Diagnostic Mammogram (one breast) at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$192.72
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.
$440.00
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.
$118.80 with BCBS - Anthem vs $440.00 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 | $118.80 | ↓ -38% |
| Health Net | Medicaid|> 21 | $177.13 | ↓ -8% |
| Health Net | Medicaid|< 21 | $177.13 | ↓ -8% |
| United | Commercial|HMO | $205.70 | ↑ +7% |
| United | Commercial|All Other Plans | $205.70 | ↑ +7% |
| United | Commercial|Navigate | $205.70 | ↑ +7% |
| United | Commercial|Non-Options PPO | $205.70 | ↑ +7% |
| Western Growers | Commercial|All Plans | $220.00 | ↑ +14% |
| BCBS - Anthem | Commercial|Exchange | $246.40 | ↑ +28% |
| Kaiser | Commercial|All Plans | $272.80 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $286.00 | ↑ +48% |
| Aetna | Commercial|All Plans | $289.05 | ↑ +50% |
| First Health | Commercial|All Plans | $294.80 | ↑ +53% |
| United | Medicare|Sea View | $308.00 | ↑ +60% |
| Aetna | Medicare|Sea View | $308.00 | ↑ +60% |
| Sea View | Commercial|All Plans | $308.00 | ↑ +60% |
| SeaView | Medicare|All Plans | $308.00 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $308.00 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $343.20 | ↑ +78% |
| Cigna | Commercial|All Other Plans | $393.50 | ↑ +104% |
| Cigna | Commercial|PPO | $393.50 | ↑ +104% |
| BCBS - Anthem | Commercial|PPO Non MCS | $413.60 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $413.60 | ↑ +115% |
| BCBS - Anthem | Commercial|HMO Non MCS | $413.60 | ↑ +115% |
| BCBS - Anthem | Commercial|HMO | $413.60 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $440.00 | ↑ +128% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $256.89 | $127.51 – $301.67 |
| Petaluma Valley Hospital | Petaluma | $914.94 | $111.04 – $595.79 |
| Queen of The Valley Medical Center | Napa | $427.38 | $113.31 – $780.78 |
| Providence St Joseph Hospital Eureka | Eureka | $492.15 | $113.31 – $853.83 |
| Healdsburg Hospital | Healdsburg | $314.16 | $113.31 – $340.60 |
| Redwood Memorial Hospital | Fortuna | $412.59 | $855.82 – $855.82 |
| Santa Rosa Memorial Hospital | Santa Rosa | $684.42 | $111.04 – $640.56 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $548.64 | $83.26 – $1,019.72 |