Ercp remove duct calculi 43264 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,990.28
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.
$4,544.00
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.
$541.77 with Health Net vs $10,984.00 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 |
|---|---|---|---|
| Health Net | Medicaid|> 21 | $541.77 | ↓ -73% |
| Health Net | Medicaid|< 21 | $541.77 | ↓ -73% |
| Gold Coast Health Plan | Medicaid|All Plans | $947.00 | ↓ -52% |
| BCBS - Anthem | Commercial|DignityHealth | $1,226.88 | ↓ -38% |
| Western Growers | Commercial|All Plans | $2,499.20 | ↑ +26% |
| Kaiser | Commercial|All Plans | $2,817.28 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $2,953.60 | ↑ +48% |
| First Health | Commercial|All Plans | $3,044.48 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $3,180.80 | ↑ +60% |
| SeaView | Medicare|All Plans | $3,180.80 | ↑ +60% |
| Sea View | Commercial|All Plans | $3,180.80 | ↑ +60% |
| Aetna | Medicare|Sea View | $3,180.80 | ↑ +60% |
| United | Medicare|Sea View | $3,180.80 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $3,544.32 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $3,771.52 | ↑ +89% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +128% |
| Humana | Medicare|All Plans | $4,544.00 | ↑ +128% |
| Aetna | Medicare|All Plans | $4,544.00 | ↑ +128% |
| Aetna | Medicare|All Other Plans | $4,544.00 | ↑ +128% |
| United | Medicare|All Plans | $4,544.00 | ↑ +128% |
| United | Medicare|All Other Plans | $4,544.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $4,544.00 | ↑ +128% |
| Health Net | Medicare|All Plans | $4,544.00 | ↑ +128% |
| Kaiser | Medicare|All Plans | $4,544.00 | ↑ +128% |
| BCBS - Anthem | Medicare|All Plans | $4,544.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Plans | $4,544.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Other Plans | $4,544.00 | ↑ +128% |
| Scan Health Plan | Medicare|All Other Plans | $4,544.00 | ↑ +128% |
| Scan Health Plan | Medicare|Sea View | $4,544.00 | ↑ +128% |
| Valley Care IPA | Commercial|All Plans | $4,544.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $5,322.00 | ↑ +167% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +215% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +215% |
| Aetna | Commercial|All Plans | $6,598.00 | ↑ +232% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +279% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +279% |
| Blue Shield CA | Commercial|FFS | $7,724.00 | ↑ +288% |
| Clinicas | Commercial|All Plans | $8,184.34 | ↑ +311% |
| Clinicas | Medicaid|All Plans | $9,088.00 | ↑ +357% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +452% |
Visitor-reported prices
Comments
Ercp remove duct calculi 43264 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,010.33 | $392.45 – $1,486.66 |
| California Hospital Medical Center | Los Angeles | $3,543.41 | $440.46 – $5,771.74 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $440.46 – $4,834.04 |
| French Hospital | San Luis Obispo | not published | $440.46 – $4,834.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $440.46 – $4,834.04 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $440.46 – $4,834.04 |
| Queen of The Valley Medical Center | Napa | not published | $5,474.24 – $16,652.00 |