CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Sequoia Hospital

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$162

about 1.7× the $95 Medicare rate · typically $80–$304

modeled estimate · not a bill or quote

What this hospital charges insurers

$279

Above the fair price

about $117 over the fair price · 2.9× Medicare

Medicare pays $95 Fair price $162 This hospital $279 Cash price $218 Hospital's list price $600

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $279

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $162 (about 1.7× the $95 Medicare rate). Sequoia Hospital charges insurers about $279, or about $218 in cash — above the fair price. Located in Redwood City, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $162. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Kaiser Permanente AetnaHumana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$18,445 - $24,323	19377%
Blue Cross Blue Shieldmajor	$43 - $699	45%
Cignamajor	$236	248%
Kaiser Permanentemajor	$43 - $482	45%
Health Net	$53	56%
+ 4 smaller / regional plans	$43 - $269

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 218), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Sequoia Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sequoia Hospital

Compare: Office visit, established patient (20-29 min) at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.