Tc-99m mertiatide at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$32.04
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.
?
What you pay up front if you don't use insurance.
$88.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$22.00 with Sutter Health vs $108.24 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Sutter Health | Commercial|All Plans | $22.00 | ↓ -31% |
| Connected Care | Commercial|Intel | $37.84 | ↑ +18% |
| Healthsmart | Commercial|All Plans | $59.84 | ↑ +87% |
| Kaiser | Commercial|All Plans | $67.76 | ↑ +111% |
| Multiplan | Commercial|All Plans | $72.16 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $76.56 | ↑ +139% |
| Kaiser | Medicaid|> 21 | $88.00 | ↑ +175% |
| United | Commercial|All Other Plans | $88.00 | ↑ +175% |
| Health Plan San Mateo | Medicaid|> 21 | $88.00 | ↑ +175% |
| United | Commercial|Options PPO | $88.00 | ↑ +175% |
| Kaiser | Medicaid|< 21 | $88.00 | ↑ +175% |
| Health Plan San Mateo | Medicaid|< 21 | $88.00 | ↑ +175% |
| United | Commercial|HMO | $88.00 | ↑ +175% |
| BCBS - Anthem | Commercial|MCS | $88.00 | ↑ +175% |
| BCBS - Anthem | Medicaid|< 21 | $88.00 | ↑ +175% |
| BCBS - Anthem | Medicaid|> 21 | $88.00 | ↑ +175% |
| Partnership Health Plan | Medicaid|< 21 | $88.00 | ↑ +175% |
| Partnership Health Plan | Medicaid|> 21 | $88.00 | ↑ +175% |
| Health Net | Medicaid|> 21 | $108.24 | ↑ +238% |
| Health Net | Medicaid|< 21 | $108.24 | ↑ +238% |
Visitor-reported prices
Comments
Tc-99m mertiatide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $1,414.56 | $1,002.00 – $1,002.00 |
| Fresno Medical Center | FRESNO | $1,414.56 | $1,002.00 – $1,002.00 |
| St. John's Camarillo Hospital | Camarillo | $262.80 | $160.38 – $528.01 |
| Antioch Medical Center | ANTIOCH | $1,414.56 | $1,002.00 – $1,002.00 |
| Santa Clara Medical Center | SANTA CLARA | $1,414.56 | $1,002.00 – $1,002.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $1,015.56 | $894.00 – $894.00 |
| Riverside Medical Center | RIVERSIDE | $1,015.56 | $894.00 – $894.00 |
| Fremont Medical Center | FREMONT | $1,414.56 | $1,002.00 – $1,002.00 |