Tomosynthesis breast diagnostic left at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
$43.32
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.
$119.00
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.
$47.52 with BCBS - Anthem vs $7,448.00 with Blue Shield CA — 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 | Medicaid|> 21 | $47.52 | ↑ +10% |
| Kaiser | Medicaid|< 21 | $47.52 | ↑ +10% |
| Kaiser | Medicaid|> 21 | $47.52 | ↑ +10% |
| Partnership Health Plan | Medicaid|> 21 | $47.52 | ↑ +10% |
| Partnership Health Plan | Medicaid|< 21 | $47.52 | ↑ +10% |
| BCBS - Anthem | Medicaid|< 21 | $47.52 | ↑ +10% |
| Connected Care | Commercial|Intel | $51.17 | ↑ +18% |
| United | Commercial|Options PPO | $57.31 | ↑ +32% |
| United | Commercial|All Other Plans | $57.31 | ↑ +32% |
| United | Commercial|HMO | $57.31 | ↑ +32% |
| Health Net | Medicaid|< 21 | $58.45 | ↑ +35% |
| Health Plan San Mateo | Medicaid|< 21 | $58.45 | ↑ +35% |
| Health Plan San Mateo | Medicaid|> 21 | $58.45 | ↑ +35% |
| Health Net | Medicaid|> 21 | $58.45 | ↑ +35% |
| Brown Toland | Medicare|All Plans | $67.24 | ↑ +55% |
| Healthsmart | Commercial|All Plans | $80.92 | ↑ +87% |
| Kaiser | Commercial|All Plans | $91.63 | ↑ +112% |
| Multiplan | Commercial|All Plans | $97.58 | ↑ +125% |
| BCBS - Anthem | Commercial|All Other Plans | $107.10 | ↑ +147% |
| BCBS - Anthem | Commercial|MCS | $119.00 | ↑ +175% |
| Cigna | Commercial|All Plans | $138.18 | ↑ +219% |
| Blue Shield CA | Commercial|Exchange | $5,581.00 | ↑ +12783% |
| Blue Shield CA | Commercial|ACO Trio | $5,749.00 | ↑ +13171% |
| Blue Shield CA | Commercial|All Other Plans | $7,448.00 | ↑ +17093% |
Visitor-reported prices
Comments
Tomosynthesis breast diagnostic left at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $134.40 | $22.00 – $22.00 |
| Santa Clara Medical Center | SANTA CLARA | $134.40 | $22.00 – $22.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $74.36 | $13.00 – $13.00 |
| Riverside Medical Center | RIVERSIDE | $74.36 | $13.00 – $13.00 |
| Banner Lassen Medical Center | Susanville | $47.91 | $23.78 – $78.41 |
| Sacramento Medical Center | SACRAMENTO | $134.40 | $22.00 – $22.00 |
| Oakland Medical Center | Oakland | $134.40 | $22.00 – $22.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $134.40 | $22.00 – $22.00 |