Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$537.63
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.
$1,477.00
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.
$1.11 with BCBS - Anthem vs $1,211.14 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|All Other Plans | $1.11 | ↓ -100% |
| Blue Shield CA | Commercial|ACO Trio | $1.70 | ↓ -100% |
| Blue Shield CA | Commercial|All Other Plans | $1.70 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $1.70 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $1.88 | ↓ -100% |
| United | Commercial|All Other Plans | $2.97 | ↓ -99% |
| United | Commercial|HMO | $2.97 | ↓ -99% |
| United | Commercial|Options PPO | $2.97 | ↓ -99% |
| Health Net | Commercial|Care Product | $3.08 | ↓ -99% |
| Health Net | Commercial|FFS | $3.57 | ↓ -99% |
| Aetna | Commercial|All Plans | $10.02 | ↓ -98% |
| Health Plan San Mateo | Medicaid|> 21 | $324.94 | ↓ -40% |
| Health Plan San Mateo | Medicaid|< 21 | $324.94 | ↓ -40% |
| Sutter Health | Commercial|All Plans | $369.25 | ↓ -31% |
| Connected Care | Commercial|Intel | $635.11 | ↑ +18% |
| Cigna | Commercial|All Plans | $886.20 | ↑ +65% |
| Healthsmart | Commercial|All Plans | $1,004.36 | ↑ +87% |
| Kaiser | Commercial|All Plans | $1,137.29 | ↑ +112% |
| Multiplan | Commercial|All Plans | $1,211.14 | ↑ +125% |
Visitor-reported prices
Comments
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $242.66 | $0.55 – $432.12 |
| Petaluma Valley Hospital | Petaluma | $372.89 | $0.52 – $4.11 |
| Arroyo Grande Hospital | Santa Maria | $790.52 | $0.92 – $1,810.06 |
| Mark Twain Medical Center | San Andreas | $554.56 | $215.41 – $816.01 |
| French Hospital | San Luis Obispo | $724.03 | $1.70 – $1,810.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $272.69 | $0.85 – $139.20 |
| Bakersfield Memorial Hospital | Bakersfield | $269.75 | $0.83 – $137.46 |
| Queen of The Valley Medical Center | Napa | $372.89 | $0.56 – $4.11 |