Injection of sinus tract at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$764.31
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.
$1,745.00
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.
$149.76 with Health Net vs $7,832.00 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 | $149.76 | ↓ -80% |
| Health Net | Medicaid|< 21 | $149.76 | ↓ -80% |
| Gold Coast Health Plan | Medicaid|All Plans | $261.79 | ↓ -66% |
| BCBS - Anthem | Commercial|DignityHealth | $471.15 | ↓ -38% |
| Western Growers | Commercial|All Plans | $959.75 | ↑ +26% |
| Kaiser | Commercial|All Plans | $1,081.90 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $1,134.25 | ↑ +48% |
| First Health | Commercial|All Plans | $1,169.15 | ↑ +53% |
| United | Medicare|Sea View | $1,221.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $1,221.50 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $1,221.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $1,221.50 | ↑ +60% |
| SeaView | Medicare|All Plans | $1,221.50 | ↑ +60% |
| Blue Shield CA | Commercial|EPN | $1,228.00 | ↑ +61% |
| MultiPlan | Commercial|All Plans | $1,361.10 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $1,448.35 | ↑ +89% |
| United | Medicare|All Plans | $1,745.00 | ↑ +128% |
| Kaiser | Medicare|All Plans | $1,745.00 | ↑ +128% |
| BCBS - Anthem | Medicare|All Plans | $1,745.00 | ↑ +128% |
| Health Net | Medicare|All Plans | $1,745.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $1,745.00 | ↑ +128% |
| United | Medicare|All Other Plans | $1,745.00 | ↑ +128% |
| Aetna | Medicare|All Other Plans | $1,745.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Plans | $1,745.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Other Plans | $1,745.00 | ↑ +128% |
| Scan Health Plan | Medicare|All Other Plans | $1,745.00 | ↑ +128% |
| Scan Health Plan | Medicare|Sea View | $1,745.00 | ↑ +128% |
| Aetna | Medicare|All Plans | $1,745.00 | ↑ +128% |
| Valley Care IPA | Commercial|All Plans | $1,745.00 | ↑ +128% |
| Humana | Medicare|All Plans | $1,745.00 | ↑ +128% |
| Blue Shield CA | Commercial|FFS | $1,782.00 | ↑ +133% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +323% |
| Clinicas | Commercial|All Plans | $3,484.24 | ↑ +356% |
| Clinicas | Medicaid|All Plans | $3,490.00 | ↑ +357% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +484% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +484% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +545% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +604% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +604% |
| Health Net | Commercial|Care Product | $5,494.00 | ↑ +619% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +925% |
Visitor-reported prices
Comments
Injection of sinus tract at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,446.45 | $121.76 – $5,601.68 |
| Mark Twain Medical Center | San Andreas | $1,995.34 | $121.76 – $1,286.74 |
| French Hospital | San Luis Obispo | $2,240.68 | $121.76 – $5,601.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,350.07 | $121.76 – $2,911.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,335.52 | $121.76 – $2,874.81 |
| St. Joseph's Medical Center Stockton | Stockton | $1,294.19 | $121.76 – $2,101.64 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,178.72 | $691.00 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,249.92 | $1,597.00 – $3,462.00 |