Breast Biopsy (ultrasound-guided, percutaneous) at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$2,180.81
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.
?
What you pay up front if you don't use insurance.
$4,979.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$928.80 with Health Net vs $10,984.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $928.80 | ↓ -57% |
| Health Net | Medicaid|< 21 | $928.80 | ↓ -57% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,068.22 | ↓ -51% |
| BCBS - Anthem | Commercial|DignityHealth | $1,344.33 | ↓ -38% |
| United | Medicare|All Plans | $2,058.68 | ↓ -6% |
| United | Medicare|All Other Plans | $2,058.68 | ↓ -6% |
| Humana | Medicare|All Plans | $2,058.68 | ↓ -6% |
| Blue Shield CA | Medicare|All Other Plans | $2,058.68 | ↓ -6% |
| Valley Care IPA | Commercial|All Plans | $2,058.68 | ↓ -6% |
| Aetna | Medicare|All Plans | $2,058.68 | ↓ -6% |
| Aetna | Medicare|All Other Plans | $2,058.68 | ↓ -6% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↓ -6% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↓ -6% |
| Scan Health Plan | Medicare|All Other Plans | $2,058.68 | ↓ -6% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↓ -6% |
| Health Net | Medicare|All Plans | $2,058.68 | ↓ -6% |
| Scan Health Plan | Medicare|Sea View | $2,058.68 | ↓ -6% |
| Western Growers | Commercial|All Plans | $2,738.45 | ↑ +26% |
| Kaiser | Commercial|All Plans | $3,086.98 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $3,236.35 | ↑ +48% |
| First Health | Commercial|All Plans | $3,335.93 | ↑ +53% |
| United | Medicare|Sea View | $3,485.30 | ↑ +60% |
| Aetna | Medicare|Sea View | $3,485.30 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $3,485.30 | ↑ +60% |
| Sea View | Commercial|All Plans | $3,485.30 | ↑ +60% |
| SeaView | Medicare|All Plans | $3,485.30 | ↑ +60% |
| Clinicas | Commercial|All Plans | $3,763.88 | ↑ +73% |
| MultiPlan | Commercial|All Plans | $3,883.62 | ↑ +78% |
| Clinicas | Medicaid|All Plans | $4,117.36 | ↑ +89% |
| Health Net | Commercial|All Other Plans | $4,132.57 | ↑ +89% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +108% |
| United | Commercial|Non-Options PPO | $4,979.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +144% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +187% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +187% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +203% |
| Health Net | Commercial|Care Product | $6,790.00 | ↑ +211% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +246% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +246% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +254% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +404% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $2,264.44 | $1,012.97 – $4,207.86 |
| Petaluma Valley Hospital | Petaluma | $3,603.15 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $4,430.66 | $613.92 – $9,431.52 |
| Mark Twain Medical Center | San Andreas | $2,835.83 | $97.53 – $377.00 |
| French Hospital | San Luis Obispo | $4,057.99 | $613.92 – $4,462.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,181.27 | $613.92 – $2,251.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,168.53 | $613.92 – $2,223.06 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |