Fragmenting of kidney stone at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$10,352.13
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.
$23,635.00
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.
$945.87 with Health Net vs $36,014.00 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 | $945.87 | ↓ -91% |
| Health Net | Medicaid|> 21 | $945.87 | ↓ -91% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,653.35 | ↓ -84% |
| Aetna | Medicare|All Plans | $4,382.26 | ↓ -58% |
| Aetna | Medicare|All Other Plans | $4,382.26 | ↓ -58% |
| Blue Shield CA | Medicare|All Plans | $4,382.26 | ↓ -58% |
| United | Medicare|All Plans | $4,382.26 | ↓ -58% |
| United | Medicare|All Other Plans | $4,382.26 | ↓ -58% |
| Blue Shield CA | Medicare|All Other Plans | $4,382.26 | ↓ -58% |
| BCBS - Anthem | Medicare|All Plans | $4,382.26 | ↓ -58% |
| Scan Health Plan | Medicare|Sea View | $4,382.26 | ↓ -58% |
| Health Net | Medicare|All Plans | $4,382.26 | ↓ -58% |
| Kaiser | Medicare|All Plans | $4,382.26 | ↓ -58% |
| Scan Health Plan | Medicare|All Other Plans | $4,382.26 | ↓ -58% |
| Humana | Medicare|All Plans | $4,382.26 | ↓ -58% |
| Valley Care IPA | Commercial|All Plans | $4,382.26 | ↓ -58% |
| BCBS - Anthem | Commercial|DignityHealth | $6,381.45 | ↓ -38% |
| Clinicas | Commercial|All Plans | $8,044.86 | ↓ -22% |
| Clinicas | Medicaid|All Plans | $8,764.52 | ↓ -15% |
| Western Growers | Commercial|All Plans | $12,999.25 | ↑ +26% |
| Ventura HP | Commercial|All Plans | $13,859.00 | ↑ +34% |
| Kaiser | Commercial|All Plans | $14,653.70 | ↑ +42% |
| BCBS - Anthem | Commercial|Exchange | $14,851.00 | ↑ +43% |
| First Health | Commercial|All Plans | $15,835.45 | ↑ +53% |
| Blue Shield CA | Commercial|EPN | $15,979.00 | ↑ +54% |
| United | Medicare|Sea View | $16,544.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $16,544.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $16,544.50 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $16,544.50 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $18,435.30 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $19,617.05 | ↑ +89% |
| Aetna | Commercial|All Plans | $19,701.00 | ↑ +90% |
| BCBS - Anthem | Commercial|HMO Non MCS | $20,544.00 | ↑ +98% |
| BCBS - Anthem | Commercial|HMO | $20,544.00 | ↑ +98% |
| Blue Shield CA | Commercial|FFS | $23,189.00 | ↑ +124% |
| United | Commercial|Non-Options PPO | $23,635.00 | ↑ +128% |
| BCBS - Anthem | Commercial|PPO Non MCS | $24,752.00 | ↑ +139% |
| BCBS - Anthem | Commercial|Non-MCS | $24,752.00 | ↑ +139% |
| BCBS - Anthem | Commercial|MCS | $36,014.00 | ↑ +248% |
| SeaView | Medicare|All Plans | not published by hospital | — |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $1,034.30 | $401.77 – $1,521.94 |
| Healdsburg Hospital | Healdsburg | $1,146.48 | $4,749.36 – $15,700.40 |
| Petaluma Valley Hospital | Petaluma | not published | $4,750.30 – $15,313.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $769.00 – $4,382.26 |
| French Hospital | San Luis Obispo | not published | $769.00 – $4,382.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $769.00 – $4,382.26 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $769.00 – $4,382.26 |
| Queen of The Valley Medical Center | Napa | not published | $5,004.98 – $24,453.00 |