App high cost ss t/a/l >100sq cm 1st 100sq cm at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,640.91
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.
$3,954.00
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 $10,494.00 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|PPO | $226.00 | ↓ -86% |
| Cigna | Commercial|All Other Plans | $226.00 | ↓ -86% |
| Health Net | Medicaid|< 21 | $242.73 | ↓ -85% |
| Health Net | Medicaid|> 21 | $242.73 | ↓ -85% |
| Gold Coast Health Plan | Medicaid|All Plans | $295.84 | ↓ -82% |
| BCBS - Anthem | Commercial|DignityHealth | $790.83 | ↓ -52% |
| Western Growers | Commercial|All Plans | $1,464.50 | ↓ -11% |
| Kaiser | Commercial|All Plans | $1,815.98 | ↑ +11% |
| Ventura HP | Commercial|All Plans | $1,903.85 | ↑ +16% |
| First Health | Commercial|All Plans | $1,962.43 | ↑ +20% |
| Sea View | Commercial|All Plans | $2,050.30 | ↑ +25% |
| SeaView | Medicare|All Plans | $2,050.30 | ↑ +25% |
| MultiPlan | Commercial|All Plans | $2,343.20 | ↑ +43% |
| Humana | Medicare|All Plans | $2,929.00 | ↑ +78% |
| Aetna | Medicare|All Plans | $2,929.00 | ↑ +78% |
| United | Medicare|All Plans | $2,929.00 | ↑ +78% |
| United | Commercial|Non-Options PPO | $2,929.00 | ↑ +78% |
| Valley Care IPA | Commercial|All Plans | $2,929.00 | ↑ +78% |
| Health Net | Medicare|All Plans | $2,929.00 | ↑ +78% |
| Kaiser | Medicare|All Plans | $2,929.00 | ↑ +78% |
| BCBS - Anthem | Medicare|All Plans | $2,929.00 | ↑ +78% |
| Blue Shield CA | Medicare|All Plans | $2,929.00 | ↑ +78% |
| Scan Health Plan | Medicare|All Other Plans | $2,929.00 | ↑ +78% |
| Scan Health Plan | Medicare|Sea View | $2,929.00 | ↑ +78% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +97% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +172% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +172% |
| Aetna | Medicare|All Other Plans | $4,651.63 | ↑ +183% |
| Blue Shield CA | Medicare|All Other Plans | $4,651.63 | ↑ +183% |
| United | Medicare|All Other Plans | $4,651.63 | ↑ +183% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +224% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +228% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +228% |
| Clinicas | Commercial|All Plans | $5,858.00 | ↑ +257% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +302% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +371% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +377% |
| Health Net | Commercial|Care Product | $8,390.00 | ↑ +411% |
| Clinicas | Medicaid|All Plans | $9,303.26 | ↑ +467% |
| Health Net | Commercial|All Other Plans | $10,494.00 | ↑ +540% |
| Blue Shield CA | Medicare|Sea View | not published by hospital | — |
| United | Medicare|Sea View | not published by hospital | — |
| Aetna | Medicare|Sea View | not published by hospital | — |
Visitor-reported prices
Comments
App high cost ss t/a/l >100sq cm 1st 100sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bakersfield Memorial Hospital | Bakersfield | $2,159.43 | $197.34 – $3,556.00 |
| Healdsburg Hospital | Healdsburg | $3,593.46 | $2,779.95 – $5,198.77 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,941.00 | $1,528.00 – $6,423.00 |
| Providence Saint Joseph Medical Center | Burbank | $3,619.35 | $1,528.00 – $6,544.00 |
| Providence St Joseph Hospital Orange | Orange | $3,874.08 | $2,255.66 – $9,230.00 |
| Mercy Medical Center Redding | Redding | $954.69 | $273.43 – $1,883.00 |
| St. Elizabeth Community Hospital | Red Bluff | $1,123.62 | $245.92 – $1,924.00 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $11,185.00 |