Prostate biopsy, any mthd at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$249.63
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.
$685.79
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.
$294.89 with Connected Care vs $1,651.17 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 |
|---|---|---|---|
| Connected Care | Commercial|Intel | $294.89 | ↑ +18% |
| Partnership Health Plan | Medicaid|< 21 | $342.30 | ↑ +37% |
| Kaiser | Medicaid|< 21 | $342.30 | ↑ +37% |
| BCBS - Anthem | Medicaid|> 21 | $342.30 | ↑ +37% |
| BCBS - Anthem | Medicaid|< 21 | $342.30 | ↑ +37% |
| Partnership Health Plan | Medicaid|> 21 | $342.30 | ↑ +37% |
| Kaiser | Medicaid|> 21 | $342.30 | ↑ +37% |
| United | Commercial|HMO | $349.51 | ↑ +40% |
| United | Commercial|Options PPO | $349.51 | ↑ +40% |
| United | Commercial|All Other Plans | $349.51 | ↑ +40% |
| Health Plan San Mateo | Medicaid|> 21 | $421.03 | ↑ +69% |
| Health Net | Medicaid|< 21 | $421.03 | ↑ +69% |
| Health Net | Medicaid|> 21 | $421.03 | ↑ +69% |
| Health Plan San Mateo | Medicaid|< 21 | $421.03 | ↑ +69% |
| Brown Toland | Medicare|All Plans | $436.29 | ↑ +75% |
| Healthsmart | Commercial|All Plans | $466.34 | ↑ +87% |
| Health Net | Commercial|Canopy Health | $527.53 | ↑ +111% |
| Health Net | Medicare|All Plans | $527.53 | ↑ +111% |
| United | Medicare|All Plans | $527.53 | ↑ +111% |
| Humana | Commercial|All Plans | $527.53 | ↑ +111% |
| BCBS - Anthem | Medicare|All Plans | $527.53 | ↑ +111% |
| Health Plan San Mateo | Medicare|All Plans | $527.53 | ↑ +111% |
| Chinese Community | Medicare|All Plans | $527.53 | ↑ +111% |
| Aetna | Medicare|All Plans | $527.53 | ↑ +111% |
| Blue Shield CA | Medicare|All Plans | $527.53 | ↑ +111% |
| Humana | Medicare|All Plans | $527.53 | ↑ +111% |
| Kaiser | Medicare|All Plans | $527.53 | ↑ +111% |
| Kaiser | Commercial|All Plans | $528.06 | ↑ +112% |
| Multiplan | Commercial|All Plans | $562.35 | ↑ +125% |
| Brown Toland | Commercial|All Plans | $580.28 | ↑ +132% |
| BCBS - Anthem | Commercial|All Other Plans | $617.22 | ↑ +147% |
| Cigna | Commercial|All Plans | $630.08 | ↑ +152% |
| BCBS - Anthem | Commercial|MCS | $685.79 | ↑ +175% |
| Sutter Health | Commercial|All Plans | $1,651.17 | ↑ +561% |
Visitor-reported prices
Comments
Prostate biopsy, any mthd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $192.85 | $71.94 – $564.79 |
| Mark Twain Medical Center | San Andreas | $136.12 | $52.88 – $204.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $100.48 | $135.41 – $520.09 |
| Bakersfield Memorial Hospital | Bakersfield | $99.40 | $135.41 – $520.09 |
| St. Joseph's Behavioral Health Center | Stockton | $154.64 | $27.09 – $216.66 |
| St. Joseph's Medical Center Stockton | Stockton | $79.63 | $56.88 – $270.82 |
| Mercy Medical Center Merced | Merced | $139.48 | $162.50 – $297.91 |
| Sierra Nevada Memorial Hospital | Grass Valley | $196.75 | $241.87 – $361.00 |