Biopsy skin incisional single lesion at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$552.37
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.
$1,331.00
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.
$164.46 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 | $164.46 | ↓ -70% |
| Health Net | Medicaid|< 21 | $164.46 | ↓ -70% |
| Cigna | Commercial|All Other Plans | $226.00 | ↓ -59% |
| Cigna | Commercial|PPO | $226.00 | ↓ -59% |
| Gold Coast Health Plan | Medicaid|All Plans | $236.45 | ↓ -57% |
| BCBS - Anthem | Commercial|DignityHealth | $359.37 | ↓ -35% |
| Western Growers | Commercial|All Plans | $665.50 | ↑ +20% |
| Blue Shield CA | Medicare|All Plans | $777.77 | ↑ +41% |
| Aetna | Medicare|All Plans | $777.77 | ↑ +41% |
| Aetna | Medicare|All Other Plans | $777.77 | ↑ +41% |
| Valley Care IPA | Commercial|All Plans | $777.77 | ↑ +41% |
| United | Medicare|All Plans | $777.77 | ↑ +41% |
| United | Medicare|All Other Plans | $777.77 | ↑ +41% |
| Health Net | Medicare|All Plans | $777.77 | ↑ +41% |
| Kaiser | Medicare|All Plans | $777.77 | ↑ +41% |
| BCBS - Anthem | Medicare|All Plans | $777.77 | ↑ +41% |
| Humana | Medicare|All Plans | $777.77 | ↑ +41% |
| Scan Health Plan | Medicare|Sea View | $777.77 | ↑ +41% |
| Scan Health Plan | Medicare|All Other Plans | $777.77 | ↑ +41% |
| Blue Shield CA | Medicare|All Other Plans | $777.77 | ↑ +41% |
| Kaiser | Commercial|All Plans | $825.22 | ↑ +49% |
| Ventura HP | Commercial|All Plans | $865.15 | ↑ +57% |
| First Health | Commercial|All Plans | $891.77 | ↑ +61% |
| SeaView | Medicare|All Plans | $931.70 | ↑ +69% |
| Sea View | Commercial|All Plans | $931.70 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $1,064.80 | ↑ +93% |
| United | Commercial|Non-Options PPO | $1,331.00 | ↑ +141% |
| Clinicas | Commercial|All Plans | $1,458.18 | ↑ +164% |
| Clinicas | Medicaid|All Plans | $1,555.54 | ↑ +182% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +485% |
| Health Net | Commercial|Care Product | $3,598.00 | ↑ +551% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +708% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +708% |
| Health Net | Commercial|All Other Plans | $4,499.00 | ↑ +714% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +793% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +863% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +875% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +875% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +1298% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +1318% |
| 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
Biopsy skin incisional single lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,176.57 | $995.98 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $114.56 | $42.17 – $159.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $148.40 | $108.71 – $400.00 |
| Bakersfield Memorial Hospital | Bakersfield | $153.41 | $108.71 – $400.00 |
| Queen of The Valley Medical Center | Napa | $1,308.15 | $1,049.38 – $7,483.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,315.80 | $950.57 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $808.35 | $995.78 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $852.72 | $1,333.00 – $20,799.00 |