Sequoia Hospital
170 Alameda de las Pulgas, Redwood City, CA · CommonSpirit Health · · NPI 1568646735
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $9,484.75 | $26,057.00 | $11,204.51 – $21,366.74 | 4 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $1,355.94 | 6 |
| Liver Function Test CPT 80076 | $232.24 | $638.00 | $7.92 – $29.52 | 16 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $1,596.36 | 6 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $14,893.23 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1,774.50 | $4,875.00 | $0.72 – $21.32 | 14 |
| Low back disk surgery CPT 63030 | not published | not published | $1,099.76 – $32,790.76 | 10 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,359.00 | $9,228.00 | $261.07 – $7,566.96 | 15 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $3,037.95 | $8,346.00 | $233.92 – $6,843.72 | 15 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,921.10 | $8,025.00 | $155.95 – $6,580.50 | 15 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,938.85 | $10,821.00 | $447.95 – $8,873.22 | 15 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,477.30 | $9,553.00 | $380.88 – $7,833.46 | 15 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $3,077.26 | $8,454.00 | $266.80 – $6,932.28 | 15 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $530.72 | $1,458.00 | $43.45 – $849.52 | 15 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $27,153.75 | 10 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $47,789.00 | 10 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $47,789.00 | 10 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $47,789.00 | 10 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $47,789.00 | 10 |
| Lso flex no ri stays pre ots HCPCS L0628 | $149.61 | $411.00 | $27.50 – $374.01 | 14 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,710.49 – $84,413.00 | 10 |
| Lung function test (mbc/mvv) CPT 94200 | $84.45 | $232.00 | $18.82 – $272.65 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $409.50 | $1,125.00 | $28.23 – $922.50 | 13 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $5,940.88 | 6 |
| Lung transplant single CPT 32851 | not published | not published | $3,493.67 – $3,493.67 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $5,167.21 | 6 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $6,275.53 | 6 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $1,598.45 | 6 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,764.22 | $18,583.00 | $36.31 – $5,330.00 | 16 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $112.40 | 10 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $806.33 – $806.33 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $1,924.47 | $5,287.00 | $271.89 – $4,335.34 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | $123.36 | $338.90 | $20.86 – $170.70 | 16 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $2,337.55 | 10 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $14,594.50 | 10 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $9,402.96 | 10 |
| Macro exam dissect molec study ea CPT 88387 | $2.90 | $7.95 | $3.42 – $41.24 | 12 |
| Macroscopic exam parasite CPT 87169 | $6.43 | $17.64 | $3.80 – $15.00 | 16 |
| Magnesium CPT 83735 | $247.52 | $680.00 | $2.50 – $23.35 | 16 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $34.95 | $96.00 | $0.60 – $21.32 | 14 |
| Male sling procedure CPT 53440 | not published | not published | $854.23 – $59,637.08 | 10 |
| Mammosite ced HCPCS C1728 | $6,022.02 | $16,544.00 | $27.50 – $915.00 | 13 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $3,305.44 | 6 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $7,346.11 | 10 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $7,346.11 | 10 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $152.52 | $419.00 | $20.84 – $19,277.00 | 16 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $152.52 | $419.00 | $28.45 – $19,277.00 | 16 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $7,346.11 | 10 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $7,346.11 | 10 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $1,101.07 | 10 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $13.11 | $36.00 | $2.26 – $29.52 | 14 |
| Manual diff wbc count b-coat CPT 85009 | $199.84 | $549.00 | $5.07 – $108.24 | 16 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $147.90 | 6 |
| Marker biop eviva buckle ss HCPCS A4648 | $1,619.80 | $4,450.00 | $5.94 – $27.00 | 13 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $1,268.88 | 6 |
| Mastectomy partial CPT 19301 | not published | not published | $333.58 – $17,576.95 | 10 |
| Mast mod rad CPT 19307 | not published | not published | $919.21 – $29,934.44 | 10 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $27,153.75 | 10 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $27,153.75 | 10 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $27,153.75 | 10 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $29,934.44 | 10 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $1,288.69 | 6 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $1,377.23 | 6 |
| Mast simple complete CPT 19303 | not published | not published | $762.84 – $29,934.44 | 10 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $13,234.32 | $36,358.00 | $18.55 – $3,114.02 | 14 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $27,153.75 | 10 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $4.01 | $11.00 | $2.42 – $50.35 | 16 |
| Mayo aathr protein s free CPT 85306 | $10.92 | $30.00 | $5.28 – $53.35 | 16 |
| Mayo activated protein c resistance assay CPT 85307 | $7.65 | $21.00 | $4.62 – $53.35 | 16 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $53.69 | $147.50 | $32.45 – $134.27 | 16 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $10.92 | $30.00 | $1.10 – $51.47 | 16 |
| Mayo alpha 1 antitrypsin CPT 82103 | $4.01 | $11.00 | $1.98 – $46.81 | 16 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $25.48 | $70.00 | $15.08 – $57.40 | 16 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $315.47 | $866.67 | $86.00 – $423.45 | 16 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $68.44 | $188.00 | $30.10 – $319.11 | 16 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $72.80 | $200.00 | $86.00 – $476.95 | 16 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $7.28 | $20.00 | $1.10 – $50.83 | 16 |
| Mayo antithrombin iii antigen CPT 85301 | $6.79 | $18.64 | $3.49 – $37.65 | 16 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $15.09 | $41.45 | $1.19 – $52.38 | 16 |
| Mayo avwpr vw factor activity CPT 85397 | $15.66 | $43.00 | $9.46 – $107.44 | 16 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $14.56 | $40.00 | $8.80 – $32.80 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $3.64 | $9.99 | $2.20 – $35.46 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $108.11 | $297.00 | $17.92 – $504.27 | 16 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $15.18 | $41.68 | $17.93 – $747.16 | 16 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $4.39 | $12.06 | $2.22 – $44.94 | 16 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $9.10 | $25.00 | $2.64 – $45.90 | 16 |
| Mayo brcmg brucella antibody igm CPT 86622 | $4.66 | $12.78 | $2.73 – $31.06 | 16 |
| Mayo c1 esterase inhibitor CPT 83883 | $6.19 | $17.00 | $3.74 – $47.35 | 16 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $38.00 | $104.39 | $2.25 – $93.25 | 16 |
| Mayo ceruloplasmin CPT 82390 | $2.55 | $7.00 | $1.54 – $37.38 | 16 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $53.69 | $147.50 | $14.12 – $120.95 | 16 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $34.66 | $95.20 | $2.40 – $44.83 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $2.71 | $7.44 | $1.64 – $41.13 | 16 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $2.71 | $7.44 | $1.64 – $44.13 | 16 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $56.42 | $155.00 | $66.65 – $405.56 | 16 |
| Mayo coccidioides antibody CPT 86635 | $4.71 | $12.93 | $2.14 – $39.96 | 16 |
| Mayo cocou cortisone urine CPT 82542 | $31.67 | $87.00 | $5.50 – $83.87 | 16 |
| Mayo cortisol free CPT 82530 | $10.92 | $30.00 | $3.58 – $58.17 | 16 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $37.13 | $102.00 | $22.44 – $131.87 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $4.81 | $13.20 | $2.91 – $42.21 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.