Ercp lithotripsy calculi at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$4,638.42
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.
$10,590.00
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.
$1,637.28 with BCBS - Anthem vs $12,128.00 with Clinicas — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|DignityHealth | $1,637.28 | ↓ -65% |
| Western Growers | Commercial|All Plans | $3,335.20 | ↓ -28% |
| Kaiser | Commercial|All Plans | $3,759.68 | ↓ -19% |
| Ventura HP | Commercial|All Plans | $3,941.60 | ↓ -15% |
| First Health | Commercial|All Plans | $4,062.88 | ↓ -12% |
| United | Medicare|Sea View | $4,244.80 | ↓ -8% |
| SeaView | Medicare|All Plans | $4,244.80 | ↓ -8% |
| Aetna | Medicare|Sea View | $4,244.80 | ↓ -8% |
| Blue Shield CA | Medicare|Sea View | $4,244.80 | ↓ -8% |
| Sea View | Commercial|All Plans | $4,244.80 | ↓ -8% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↓ -2% |
| MultiPlan | Commercial|All Plans | $4,729.92 | ↑ +2% |
| Health Net | Commercial|All Other Plans | $5,033.12 | ↑ +9% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +15% |
| Humana | Medicare|All Plans | $6,064.00 | ↑ +31% |
| Aetna | Medicare|All Plans | $6,064.00 | ↑ +31% |
| Aetna | Medicare|All Other Plans | $6,064.00 | ↑ +31% |
| United | Medicare|All Plans | $6,064.00 | ↑ +31% |
| United | Medicare|All Other Plans | $6,064.00 | ↑ +31% |
| United | Commercial|Non-Options PPO | $6,064.00 | ↑ +31% |
| Health Net | Medicare|All Plans | $6,064.00 | ↑ +31% |
| Kaiser | Medicare|All Plans | $6,064.00 | ↑ +31% |
| BCBS - Anthem | Medicare|All Plans | $6,064.00 | ↑ +31% |
| Blue Shield CA | Medicare|All Plans | $6,064.00 | ↑ +31% |
| Blue Shield CA | Medicare|All Other Plans | $6,064.00 | ↑ +31% |
| Scan Health Plan | Medicare|All Other Plans | $6,064.00 | ↑ +31% |
| Scan Health Plan | Medicare|Sea View | $6,064.00 | ↑ +31% |
| Valley Care IPA | Commercial|All Plans | $6,064.00 | ↑ +31% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +35% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +35% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +42% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +63% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +63% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +67% |
| Health Net | Commercial|Care Product | $10,371.00 | ↑ +124% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +137% |
| Clinicas | Medicaid|All Plans | $12,128.00 | ↑ +161% |
| Clinicas | Commercial|All Plans | $12,128.00 | ↑ +161% |
Visitor-reported prices
Comments
Ercp lithotripsy calculi at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,132.87 | $440.05 – $1,666.98 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $8,348.17 |
| Arroyo Grande Hospital | Santa Maria | not published | $7,563.64 – $7,563.64 |
| French Hospital | San Luis Obispo | not published | $7,563.64 – $7,563.64 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $7,563.64 – $7,563.64 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $7,563.64 – $7,563.64 |
| Queen of The Valley Medical Center | Napa | not published | $6,200.00 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $7,808.19 – $27,307.00 |