Bx breast add lesion strtctc at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$171.26
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.
$391.00
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.
$105.57 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|DignityHealth | $105.57 | ↓ -38% |
| Western Growers | Commercial|All Plans | $215.05 | ↑ +26% |
| Kaiser | Commercial|All Plans | $242.42 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $254.15 | ↑ +48% |
| First Health | Commercial|All Plans | $261.97 | ↑ +53% |
| United | Medicare|Sea View | $273.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $273.70 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $273.70 | ↑ +60% |
| Sea View | Commercial|All Plans | $273.70 | ↑ +60% |
| SeaView | Medicare|All Plans | $273.70 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $304.98 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $324.53 | ↑ +89% |
| United | Commercial|Non-Options PPO | $391.00 | ↑ +128% |
| Health Net | Medicaid|> 21 | $480.93 | ↑ +181% |
| Health Net | Medicaid|< 21 | $480.93 | ↑ +181% |
| Gold Coast Health Plan | Medicaid|All Plans | $916.63 | ↑ +435% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +2545% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +2780% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +3558% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +3558% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +4308% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +4308% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +6314% |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,369.46 | $1,687.00 – $10,997.00 |
| Arroyo Grande Hospital | Santa Maria | $499.91 | $526.80 – $1,048.60 |
| French Hospital | San Luis Obispo | $400.63 | $249.48 – $905.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $526.80 – $2,118.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $526.80 – $2,356.20 |
| Queen of The Valley Medical Center | Napa | $877.20 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $662.68 | $0.80 – $1,092.00 |