Bx breast 1st lesion strtctc at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$3,433.05
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.
$7,838.00
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.
$956.41 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 | $956.41 | ↓ -72% |
| Health Net | Medicaid|> 21 | $956.41 | ↓ -72% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,099.98 | ↓ -68% |
| Aetna | Medicare|All Plans | $2,058.68 | ↓ -40% |
| Aetna | Medicare|All Other Plans | $2,058.68 | ↓ -40% |
| United | Medicare|All Plans | $2,058.68 | ↓ -40% |
| United | Medicare|All Other Plans | $2,058.68 | ↓ -40% |
| Humana | Medicare|All Plans | $2,058.68 | ↓ -40% |
| Blue Shield CA | Medicare|All Other Plans | $2,058.68 | ↓ -40% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↓ -40% |
| Valley Care IPA | Commercial|All Plans | $2,058.68 | ↓ -40% |
| Health Net | Medicare|All Plans | $2,058.68 | ↓ -40% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↓ -40% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↓ -40% |
| Scan Health Plan | Medicare|Sea View | $2,058.68 | ↓ -40% |
| Scan Health Plan | Medicare|All Other Plans | $2,058.68 | ↓ -40% |
| BCBS - Anthem | Commercial|DignityHealth | $2,116.26 | ↓ -38% |
| Clinicas | Commercial|All Plans | $3,763.88 | ↑ +10% |
| Clinicas | Medicaid|All Plans | $4,117.36 | ↑ +20% |
| Western Growers | Commercial|All Plans | $4,310.90 | ↑ +26% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +32% |
| Kaiser | Commercial|All Plans | $4,859.56 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $5,094.70 | ↑ +48% |
| First Health | Commercial|All Plans | $5,251.46 | ↑ +53% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +55% |
| United | Medicare|Sea View | $5,486.60 | ↑ +60% |
| Aetna | Medicare|Sea View | $5,486.60 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $5,486.60 | ↑ +60% |
| Sea View | Commercial|All Plans | $5,486.60 | ↑ +60% |
| SeaView | Medicare|All Plans | $5,486.60 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $6,113.64 | ↑ +78% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +82% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +82% |
| Health Net | Commercial|All Other Plans | $6,505.54 | ↑ +89% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +92% |
| Health Net | Commercial|Care Product | $6,790.00 | ↑ +98% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +120% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +120% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +125% |
| United | Commercial|Non-Options PPO | $7,838.00 | ↑ +128% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +220% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,724.35 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $5,185.65 | $632.17 – $11,444.44 |
| French Hospital | San Luis Obispo | $1,907.48 | $632.17 – $4,768.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $632.17 – $3,808.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $632.17 – $3,760.40 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,124.23 – $9,858.00 |
| Redwood Memorial Hospital | Fortuna | $1,652.40 | $8,005.00 – $25,998.00 |