App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,529.28
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.
$3,685.00
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.
$226.00 with Cigna vs $8,492.00 with Health Net — 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 |
|---|---|---|---|
| Cigna | Commercial|All Other Plans | $226.00 | ↓ -85% |
| Cigna | Commercial|PPO | $226.00 | ↓ -85% |
| Health Net | Medicaid|< 21 | $250.03 | ↓ -84% |
| Health Net | Medicaid|> 21 | $250.03 | ↓ -84% |
| Gold Coast Health Plan | Medicaid|All Plans | $304.80 | ↓ -80% |
| BCBS - Anthem | Commercial|DignityHealth | $520.56 | ↓ -66% |
| Western Growers | Commercial|All Plans | $964.00 | ↓ -37% |
| Kaiser | Commercial|All Plans | $1,195.36 | ↓ -22% |
| Ventura HP | Commercial|All Plans | $1,253.20 | ↓ -18% |
| First Health | Commercial|All Plans | $1,291.76 | ↓ -16% |
| SeaView | Medicare|All Plans | $1,349.60 | ↓ -12% |
| Sea View | Commercial|All Plans | $1,349.60 | ↓ -12% |
| MultiPlan | Commercial|All Plans | $1,542.40 | ↑ +1% |
| Scan Health Plan | Medicare|Sea View | $1,928.00 | ↑ +26% |
| Aetna | Medicare|All Plans | $1,928.00 | ↑ +26% |
| Valley Care IPA | Commercial|All Plans | $1,928.00 | ↑ +26% |
| United | Medicare|All Plans | $1,928.00 | ↑ +26% |
| United | Commercial|Non-Options PPO | $1,928.00 | ↑ +26% |
| Health Net | Medicare|All Plans | $1,928.00 | ↑ +26% |
| Kaiser | Medicare|All Plans | $1,928.00 | ↑ +26% |
| BCBS - Anthem | Medicare|All Plans | $1,928.00 | ↑ +26% |
| Humana | Medicare|All Plans | $1,928.00 | ↑ +26% |
| Blue Shield CA | Medicare|All Plans | $1,928.00 | ↑ +26% |
| Scan Health Plan | Medicare|All Other Plans | $1,928.00 | ↑ +26% |
| Aetna | Medicare|All Other Plans | $2,324.22 | ↑ +52% |
| United | Medicare|All Other Plans | $2,324.22 | ↑ +52% |
| Blue Shield CA | Medicare|All Other Plans | $2,324.22 | ↑ +52% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +111% |
| Clinicas | Commercial|All Plans | $3,856.00 | ↑ +152% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +192% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +192% |
| Clinicas | Medicaid|All Plans | $4,648.44 | ↑ +204% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +248% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +252% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +252% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +331% |
| Health Net | Commercial|Care Product | $6,790.00 | ↑ +344% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +405% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +412% |
| Health Net | Commercial|All Other Plans | $8,492.00 | ↑ +455% |
| United | Medicare|Sea View | not published by hospital | — |
| Aetna | Medicare|Sea View | not published by hospital | — |
| Blue Shield CA | Medicare|Sea View | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $2,141.08 | $203.28 – $1,753.00 |
| Healdsburg Hospital | Healdsburg | $1,760.52 | $2,779.95 – $5,198.77 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,815.40 | $1,528.00 – $4,449.00 |
| Providence Saint Joseph Medical Center | Burbank | $1,760.85 | $1,528.00 – $4,449.00 |
| Providence St Joseph Hospital Orange | Orange | $1,345.44 | $2,255.66 – $6,652.00 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $203.28 – $2,324.22 |
| Mark Twain Medical Center | San Andreas | not published | $203.28 – $203.28 |