Dup scan/ue art/graft/bilat/comp 93930 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,200.56
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.
?
What you pay up front if you don't use insurance.
$2,741.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$131.28 with Health Net vs $17,179.00 with United — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $131.28 | ↓ -89% |
| Health Net | Medicaid|< 21 | $131.28 | ↓ -89% |
| Aetna | Medicare|All Other Plans | $307.13 | ↓ -74% |
| Valley Care IPA | Commercial|All Plans | $307.13 | ↓ -74% |
| Aetna | Medicare|All Plans | $307.13 | ↓ -74% |
| United | Medicare|All Plans | $307.13 | ↓ -74% |
| United | Medicare|All Other Plans | $307.13 | ↓ -74% |
| Health Net | Medicare|All Plans | $307.13 | ↓ -74% |
| Kaiser | Medicare|All Plans | $307.13 | ↓ -74% |
| BCBS - Anthem | Medicare|All Plans | $307.13 | ↓ -74% |
| Blue Shield CA | Medicare|All Plans | $307.13 | ↓ -74% |
| Blue Shield CA | Medicare|All Other Plans | $307.13 | ↓ -74% |
| Scan Health Plan | Medicare|All Other Plans | $307.13 | ↓ -74% |
| Scan Health Plan | Medicare|Sea View | $307.13 | ↓ -74% |
| Humana | Medicare|All Plans | $307.13 | ↓ -74% |
| BCBS - Anthem | Commercial|DignityHealth | $356.67 | ↓ -70% |
| Clinicas | Commercial|All Plans | $586.14 | ↓ -51% |
| Clinicas | Medicaid|All Plans | $614.26 | ↓ -49% |
| Western Growers | Commercial|All Plans | $660.50 | ↓ -45% |
| BCBS - Anthem | Commercial|Exchange | $739.76 | ↓ -38% |
| Kaiser | Commercial|All Plans | $819.02 | ↓ -32% |
| First Health | Commercial|All Plans | $885.07 | ↓ -26% |
| SeaView | Medicare|All Plans | $924.70 | ↓ -23% |
| Sea View | Commercial|All Plans | $924.70 | ↓ -23% |
| Aetna | Medicare|Sea View | $924.70 | ↓ -23% |
| Blue Shield CA | Medicare|Sea View | $924.70 | ↓ -23% |
| United | Medicare|Sea View | $924.70 | ↓ -23% |
| MultiPlan | Commercial|All Plans | $1,030.38 | ↓ -14% |
| Cigna | Commercial|PPO | $1,113.94 | ↓ -7% |
| Cigna | Commercial|All Other Plans | $1,113.94 | ↓ -7% |
| BCBS - Anthem | Commercial|Non-MCS | $1,241.74 | ↑ +3% |
| BCBS - Anthem | Commercial|PPO Non MCS | $1,241.74 | ↑ +3% |
| BCBS - Anthem | Commercial|HMO Non MCS | $1,241.74 | ↑ +3% |
| BCBS - Anthem | Commercial|HMO | $1,241.74 | ↑ +3% |
| BCBS - Anthem | Commercial|MCS | $1,321.00 | ↑ +10% |
| United | Commercial|Non-Options PPO | $1,321.00 | ↑ +10% |
| United | Commercial|HMO | $9,670.00 | ↑ +705% |
| United | Commercial|All Other Plans | $17,179.00 | ↑ +1331% |
| United | Commercial|Navigate | $17,179.00 | ↑ +1331% |
Visitor-reported prices
Comments
Dup scan/ue art/graft/bilat/comp 93930 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $765.38 | $48.34 – $1,225.11 |
| Petaluma Valley Hospital | Petaluma | $1,512.66 | $321.54 – $1,163.33 |
| Arroyo Grande Hospital | Santa Maria | $916.78 | $106.73 – $2,099.16 |
| Mark Twain Medical Center | San Andreas | $4,237.10 | $106.73 – $1,721.86 |
| French Hospital | San Luis Obispo | $873.38 | $106.73 – $2,183.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $655.19 | $106.73 – $1,412.80 |
| Bakersfield Memorial Hospital | Bakersfield | $648.13 | $106.73 – $1,395.14 |
| Queen of The Valley Medical Center | Napa | $1,584.57 | $338.78 – $1,470.16 |