Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$19,567.55
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.
$53,757.00
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.
$532.39 with Brown Toland vs $48,037.39 with Sutter Health — 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 | $532.39 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $854.44 | ↓ -96% |
| Kaiser | Medicaid|> 21 | $854.44 | ↓ -96% |
| BCBS - Anthem | Medicaid|< 21 | $854.44 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $854.44 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $854.44 | ↓ -96% |
| BCBS - Anthem | Medicaid|> 21 | $854.44 | ↓ -96% |
| Health Net | Medicaid|< 21 | $1,050.96 | ↓ -95% |
| Health Net | Medicaid|> 21 | $1,050.96 | ↓ -95% |
| Health Plan San Mateo | Medicaid|> 21 | $1,656.69 | ↓ -92% |
| Health Plan San Mateo | Medicaid|< 21 | $1,656.69 | ↓ -92% |
| BCBS - Anthem | Commercial|All Other Plans | $11,047.00 | ↓ -44% |
| Aetna | Commercial|All Plans | $11,838.00 | ↓ -40% |
| Kaiser | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Humana | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Humana | Commercial|All Plans | $15,347.41 | ↓ -22% |
| BCBS - Anthem | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Health Net | Medicare|All Plans | $15,347.41 | ↓ -22% |
| United | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Blue Shield CA | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Aetna | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Chinese Community | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Health Plan San Mateo | Medicare|All Plans | $15,347.41 | ↓ -22% |
| Health Net | Commercial|Canopy Health | $15,347.41 | ↓ -22% |
| Blue Shield CA | Commercial|Exchange | $16,754.00 | ↓ -14% |
| Brown Toland | Commercial|All Plans | $16,882.15 | ↓ -14% |
| Blue Shield CA | Commercial|ACO Trio | $17,260.00 | ↓ -12% |
| Health Net | Commercial|Care Product | $18,505.00 | ↓ -5% |
| BCBS - Anthem | Commercial|MCS | $18,725.00 | ↓ -4% |
| Health Net | Commercial|FFS | $21,450.00 | ↑ +10% |
| Blue Shield CA | Commercial|All Other Plans | $22,360.00 | ↑ +14% |
| Connected Care | Commercial|Intel | $23,115.51 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $36,554.76 | ↑ +87% |
| Kaiser | Commercial|All Plans | $41,392.89 | ↑ +112% |
| Multiplan | Commercial|All Plans | $44,080.74 | ↑ +125% |
| Sutter Health | Commercial|All Plans | $48,037.39 | ↑ +145% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14,400.13 | $1,050.96 – $25,925.22 |
| Petaluma Valley Hospital | Petaluma | $25,457.16 | $7,716.00 – $20,143.00 |
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $13,806.18 | $854.44 – $29,719.01 |
| Queen of The Valley Medical Center | Napa | $19,382.04 | $7,745.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $9,008.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $9,031.00 – $62,607.00 |