Duplex scan bilateral study 93985 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$255.36
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.
$583.00
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.
$157.41 with BCBS - Anthem vs $17,179.00 with United — 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 | $157.41 | ↓ -38% |
| Western Growers | Commercial|All Plans | $291.50 | ↑ +14% |
| Aetna | Medicare|All Other Plans | $307.13 | ↑ +20% |
| Humana | Medicare|All Plans | $307.13 | ↑ +20% |
| Aetna | Medicare|All Plans | $307.13 | ↑ +20% |
| United | Medicare|All Plans | $307.13 | ↑ +20% |
| United | Medicare|All Other Plans | $307.13 | ↑ +20% |
| Health Net | Medicare|All Plans | $307.13 | ↑ +20% |
| Kaiser | Medicare|All Plans | $307.13 | ↑ +20% |
| BCBS - Anthem | Medicare|All Plans | $307.13 | ↑ +20% |
| Blue Shield CA | Medicare|All Plans | $307.13 | ↑ +20% |
| Blue Shield CA | Medicare|All Other Plans | $307.13 | ↑ +20% |
| Scan Health Plan | Medicare|All Other Plans | $307.13 | ↑ +20% |
| Scan Health Plan | Medicare|Sea View | $307.13 | ↑ +20% |
| Valley Care IPA | Commercial|All Plans | $307.13 | ↑ +20% |
| BCBS - Anthem | Commercial|Exchange | $326.48 | ↑ +28% |
| Kaiser | Commercial|All Plans | $361.46 | ↑ +42% |
| Health Net | Medicaid|< 21 | $374.20 | ↑ +47% |
| Health Net | Medicaid|> 21 | $374.20 | ↑ +47% |
| First Health | Commercial|All Plans | $390.61 | ↑ +53% |
| Aetna | Medicare|Sea View | $408.10 | ↑ +60% |
| SeaView | Medicare|All Plans | $408.10 | ↑ +60% |
| United | Medicare|Sea View | $408.10 | ↑ +60% |
| Sea View | Commercial|All Plans | $408.10 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $408.10 | ↑ +60% |
| Gold Coast Health Plan | Medicaid|All Plans | $425.42 | ↑ +67% |
| MultiPlan | Commercial|All Plans | $454.74 | ↑ +78% |
| BCBS - Anthem | Commercial|HMO Non MCS | $548.02 | ↑ +115% |
| BCBS - Anthem | Commercial|HMO | $548.02 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $548.02 | ↑ +115% |
| BCBS - Anthem | Commercial|PPO Non MCS | $548.02 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $583.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $583.00 | ↑ +128% |
| Clinicas | Commercial|All Plans | $586.14 | ↑ +130% |
| Clinicas | Medicaid|All Plans | $614.26 | ↑ +141% |
| Cigna | Commercial|All Other Plans | $1,113.94 | ↑ +336% |
| Cigna | Commercial|PPO | $1,113.94 | ↑ +336% |
| Health Net | Commercial|Care Product | $3,598.00 | ↑ +1309% |
| Health Net | Commercial|All Other Plans | $4,499.00 | ↑ +1662% |
| United | Commercial|HMO | $9,670.00 | ↑ +3687% |
| United | Commercial|Navigate | $17,179.00 | ↑ +6627% |
| United | Commercial|All Other Plans | $17,179.00 | ↑ +6627% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $251.67 | $173.34 – $1,271.67 |
| Mercy Hospitals – Bakersfield | Bakersfield | $175.12 | $236.00 – $1,206.45 |
| Bakersfield Memorial Hospital | Bakersfield | $173.23 | $236.00 – $1,206.45 |
| St. Joseph's Medical Center Stockton | Stockton | $167.58 | $59.85 – $285.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $342.21 | $332.01 – $1,467.07 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $475.36 | $146.64 – $611.00 |
| Mercy Medical Center Merced | Merced | $315.18 | $247.34 – $612.00 |
| Dominican Hospital | Santa Cruz | $526.95 | $247.34 – $3,759.33 |