Tissue culture tumor at Santa Clara Medical Center
700 LAWRENCE EXPY, SANTA CLARA, CA · Kaiserpermanente · · NPI 1326119967
$258.72
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.
$462.00
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.
$137.00 with [kaiser foundation health plan, inc.] vs $430.00 with [kaiser foundation health plan, inc.] — 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 |
|---|---|---|---|
| [kaiser foundation health plan, inc.] | [medicaid] | $137.00 | ↓ -47% |
| [kaiser foundation health plan, inc.] | [medicare] | $144.00 | ↓ -44% |
| [kaiser foundation health plan, inc.] | [commercial] | $430.00 | ↑ +66% |
Visitor-reported prices
Comments
Tissue culture tumor at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $258.72 | $137.00 – $137.00 |
| Sacramento Medical Center | SACRAMENTO | $258.72 | $137.00 – $137.00 |
| Oakland Medical Center | Oakland | $258.72 | $137.00 – $137.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $258.72 | $137.00 – $137.00 |
| Arroyo Grande Hospital | Santa Maria | $69.21 | $80.85 – $380.11 |
| French Hospital | San Luis Obispo | $63.39 | $43.66 – $446.85 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $87.50 – $423.93 |
| Bakersfield Memorial Hospital | Bakersfield | $64.23 | $87.50 – $423.93 |