New Patient Office Visit (level 5) at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$491.40
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.
$1,350.00
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.
$144.00 with Blue Shield CA vs $24,323.00 with United — 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|Exchange | $144.00 | ↓ -71% |
| Health Plan San Mateo | Medicaid|> 21 | $145.91 | ↓ -70% |
| Health Plan San Mateo | Medicaid|< 21 | $145.91 | ↓ -70% |
| Partnership Health Plan | Medicaid|< 21 | $147.33 | ↓ -70% |
| Partnership Health Plan | Medicaid|> 21 | $147.33 | ↓ -70% |
| Kaiser | Medicaid|< 21 | $147.33 | ↓ -70% |
| Kaiser | Medicaid|> 21 | $147.33 | ↓ -70% |
| BCBS - Anthem | Medicaid|< 21 | $147.33 | ↓ -70% |
| BCBS - Anthem | Medicaid|> 21 | $147.33 | ↓ -70% |
| Blue Shield CA | Commercial|ACO Trio | $149.00 | ↓ -70% |
| Health Net | Medicaid|> 21 | $181.22 | ↓ -63% |
| Health Net | Medicaid|< 21 | $181.22 | ↓ -63% |
| Blue Shield CA | Commercial|All Other Plans | $189.00 | ↓ -62% |
| Cigna | Commercial|All Plans | $236.00 | ↓ -52% |
| Brown Toland | Medicare|All Plans | $257.98 | ↓ -48% |
| Connected Care | Commercial|Intel | $508.26 | ↑ +3% |
| BCBS - Anthem | Commercial|MCS | $698.91 | ↑ +42% |
| Healthsmart | Commercial|All Plans | $803.76 | ↑ +64% |
| Kaiser | Commercial|All Plans | $910.14 | ↑ +85% |
| Multiplan | Commercial|All Plans | $969.24 | ↑ +97% |
| BCBS - Anthem | Commercial|All Other Plans | $1,201.50 | ↑ +145% |
| United | Commercial|Options PPO | $18,445.00 | ↑ +3654% |
| United | Commercial|All Other Plans | $18,445.00 | ↑ +3654% |
| United | Commercial|HMO | $24,323.00 | ↑ +4850% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Banner Lassen Medical Center | Susanville | $3,570.68 | $136.46 – $630.50 |
| Arroyo Grande Hospital | Santa Maria | $291.04 | $118.62 – $567.00 |
| Mark Twain Medical Center | San Andreas | $402.27 | $77.61 – $294.00 |
| French Hospital | San Luis Obispo | $222.27 | $118.62 – $449.82 |
| Bakersfield Memorial Hospital | Bakersfield | $253.60 | $104.00 – $683.10 |
| Healdsburg Hospital | Healdsburg | $970.53 | not published |
| Redwood Memorial Hospital | Fortuna | $164.73 | not published |