How many shoppable procedure prices are published for Sequoia Hospital?

Sequoia Hospital in Redwood City, CA currently has 90 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sequoia Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sequoia Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Sequoia Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sequoia Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 208 Beds · urban Updated: 2026-02-28

Sequoia Hospital

170 Alameda De Las Pulgas, Redwood City, CA 94062 · 90 Priced Procedures · 80% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 60% of the Time

File Completeness56

Price Logic63

Peer Alignment63

Clean Billing85

Real Cash Discount100

Premium Quality Tier

4-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Sequoia Hospital maintains elevated commercial insurance contracts (1.26× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 60% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#158 of 240 in CA · 65th State Percentile#2,148 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 60% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 80% patient recommendation (77/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.0× markup over Medicare rates
Commercial insurance median sits at 1.32× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.3× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 15.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.81× Divergence

1.3× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 1.16× · Q50 1.32× · Q75 1.44×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.5× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.3× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

60% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 77/100Fair

Procedure Prices at Sequoia Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 90 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,176	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,093	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,270	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,450	$17,936	1.1×
Total knee replacement CPT Code: `27447`	—	$18,687	$13,523	1.4×
Total hip replacement CPT Code: `27130`	—	$17,530	$13,413	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,556	$6,109	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,389	$8,223	1.0×
Breast lump removal CPT Code: `19120`	—	$5,616	$3,875	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$5,175	$3,629	1.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,758	$3,372	1.4×
Bunion correction surgery CPT Code: `28296`	—	$4,758	$3,446	1.4×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,345	$2,540	1.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,453	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,454	$2,975	0.8×
Rabies immune globulin HCPCS Code: `90375`	$2,366	$2,366	$322	7.3×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,729	$1,256	1.4×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,375	$987	1.4×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,337	$981	1.4×
Blood transfusion CPT Code: `36430`	$465	$905	$498	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,828	$804	$583	1.4×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,222	$524	$448	1.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,592	$549	$511	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$254	$523	$86	6.1×
New patient office visit (30-44 min) CPT Code: `99203`	$228	$354	$110	3.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,101	$365	$272	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,961	$354	$303	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$3,077	$354	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$3,827	$354	$343	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$329	$329	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$218	$279	$87	3.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$185	$298	$201	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$3,561	$296	$258	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$403	$263	$148	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$2,947	$261	$242	1.1×
X-ray, lower back CPT Code: `72110`	$669	$233	$112	2.1×
Screening mammogram (both breasts) CPT Code: `77067`	$352	$217	$123	1.8×
CT scan, pelvis CPT Code: `72192`	$2,576	$225	$163	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$2,761	$225	$167	1.3×
CT scan, sinuses CPT Code: `70486`	$2,460	$218	$166	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,525	$221	$169	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,921	$219	$168	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$421	$167	$93	1.8×
X-ray, chest (two views) CPT Code: `71046`	$338	$162	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$408	$186	$110	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$255	$192	$151	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$625	$156	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$1,032	$156	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$914	$156	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,178	$156	$134	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$2,456	$179	$160	1.1×
X-ray, chest (single view) CPT Code: `71045`	$405	$129	$92	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$567	$87	$64	1.4×
Typhoid vaccine HCPCS Code: `90675`	$1,406	$541	$347	1.6×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$609	$362	$203	1.8×
Culture, bacterial CPT Code: `87070`	$249	$249	$9	unverified
Blood test, potassium CPT Code: `84132`	$205	$205	$5	41.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$274	$185	$111	1.7×
Blood test, sodium CPT Code: `84295`	$207	$207	$5	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$158	$158	$20	7.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$43	$58	$35	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$155	$79	$56	1.4×
Blood antibody screen CPT Code: `86850`	$37	$57	$46	1.2×
Blood test, amylase CPT Code: `82150`	$74	$74	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$84	$84	$4	unverified
Blood test, magnesium CPT Code: `83735`	$10	$11	$7	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$66	$21	$14	1.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$69	$32	$25	1.3×
Hepatitis B vaccine HCPCS Code: `90744`	$92	$43	$37	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$6	$4	1.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$99	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$83	$13	$9	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$43	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$194	$11	$8	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$166	$4	$3	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$145	$21	$16	1.3×
Culture, blood CPT Code: `87040`	$312	$14	$11	1.3×
Blood test, liver function panel CPT Code: `80076`	$66	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$21	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$32	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$4	$7	$6	1.2×
Blood test, lipase CPT Code: `83690`	$11	$8	$7	1.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$16	$10	$10	1.0×
Blood test, hemoglobin CPT Code: `85018`	$24	$3	$3	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$6	$17	$19	0.9×
Hepatitis C antibody test CPT Code: `86803`	$4	$10	$15	0.7×
Blood test, vitamin D CPT Code: `82306`	$7	$20	$31	0.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$15	$9	$18	0.5×
Drug screening test HCPCS Code: `G0480`	$14	$14	$116	0.1×

Showing top 25 high-impact procedures of 90 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 19.9%

Audit a Bill or Quote at Sequoia Hospital (Zero PHI Required)

CMS CCN: 050197

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,176

1. Amount on Your Bill or Quote ($) Pre-filled with Sequoia Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $15,853 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $15,853

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.9% of gross = $15,853).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Sequoia Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$48,847 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($79,622) is $48,847 above the denoised Fair BaseRate ($30,775) and 3.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (19.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite77/100

Would Recommend80%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait124 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sequoia Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-10·administrative_or_closure
Met Requirements
Recorded
2023-01-19·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (651 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sequoia Hospital.

Price Index: 1.04× regional baseline

Quality: 75/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-50.0%

Median Household Income$156,000U.S. Census ACS

Local Uninsured Share3.9%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 72/100 · Corroborated CMS CCN 050197

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050197) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows3,970 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050197

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy