ER Visit (level 5, high severity) at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$2,060.79
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.
$4,705.00
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.
$226.60 with Blue Shield CA vs $10,256.00 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 |
|---|---|---|---|
| Blue Shield CA | Medicare|Sea View | $226.60 | ↓ -89% |
| SeaView | Medicare|All Plans | $226.60 | ↓ -89% |
| Sea View | Commercial|All Plans | $226.60 | ↓ -89% |
| United | Medicare|Sea View | $226.60 | ↓ -89% |
| Aetna | Medicare|Sea View | $226.60 | ↓ -89% |
| Health Net | Medicaid|< 21 | $234.55 | ↓ -89% |
| Health Net | Medicaid|> 21 | $234.55 | ↓ -89% |
| Gold Coast Health Plan | Medicaid|All Plans | $266.65 | ↓ -87% |
| Humana | Medicare|All Plans | $779.00 | ↓ -62% |
| Aetna | Medicare|All Plans | $779.00 | ↓ -62% |
| Aetna | Medicare|All Other Plans | $779.00 | ↓ -62% |
| United | Medicare|All Plans | $779.00 | ↓ -62% |
| United | Medicare|All Other Plans | $779.00 | ↓ -62% |
| Health Net | Medicare|All Plans | $779.00 | ↓ -62% |
| Kaiser | Medicare|All Plans | $779.00 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $779.00 | ↓ -62% |
| Blue Shield CA | Medicare|All Plans | $779.00 | ↓ -62% |
| Blue Shield CA | Medicare|All Other Plans | $779.00 | ↓ -62% |
| Scan Health Plan | Medicare|All Other Plans | $779.00 | ↓ -62% |
| Scan Health Plan | Medicare|Sea View | $779.00 | ↓ -62% |
| Valley Care IPA | Commercial|All Plans | $779.00 | ↓ -62% |
| BCBS - Anthem | Commercial|DignityHealth | $1,079.73 | ↓ -48% |
| Clinicas | Commercial|All Plans | $1,375.76 | ↓ -33% |
| Clinicas | Medicaid|All Plans | $1,558.00 | ↓ -24% |
| Western Growers | Commercial|All Plans | $2,199.45 | ↑ +7% |
| Kaiser | Commercial|All Plans | $2,279.43 | ↑ +11% |
| Blue Shield CA | Commercial|EPN | $2,399.40 | ↑ +16% |
| First Health | Commercial|All Plans | $2,679.33 | ↑ +30% |
| Ventura HP | Commercial|All Plans | $2,799.30 | ↑ +36% |
| Aetna | Commercial|All Plans | $2,959.26 | ↑ +44% |
| MultiPlan | Commercial|All Plans | $3,199.20 | ↑ +55% |
| Cigna | Commercial|PPO | $3,279.18 | ↑ +59% |
| Blue Shield CA | Commercial|FFS | $3,279.18 | ↑ +59% |
| Cigna | Commercial|All Other Plans | $3,279.18 | ↑ +59% |
| Health Net | Commercial|All Other Plans | $3,905.15 | ↑ +89% |
| BCBS - Anthem | Commercial|Exchange | $4,229.00 | ↑ +105% |
| United | Commercial|HMO | $5,650.00 | ↑ +174% |
| United | Commercial|Non-Options PPO | $6,654.00 | ↑ +223% |
| BCBS - Anthem | Commercial|HMO | $7,019.00 | ↑ +241% |
| BCBS - Anthem | Commercial|HMO Non MCS | $7,019.00 | ↑ +241% |
| BCBS - Anthem | Commercial|Non-MCS | $7,049.00 | ↑ +242% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,049.00 | ↑ +242% |
| United | Commercial|All Other Plans | $7,859.00 | ↑ +281% |
| United | Commercial|Navigate | $7,859.00 | ↑ +281% |
| Health Net | Commercial|Care Product | $9,860.00 | ↑ +378% |
| BCBS - Anthem | Commercial|MCS | $10,256.00 | ↑ +398% |
Visitor-reported prices
Comments
ER Visit (level 5, high severity) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $3,441.94 | $122.62 – $2,525.88 |
| Petaluma Valley Hospital | Petaluma | $4,458.42 | $802.54 – $818.92 |
| Arroyo Grande Hospital | Santa Maria | $1,593.02 | $155.03 – $3,316.32 |
| Mark Twain Medical Center | San Andreas | $1,886.78 | $138.93 – $526.26 |
| French Hospital | San Luis Obispo | $1,459.03 | $155.03 – $3,392.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,521.69 | $155.03 – $5,573.54 |
| Bakersfield Memorial Hospital | Bakersfield | $2,494.50 | $155.03 – $5,573.54 |
| Queen of The Valley Medical Center | Napa | $5,500.35 | $845.57 – $845.57 |