Athrectomy fem/pop/unilateral 37225 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$18,189.27
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.
$41,528.00
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.
$792.50 with Health Net vs $45,631.62 with Clinicas — 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 | $792.50 | ↓ -96% |
| Health Net | Medicaid|< 21 | $792.50 | ↓ -96% |
| Gold Coast Health Plan | Medicaid|All Plans | $911.46 | ↓ -95% |
| Blue Shield CA | Commercial|EPN | $7,521.00 | ↓ -59% |
| BCBS - Anthem | Commercial|Exchange | $7,757.00 | ↓ -57% |
| Aetna | Commercial|All Plans | $9,305.00 | ↓ -49% |
| BCBS - Anthem | Commercial|HMO | $10,734.00 | ↓ -41% |
| BCBS - Anthem | Commercial|HMO Non MCS | $10,734.00 | ↓ -41% |
| Blue Shield CA | Commercial|FFS | $10,915.00 | ↓ -40% |
| BCBS - Anthem | Commercial|DignityHealth | $11,212.56 | ↓ -38% |
| BCBS - Anthem | Commercial|Non-MCS | $12,929.00 | ↓ -29% |
| BCBS - Anthem | Commercial|PPO Non MCS | $12,929.00 | ↓ -29% |
| BCBS - Anthem | Commercial|MCS | $18,812.00 | ↑ +3% |
| Health Net | Commercial|Care Product | $19,572.00 | ↑ +8% |
| Blue Shield CA | Medicare|All Plans | $22,815.81 | ↑ +25% |
| Scan Health Plan | Medicare|Sea View | $22,815.81 | ↑ +25% |
| Aetna | Medicare|All Plans | $22,815.81 | ↑ +25% |
| Aetna | Medicare|All Other Plans | $22,815.81 | ↑ +25% |
| Scan Health Plan | Medicare|All Other Plans | $22,815.81 | ↑ +25% |
| Humana | Medicare|All Plans | $22,815.81 | ↑ +25% |
| United | Medicare|All Plans | $22,815.81 | ↑ +25% |
| United | Medicare|All Other Plans | $22,815.81 | ↑ +25% |
| Valley Care IPA | Commercial|All Plans | $22,815.81 | ↑ +25% |
| Health Net | Medicare|All Plans | $22,815.81 | ↑ +25% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↑ +25% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↑ +25% |
| Blue Shield CA | Medicare|All Other Plans | $22,815.81 | ↑ +25% |
| Western Growers | Commercial|All Plans | $22,840.40 | ↑ +26% |
| Health Net | Commercial|All Other Plans | $24,479.00 | ↑ +35% |
| Kaiser | Commercial|All Plans | $25,747.36 | ↑ +42% |
| Clinicas | Commercial|All Plans | $26,644.42 | ↑ +46% |
| Ventura HP | Commercial|All Plans | $26,993.20 | ↑ +48% |
| First Health | Commercial|All Plans | $27,823.76 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $29,069.60 | ↑ +60% |
| Aetna | Medicare|Sea View | $29,069.60 | ↑ +60% |
| United | Medicare|Sea View | $29,069.60 | ↑ +60% |
| Sea View | Commercial|All Plans | $29,069.60 | ↑ +60% |
| SeaView | Medicare|All Plans | $29,069.60 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $32,391.84 | ↑ +78% |
| United | Commercial|Non-Options PPO | $41,528.00 | ↑ +128% |
| Clinicas | Medicaid|All Plans | $45,631.62 | ↑ +151% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $523.83 – $34,105.96 |
| French Hospital | San Luis Obispo | $13,642.39 | $523.83 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32,415.02 | $523.83 – $69,897.60 |
| Bakersfield Memorial Hospital | Bakersfield | $32,065.53 | $523.83 – $69,023.88 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,863.79 | $0.80 – $26,149.20 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,079.21 | $4,233.00 – $62,607.00 |