Bx thigh/knee soft tiss supf 27323 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
not published by hospital
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.
not published by hospital
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.
$177.61 with Health Net vs $8,492.00 with Health Net — 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 | $177.61 | — |
| Health Net | Medicaid|< 21 | $177.61 | — |
| Gold Coast Health Plan | Medicaid|All Plans | $310.47 | — |
| Scan Health Plan | Medicare|Sea View | $2,058.68 | — |
| Aetna | Medicare|All Other Plans | $2,058.68 | — |
| Blue Shield CA | Medicare|All Other Plans | $2,058.68 | — |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | — |
| United | Medicare|All Plans | $2,058.68 | — |
| Valley Care IPA | Commercial|All Plans | $2,058.68 | — |
| Humana | Medicare|All Plans | $2,058.68 | — |
| Health Net | Medicare|All Plans | $2,058.68 | — |
| Kaiser | Medicare|All Plans | $2,058.68 | — |
| United | Medicare|All Other Plans | $2,058.68 | — |
| Scan Health Plan | Medicare|All Other Plans | $2,058.68 | — |
| Aetna | Medicare|All Plans | $2,058.68 | — |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | — |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | — |
| Clinicas | Commercial|All Plans | $3,763.88 | — |
| Blue Shield CA | Commercial|EPN | $3,977.00 | — |
| Clinicas | Medicaid|All Plans | $4,117.36 | — |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | — |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | — |
| Aetna | Commercial|All Plans | $4,932.00 | — |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | — |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | — |
| Blue Shield CA | Commercial|FFS | $5,772.00 | — |
| Health Net | Commercial|Care Product | $6,790.00 | — |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | — |
| Health Net | Commercial|All Other Plans | $8,492.00 | — |
| Ventura HP | Commercial|All Plans | not published by hospital | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| Aetna | Medicare|Sea View | not published by hospital | — |
| First Health | Commercial|All Plans | not published by hospital | — |
| United | Commercial|Non-Options PPO | not published by hospital | — |
| United | Medicare|Sea View | not published by hospital | — |
| Kaiser | Commercial|All Plans | not published by hospital | — |
| BCBS - Anthem | Commercial|DignityHealth | not published by hospital | — |
| Blue Shield CA | Medicare|Sea View | not published by hospital | — |
| Western Growers | Commercial|All Plans | not published by hospital | — |
| Sea View | Commercial|All Plans | not published by hospital | — |
| SeaView | Medicare|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Bx thigh/knee soft tiss supf 27323 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospitals – Bakersfield | Bakersfield | $161.39 | $144.40 – $435.00 |
| Bakersfield Memorial Hospital | Bakersfield | $159.65 | $144.40 – $435.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,726.67 | $144.40 – $2,394.84 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,434.40 | $1,805.60 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $2,263.43 | $144.40 – $1,894.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $4,014.47 | $144.40 – $4,500.16 |
| Mercy San Juan Medical Center | Carmichael | $2,601.91 | $144.40 – $7,881.68 |
| Mercy General Hospital | Sacramento | $2,070.13 | $144.40 – $7,596.80 |