Inj sulf hexa lipid microsph at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$496.86
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.
$1,365.00
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.
$18.24 with Brown Toland vs $1,119.30 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 | $18.24 | ↓ -96% |
| United | Commercial|HMO | $30.82 | ↓ -94% |
| United | Commercial|Options PPO | $30.82 | ↓ -94% |
| United | Commercial|All Other Plans | $30.82 | ↓ -94% |
| Blue Shield CA | Commercial|ACO Trio | $34.10 | ↓ -93% |
| Blue Shield CA | Commercial|All Other Plans | $34.10 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $34.10 | ↓ -93% |
| Health Net | Commercial|Care Product | $61.72 | ↓ -88% |
| Health Net | Commercial|FFS | $71.61 | ↓ -86% |
| BCBS - Anthem | Commercial|All Other Plans | $82.64 | ↓ -83% |
| Aetna | Commercial|All Plans | $110.30 | ↓ -78% |
| BCBS - Anthem | Commercial|MCS | $140.18 | ↓ -72% |
| Health Plan San Mateo | Medicaid|> 21 | $300.30 | ↓ -40% |
| Health Plan San Mateo | Medicaid|< 21 | $300.30 | ↓ -40% |
| Sutter Health | Commercial|All Plans | $341.25 | ↓ -31% |
| Connected Care | Commercial|Intel | $586.95 | ↑ +18% |
| Cigna | Commercial|All Plans | $819.00 | ↑ +65% |
| Healthsmart | Commercial|All Plans | $928.20 | ↑ +87% |
| Kaiser | Commercial|All Plans | $1,051.05 | ↑ +112% |
| Multiplan | Commercial|All Plans | $1,119.30 | ↑ +125% |
Visitor-reported prices
Comments
Inj sulf hexa lipid microsph at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Merced | Merced | $350.20 | $25.05 – $638.26 |
| Mercy Medical Center Redding | Redding | $398.00 | $30.82 – $767.34 |
| Methodist Hospital of Sacramento | Sacramento | $201.03 | $18.23 – $577.68 |
| St. Elizabeth Community Hospital | Red Bluff | $585.76 | $33.30 – $980.98 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $121.87 | $28.99 – $126.51 |
| Petaluma Valley Hospital | Petaluma | not published | $37.45 – $40.25 |
| Queen of The Valley Medical Center | Napa | not published | $37.45 – $41.73 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $37.18 – $49.78 |