Biopsy of salivary gland 42400 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$723.14
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.
$1,651.00
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.
$70.93 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 | $70.93 | ↓ -90% |
| Health Net | Medicaid|< 21 | $70.93 | ↓ -90% |
| Gold Coast Health Plan | Medicaid|All Plans | $124.00 | ↓ -83% |
| BCBS - Anthem | Commercial|DignityHealth | $445.77 | ↓ -38% |
| United | Medicare|All Plans | $893.98 | ↑ +24% |
| United | Medicare|All Other Plans | $893.98 | ↑ +24% |
| Humana | Medicare|All Plans | $893.98 | ↑ +24% |
| Blue Shield CA | Medicare|All Other Plans | $893.98 | ↑ +24% |
| Valley Care IPA | Commercial|All Plans | $893.98 | ↑ +24% |
| Aetna | Medicare|All Plans | $893.98 | ↑ +24% |
| Aetna | Medicare|All Other Plans | $893.98 | ↑ +24% |
| Kaiser | Medicare|All Plans | $893.98 | ↑ +24% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↑ +24% |
| Scan Health Plan | Medicare|All Other Plans | $893.98 | ↑ +24% |
| Blue Shield CA | Medicare|All Plans | $893.98 | ↑ +24% |
| Health Net | Medicare|All Plans | $893.98 | ↑ +24% |
| Scan Health Plan | Medicare|Sea View | $893.98 | ↑ +24% |
| Western Growers | Commercial|All Plans | $908.05 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,023.62 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $1,073.15 | ↑ +48% |
| First Health | Commercial|All Plans | $1,106.17 | ↑ +53% |
| United | Medicare|Sea View | $1,155.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $1,155.70 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $1,155.70 | ↑ +60% |
| Sea View | Commercial|All Plans | $1,155.70 | ↑ +60% |
| SeaView | Medicare|All Plans | $1,155.70 | ↑ +60% |
| Blue Shield CA | Commercial|EPN | $1,228.00 | ↑ +70% |
| MultiPlan | Commercial|All Plans | $1,287.78 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $1,370.33 | ↑ +89% |
| Clinicas | Commercial|All Plans | $1,628.92 | ↑ +125% |
| United | Commercial|Non-Options PPO | $1,651.00 | ↑ +128% |
| Blue Shield CA | Commercial|FFS | $1,782.00 | ↑ +146% |
| Clinicas | Medicaid|All Plans | $1,787.96 | ↑ +147% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +347% |
| Health Net | Commercial|Care Product | $4,445.00 | ↑ +515% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +517% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +517% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +582% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +644% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +644% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +983% |
Visitor-reported prices
Comments
Biopsy of salivary gland 42400 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $854.51 | $82.93 – $1,587.89 |
| Arroyo Grande Hospital | Santa Maria | $1,322.95 | $57.67 – $2,940.98 |
| Mark Twain Medical Center | San Andreas | $1,341.99 | $57.67 – $864.36 |
| French Hospital | San Luis Obispo | $1,087.41 | $57.67 – $1,940.40 |
| Mercy Hospitals – Bakersfield | Bakersfield | $912.66 | $57.67 – $1,968.00 |
| Bakersfield Memorial Hospital | Bakersfield | $902.82 | $57.67 – $1,943.40 |
| Queen of The Valley Medical Center | Napa | $843.03 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,043.46 | $910.78 – $8,018.00 |