Transcath mv repair init prosthesis at Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
not published by hospital
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.
not published by hospital
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.
$1,288.00 with Blue Shield CA vs $47,814.00 with BCBS - Anthem — 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 | $1,288.00 | — |
| Blue Shield CA | Commercial|ACO Trio | $1,327.00 | — |
| Partnership Health Plan | Medicaid|< 21 | $1,594.56 | — |
| Kaiser | Medicaid|< 21 | $1,594.56 | — |
| Kaiser | Medicaid|> 21 | $1,594.56 | — |
| Partnership Health Plan | Medicaid|> 21 | $1,594.56 | — |
| BCBS - Anthem | Medicaid|< 21 | $1,594.56 | — |
| BCBS - Anthem | Medicaid|> 21 | $1,594.56 | — |
| Blue Shield CA | Commercial|All Other Plans | $1,719.00 | — |
| Brown Toland | Medicare|All Plans | $1,933.86 | — |
| Health Net | Medicaid|> 21 | $1,961.31 | — |
| Health Net | Medicaid|< 21 | $1,961.31 | — |
| Health Plan San Mateo | Medicaid|< 21 | $1,961.31 | — |
| Health Plan San Mateo | Medicaid|> 21 | $1,961.31 | — |
| Aetna | Commercial|All Plans | $11,838.00 | — |
| BCBS - Anthem | Commercial|All Other Plans | $28,209.00 | — |
| BCBS - Anthem | Commercial|MCS | $47,814.00 | — |
| Healthsmart | Commercial|All Plans | not published by hospital | — |
| Connected Care | Commercial|Intel | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| Multiplan | Commercial|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Transcath mv repair init prosthesis at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $7,341.60 | not published |
| St. John's Camarillo Hospital | Camarillo | $48,155.48 | $2,412.41 – $85,756.32 |
| Santa Clara Medical Center | SANTA CLARA | $7,341.60 | not published |
| Sacramento Medical Center | SACRAMENTO | $7,341.60 | not published |
| Oakland Medical Center | Oakland | $7,341.60 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $7,341.60 | not published |
| Arroyo Grande Hospital | Santa Maria | $49,408.75 | $1,594.56 – $113,132.18 |
| French Hospital | San Luis Obispo | $45,252.88 | $1,594.56 – $113,132.18 |