Bone biopsy open superficial at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$4,420.17
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.
$10,651.00
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.
$178.66 with Health Net vs $10,984.00 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 | $178.66 | ↓ -96% |
| Health Net | Medicaid|< 21 | $178.66 | ↓ -96% |
| Cigna | Commercial|All Other Plans | $226.00 | ↓ -95% |
| Cigna | Commercial|PPO | $226.00 | ↓ -95% |
| Gold Coast Health Plan | Medicaid|All Plans | $312.29 | ↓ -93% |
| BCBS - Anthem | Commercial|DignityHealth | $2,875.77 | ↓ -35% |
| Humana | Medicare|All Plans | $3,636.52 | ↓ -18% |
| Health Net | Medicare|All Plans | $3,636.52 | ↓ -18% |
| Blue Shield CA | Medicare|All Plans | $3,636.52 | ↓ -18% |
| Aetna | Medicare|All Plans | $3,636.52 | ↓ -18% |
| Aetna | Medicare|All Other Plans | $3,636.52 | ↓ -18% |
| Valley Care IPA | Commercial|All Plans | $3,636.52 | ↓ -18% |
| United | Medicare|All Plans | $3,636.52 | ↓ -18% |
| United | Medicare|All Other Plans | $3,636.52 | ↓ -18% |
| Kaiser | Medicare|All Plans | $3,636.52 | ↓ -18% |
| BCBS - Anthem | Medicare|All Plans | $3,636.52 | ↓ -18% |
| Scan Health Plan | Medicare|Sea View | $3,636.52 | ↓ -18% |
| Scan Health Plan | Medicare|All Other Plans | $3,636.52 | ↓ -18% |
| Blue Shield CA | Medicare|All Other Plans | $3,636.52 | ↓ -18% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +2% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +20% |
| Western Growers | Commercial|All Plans | $5,325.50 | ↑ +20% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +42% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +42% |
| Clinicas | Commercial|All Plans | $6,483.96 | ↑ +47% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +49% |
| Kaiser | Commercial|All Plans | $6,603.62 | ↑ +49% |
| Ventura HP | Commercial|All Plans | $6,923.15 | ↑ +57% |
| First Health | Commercial|All Plans | $7,136.17 | ↑ +61% |
| Clinicas | Medicaid|All Plans | $7,273.04 | ↑ +65% |
| Sea View | Commercial|All Plans | $7,455.70 | ↑ +69% |
| SeaView | Medicare|All Plans | $7,455.70 | ↑ +69% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +71% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +71% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +75% |
| Health Net | Commercial|Care Product | $8,390.00 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $8,520.80 | ↑ +93% |
| Health Net | Commercial|All Other Plans | $10,494.00 | ↑ +137% |
| United | Commercial|Non-Options PPO | $10,651.00 | ↑ +141% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +148% |
| 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
Bone biopsy open superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $5,230.05 | $2,570.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $5,815.02 | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,849.19 | $3,735.95 – $16,652.00 |
| Healdsburg Hospital | Healdsburg | $3,327.24 | $3,125.00 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $3,455.25 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,595.21 | $2,995.00 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,987.68 | $3,175.56 – $6,920.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $2,218.70 | $145.25 – $3,989.58 |