Bronchoscopy w/biopsy(s) 31625 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,171.22
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.
$2,674.00
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.
$284.28 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 | $284.28 | ↓ -76% |
| Health Net | Medicaid|< 21 | $284.28 | ↓ -76% |
| Gold Coast Health Plan | Medicaid|All Plans | $496.91 | ↓ -58% |
| BCBS - Anthem | Commercial|DignityHealth | $721.98 | ↓ -38% |
| Western Growers | Commercial|All Plans | $1,337.00 | ↑ +14% |
| Kaiser | Commercial|All Plans | $1,657.88 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $1,738.10 | ↑ +48% |
| First Health | Commercial|All Plans | $1,791.58 | ↑ +53% |
| Sea View | Commercial|All Plans | $1,871.80 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $1,871.80 | ↑ +60% |
| Aetna | Medicare|Sea View | $1,871.80 | ↑ +60% |
| SeaView | Medicare|All Plans | $1,871.80 | ↑ +60% |
| United | Medicare|Sea View | $1,871.80 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $2,085.72 | ↑ +78% |
| United | Medicare|All Other Plans | $2,191.11 | ↑ +87% |
| Humana | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Aetna | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Aetna | Medicare|All Other Plans | $2,191.11 | ↑ +87% |
| United | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Health Net | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Kaiser | Medicare|All Plans | $2,191.11 | ↑ +87% |
| BCBS - Anthem | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Blue Shield CA | Medicare|All Plans | $2,191.11 | ↑ +87% |
| Blue Shield CA | Medicare|All Other Plans | $2,191.11 | ↑ +87% |
| Scan Health Plan | Medicare|All Other Plans | $2,191.11 | ↑ +87% |
| Scan Health Plan | Medicare|Sea View | $2,191.11 | ↑ +87% |
| Valley Care IPA | Commercial|All Plans | $2,191.11 | ↑ +87% |
| Health Net | Commercial|All Other Plans | $2,219.42 | ↑ +89% |
| United | Commercial|Non-Options PPO | $2,674.00 | ↑ +128% |
| Clinicas | Commercial|All Plans | $4,012.38 | ↑ +243% |
| Clinicas | Medicaid|All Plans | $4,382.22 | ↑ +274% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +287% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +354% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +435% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +435% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +463% |
| Health Net | Commercial|Care Product | $6,790.00 | ↑ +480% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +545% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +545% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +559% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +838% |
Visitor-reported prices
Comments
Bronchoscopy w/biopsy(s) 31625 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $658.16 | $231.12 – $1,774.00 |
| Bakersfield Memorial Hospital | Bakersfield | $651.06 | $231.12 – $1,774.00 |
| Queen of The Valley Medical Center | Napa | $5,223.42 | $2,527.21 – $9,858.00 |
| St. Joseph's Behavioral Health Center | Stockton | $991.83 | $173.70 – $1,737.00 |
| St. Joseph's Medical Center Stockton | Stockton | $485.40 | $231.12 – $1,651.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,631.84 | $1,945.86 – $6,920.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,565.34 | $392.90 – $1,971.76 |
| Mercy Medical Center Merced | Merced | $933.18 | $231.12 – $1,812.00 |