.98 | ↑ +119% |
| Humana | Medicare|All Plans | $11.98 | ↑ +119% |
| Aetna | Medicare|All Plans | $11.98 | ↑ +119% |
| United | Medicare|All Plans | $11.98 | ↑ +119% |
| Health Net | Medicare|All Plans | $11.98 | ↑ +119% |
| Health Net | Commercial|Canopy Health | $11.98 | ↑ +119% |
| Kaiser | Medicare|All Plans | $11.98 | ↑ +119% |
| BCBS - Anthem | Medicare|All Plans | $11.98 | ↑ +119% |
| Blue Shield CA | Medicare|All Plans | $11.98 | ↑ +119% |
| Chinese Community | Medicare|All Plans | $11.98 | ↑ +119% |
| Health Plan San Mateo | Medicare|All Plans | $11.98 | ↑ +119% |
| Multiplan | Commercial|All Plans | $12.30 | ↑ +125% |
| Health Plan San Mateo | Medicaid|< 21 | $12.42 | ↑ +127% |
| Health Net | Medicaid|> 21 | $12.42 | ↑ +127% |
| Health Plan San Mateo | Medicaid|> 21 | $12.42 | ↑ +127% |
| Health Net | Medicaid|< 21 | $12.42 | ↑ +127% |
| Brown Toland | Commercial|All Plans | $13.18 | ↑ +141% |
| BCBS - Anthem | Commercial|All Other Plans | $13.50 | ↑ +147% |
| United | Commercial|All Other Plans | $14.38 | ↑ +163% |
| United | Commercial|HMO | $14.38 | ↑ +163% |
| United | Commercial|Options PPO | $14.38 | ↑ +163% |
| BCBS - Anthem | Commercial|MCS | $15.00 | ↑ +175% |
| Aetna | Commercial|All Plans | $15.00 | ↑ +175% |
| Sutter Health | Commercial|All Plans | $37.50 | ↑ +587% |
| Cigna | Commercial|All Plans | $41.72 | ↑ +664% |
Visitor-reported prices
Comments
Infect ag if pneumocystis carinii at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $14.51 | $2.40 – $25.22 |
| Petaluma Valley Hospital | Petaluma | $63.19 | $11.74 – $75.79 |
| Arroyo Grande Hospital | Santa Maria | $6.42 | $7.50 – $30.88 |
| Mark Twain Medical Center | San Andreas | $9.99 | $8.12 – $14.70 |
| French Hospital | San Luis Obispo | $5.88 | $4.05 – $36.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5.57 | $7.50 – $34.44 |
| Bakersfield Memorial Hospital | Bakersfield | $5.51 | $7.50 – $34.44 |
| Queen of The Valley Medical Center | Napa | $63.19 | $11.98 – $95.77 |