Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$34,267.69
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.
$94,142.00
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.
$1,018.90 with Brown Toland vs $147,167.31 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 | $1,018.90 | ↓ -97% |
| Kaiser | Medicaid|< 21 | $1,027.04 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $1,027.04 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $1,027.04 | ↓ -97% |
| BCBS - Anthem | Medicaid|> 21 | $1,027.04 | ↓ -97% |
| BCBS - Anthem | Medicaid|< 21 | $1,027.04 | ↓ -97% |
| Kaiser | Medicaid|> 21 | $1,027.04 | ↓ -97% |
| Health Net | Medicaid|> 21 | $1,263.26 | ↓ -96% |
| Health Net | Medicaid|< 21 | $1,263.26 | ↓ -96% |
| Health Plan San Mateo | Medicaid|< 21 | $1,991.34 | ↓ -94% |
| Health Plan San Mateo | Medicaid|> 21 | $1,991.34 | ↓ -94% |
| Aetna | Commercial|All Plans | $11,838.00 | ↓ -65% |
| BCBS - Anthem | Commercial|All Other Plans | $15,966.00 | ↓ -53% |
| Blue Shield CA | Commercial|Exchange | $16,754.00 | ↓ -51% |
| Blue Shield CA | Commercial|ACO Trio | $17,260.00 | ↓ -50% |
| Blue Shield CA | Commercial|All Other Plans | $22,360.00 | ↓ -35% |
| BCBS - Anthem | Commercial|MCS | $27,062.00 | ↓ -21% |
| Health Net | Commercial|Care Product | $28,795.00 | ↓ -16% |
| Health Net | Commercial|FFS | $33,377.00 | ↓ -3% |
| Connected Care | Commercial|Intel | $40,481.06 | ↑ +18% |
| United | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Humana | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Kaiser | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Health Net | Commercial|Canopy Health | $47,018.31 | ↑ +37% |
| Humana | Commercial|All Plans | $47,018.31 | ↑ +37% |
| BCBS - Anthem | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Health Net | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Blue Shield CA | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Aetna | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Chinese Community | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Health Plan San Mateo | Medicare|All Plans | $47,018.31 | ↑ +37% |
| Brown Toland | Commercial|All Plans | $51,720.14 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $64,016.56 | ↑ +87% |
| Kaiser | Commercial|All Plans | $72,489.34 | ↑ +112% |
| Multiplan | Commercial|All Plans | $77,196.44 | ↑ +125% |
| Sutter Health | Commercial|All Plans | $147,167.31 | ↑ +329% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $38,936.45 | $1,263.26 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |
| Redwood Memorial Hospital | Fortuna | $59,601.66 | $11,059.00 – $126,547.00 |