Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$17,560.74
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.
$40,093.00
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.
$1,050.96 with Health Net vs $40,093.00 with United — 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 | $1,050.96 | ↓ -94% |
| Health Net | Medicaid|< 21 | $1,050.96 | ↓ -94% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,837.05 | ↓ -90% |
| BCBS - Anthem | Commercial|Exchange | $8,399.00 | ↓ -52% |
| BCBS - Anthem | Commercial|DignityHealth | $10,825.11 | ↓ -38% |
| BCBS - Anthem | Commercial|HMO Non MCS | $11,624.00 | ↓ -34% |
| BCBS - Anthem | Commercial|HMO | $11,624.00 | ↓ -34% |
| Health Net | Medicare|All Plans | $13,297.25 | ↓ -24% |
| Scan Health Plan | Medicare|Sea View | $13,297.25 | ↓ -24% |
| Aetna | Medicare|All Plans | $13,297.25 | ↓ -24% |
| Aetna | Medicare|All Other Plans | $13,297.25 | ↓ -24% |
| Valley Care IPA | Commercial|All Plans | $13,297.25 | ↓ -24% |
| United | Medicare|All Plans | $13,297.25 | ↓ -24% |
| United | Medicare|All Other Plans | $13,297.25 | ↓ -24% |
| Humana | Medicare|All Plans | $13,297.25 | ↓ -24% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↓ -24% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↓ -24% |
| Blue Shield CA | Medicare|All Plans | $13,297.25 | ↓ -24% |
| Blue Shield CA | Medicare|All Other Plans | $13,297.25 | ↓ -24% |
| Scan Health Plan | Medicare|All Other Plans | $13,297.25 | ↓ -24% |
| BCBS - Anthem | Commercial|Non-MCS | $13,999.00 | ↓ -20% |
| BCBS - Anthem | Commercial|PPO Non MCS | $13,999.00 | ↓ -20% |
| Aetna | Commercial|All Plans | $14,704.00 | ↓ -16% |
| Blue Shield CA | Commercial|EPN | $15,979.00 | ↓ -9% |
| Health Net | Commercial|Care Product | $19,572.00 | ↑ +11% |
| BCBS - Anthem | Commercial|MCS | $20,369.00 | ↑ +16% |
| Western Growers | Commercial|All Plans | $22,051.15 | ↑ +26% |
| Blue Shield CA | Commercial|FFS | $23,189.00 | ↑ +32% |
| Health Net | Commercial|All Other Plans | $24,479.00 | ↑ +39% |
| Kaiser | Commercial|All Plans | $24,857.66 | ↑ +42% |
| Clinicas | Commercial|All Plans | $25,925.22 | ↑ +48% |
| Ventura HP | Commercial|All Plans | $26,060.45 | ↑ +48% |
| Clinicas | Medicaid|All Plans | $26,594.50 | ↑ +51% |
| First Health | Commercial|All Plans | $26,862.31 | ↑ +53% |
| United | Medicare|Sea View | $28,065.10 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $28,065.10 | ↑ +60% |
| SeaView | Medicare|All Plans | $28,065.10 | ↑ +60% |
| Aetna | Medicare|Sea View | $28,065.10 | ↑ +60% |
| Sea View | Commercial|All Plans | $28,065.10 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $31,272.54 | ↑ +78% |
| United | Commercial|Non-Options PPO | $40,093.00 | ↑ +128% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| French Hospital | San Luis Obispo | $14,990.48 | $854.44 – $37,476.18 |
| Bakersfield Memorial Hospital | Bakersfield | $15,006.63 | $854.44 – $32,303.10 |
| Queen of The Valley Medical Center | Napa | $22,043.73 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $11,046.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $11,059.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,098.50 | $854.44 – $31,710.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $18,892.44 | $8,992.00 – $20,488.00 |