CT upper extremity w/contrast (both sides) at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,367.00
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.
$3,121.00
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.
$427.02 with Health Net vs $2,434.38 with MultiPlan — 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 | $427.02 | ↓ -69% |
| Health Net | Medicaid|< 21 | $427.02 | ↓ -69% |
| Kaiser | Medicare|All Plans | $453.77 | ↓ -67% |
| Aetna | Medicare|All Other Plans | $453.77 | ↓ -67% |
| Scan Health Plan | Medicare|Sea View | $453.77 | ↓ -67% |
| Scan Health Plan | Medicare|All Other Plans | $453.77 | ↓ -67% |
| Valley Care IPA | Commercial|All Plans | $453.77 | ↓ -67% |
| United | Medicare|All Plans | $453.77 | ↓ -67% |
| Humana | Medicare|All Plans | $453.77 | ↓ -67% |
| United | Medicare|All Other Plans | $453.77 | ↓ -67% |
| Aetna | Medicare|All Plans | $453.77 | ↓ -67% |
| Blue Shield CA | Medicare|All Other Plans | $453.77 | ↓ -67% |
| Health Net | Medicare|All Plans | $453.77 | ↓ -67% |
| Blue Shield CA | Medicare|All Plans | $453.77 | ↓ -67% |
| BCBS - Anthem | Medicare|All Plans | $453.77 | ↓ -67% |
| BCBS - Anthem | Commercial|Exchange | $751.00 | ↓ -45% |
| Aetna | Commercial|All Plans | $783.56 | ↓ -43% |
| United | Commercial|HMO | $828.27 | ↓ -39% |
| United | Commercial|All Other Plans | $828.27 | ↓ -39% |
| United | Commercial|Navigate | $828.27 | ↓ -39% |
| United | Commercial|Non-Options PPO | $828.27 | ↓ -39% |
| BCBS - Anthem | Commercial|DignityHealth | $842.67 | ↓ -38% |
| Clinicas | Medicaid|All Plans | $907.54 | ↓ -34% |
| Clinicas | Commercial|All Plans | $924.76 | ↓ -32% |
| BCBS - Anthem | Commercial|HMO Non MCS | $1,252.00 | ↓ -8% |
| BCBS - Anthem | Commercial|HMO | $1,252.00 | ↓ -8% |
| BCBS - Anthem | Commercial|Non-MCS | $1,252.00 | ↓ -8% |
| BCBS - Anthem | Commercial|PPO Non MCS | $1,252.00 | ↓ -8% |
| Western Growers | Commercial|All Plans | $1,560.50 | ↑ +14% |
| Cigna | Commercial|PPO | $1,566.00 | ↑ +15% |
| Cigna | Commercial|All Other Plans | $1,566.00 | ↑ +15% |
| BCBS - Anthem | Commercial|MCS | $1,822.00 | ↑ +33% |
| Kaiser | Commercial|All Plans | $1,935.02 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $2,028.65 | ↑ +48% |
| First Health | Commercial|All Plans | $2,091.07 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $2,184.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $2,184.70 | ↑ +60% |
| SeaView | Medicare|All Plans | $2,184.70 | ↑ +60% |
| Sea View | Commercial|All Plans | $2,184.70 | ↑ +60% |
| United | Medicare|Sea View | $2,184.70 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $2,434.38 | ↑ +78% |
Visitor-reported prices
Comments
CT upper extremity w/contrast (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $928.61 | $324.67 – $1,583.04 |
| Petaluma Valley Hospital | Petaluma | $4,650.69 | $470.15 – $1,369.25 |
| Queen of The Valley Medical Center | Napa | $4,782.78 | $495.35 – $1,730.40 |
| Providence St Joseph Hospital Eureka | Eureka | $2,702.49 | $448.71 – $1,962.28 |
| Healdsburg Hospital | Healdsburg | $2,076.21 | $470.05 – $782.78 |
| Redwood Memorial Hospital | Fortuna | $2,113.95 | $1,966.86 – $1,966.86 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,114.06 | $485.45 – $1,472.15 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,114.40 | $381.40 – $830.11 |