Avul nail plate addl at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$87.15
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.
$210.00
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.
$21.02 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 | $21.02 | ↓ -76% |
| Health Net | Medicaid|< 21 | $21.02 | ↓ -76% |
| Gold Coast Health Plan | Medicaid|All Plans | $36.74 | ↓ -58% |
| BCBS - Anthem | Commercial|DignityHealth | $56.70 | ↓ -35% |
| Western Growers | Commercial|All Plans | $105.00 | ↑ +20% |
| Kaiser | Commercial|All Plans | $130.20 | ↑ +49% |
| Ventura HP | Commercial|All Plans | $136.50 | ↑ +57% |
| First Health | Commercial|All Plans | $140.70 | ↑ +61% |
| Sea View | Commercial|All Plans | $147.00 | ↑ +69% |
| SeaView | Medicare|All Plans | $147.00 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $168.00 | ↑ +93% |
| United | Commercial|Non-Options PPO | $210.00 | ↑ +141% |
| Cigna | Commercial|PPO | $226.00 | ↑ +159% |
| Cigna | Commercial|All Other Plans | $226.00 | ↑ +159% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +3606% |
| Blue Shield CA | Commercial|EPN | $3,977.00 | ↑ +4463% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +5023% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +5023% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +5559% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +6077% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +6077% |
| Blue Shield CA | Commercial|FFS | $5,772.00 | ↑ +6523% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +8887% |
| United | Medicare|Sea View | not published by hospital | — |
| Health Net | Commercial|All Other Plans | 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
Avul nail plate addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $763.47 | $1,687.00 – $10,997.00 |
| Mark Twain Medical Center | San Andreas | $67.94 | $12.42 – $47.04 |
| Bakersfield Memorial Hospital | Bakersfield | $55.79 | $17.09 – $150.48 |
| Queen of The Valley Medical Center | Napa | $1,080.18 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $308.04 | $2,699.00 – $21,319.00 |
| Healdsburg Hospital | Healdsburg | $150.96 | $2,335.00 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $280.50 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $621.69 | $1,716.00 – $12,908.00 |