App high cost ss t/a/l <100sq cm addl <25sq cm at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$435.34
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.
$1,049.00
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.
$20.20 with Health Net vs $7,832.00 with BCBS - Anthem — 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 |
|---|---|---|---|
| Health Net | Medicaid|> 21 | $20.20 | ↓ -95% |
| Health Net | Medicaid|< 21 | $20.20 | ↓ -95% |
| Gold Coast Health Plan | Medicaid|All Plans | $24.34 | ↓ -94% |
| BCBS - Anthem | Commercial|DignityHealth | $224.10 | ↓ -49% |
| Cigna | Commercial|PPO | $226.00 | ↓ -48% |
| Cigna | Commercial|All Other Plans | $226.00 | ↓ -48% |
| Western Growers | Commercial|All Plans | $415.00 | ↓ -5% |
| Kaiser | Commercial|All Plans | $514.60 | ↑ +18% |
| Ventura HP | Commercial|All Plans | $539.50 | ↑ +24% |
| First Health | Commercial|All Plans | $556.10 | ↑ +28% |
| Sea View | Commercial|All Plans | $581.00 | ↑ +33% |
| SeaView | Medicare|All Plans | $581.00 | ↑ +33% |
| MultiPlan | Commercial|All Plans | $664.00 | ↑ +53% |
| United | Commercial|Non-Options PPO | $830.00 | ↑ +91% |
| Blue Shield CA | Commercial|EPN | $1,228.00 | ↑ +182% |
| Blue Shield CA | Commercial|FFS | $1,782.00 | ↑ +309% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +642% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +926% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +926% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +1033% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +1137% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +1137% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +1699% |
| Health Net | Commercial|All Other Plans | not published by hospital | — |
| 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 t/a/l <100sq cm addl <25sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $32.64 | $12.16 – $46.06 |
| Bakersfield Memorial Hospital | Bakersfield | $211.40 | $16.42 – $446.49 |
| Healdsburg Hospital | Healdsburg | $1,759.50 | $721.00 – $3,982.87 |
| Sierra Nevada Memorial Hospital | Grass Valley | $344.44 | $16.42 – $619.36 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $451.50 | $353.00 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $199.15 | $353.00 – $4,751.00 |
| St Jude Medical Center | Fullerton | $909.12 | $1,266.00 – $13,012.00 |
| Providence St Joseph Hospital Orange | Orange | $601.92 | $1,394.00 – $11,456.00 |