Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$38,936.45
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.
$88,896.00
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.
$1,263.26 with Health Net vs $88,896.00 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 | $1,263.26 | ↓ -97% |
| Health Net | Medicaid|< 21 | $1,263.26 | ↓ -97% |
| Gold Coast Health Plan | Medicaid|All Plans | $2,208.14 | ↓ -94% |
| BCBS - Anthem | Commercial|Exchange | $8,399.00 | ↓ -78% |
| BCBS - Anthem | Commercial|HMO Non MCS | $11,624.00 | ↓ -70% |
| BCBS - Anthem | Commercial|HMO | $11,624.00 | ↓ -70% |
| BCBS - Anthem | Commercial|PPO Non MCS | $13,999.00 | ↓ -64% |
| BCBS - Anthem | Commercial|Non-MCS | $13,999.00 | ↓ -64% |
| Aetna | Commercial|All Plans | $14,704.00 | ↓ -62% |
| Blue Shield CA | Commercial|EPN | $15,979.00 | ↓ -59% |
| BCBS - Anthem | Commercial|MCS | $20,369.00 | ↓ -48% |
| Blue Shield CA | Commercial|FFS | $23,189.00 | ↓ -40% |
| BCBS - Anthem | Commercial|DignityHealth | $24,001.92 | ↓ -38% |
| Health Net | Commercial|Care Product | $36,939.00 | ↓ -5% |
| Scan Health Plan | Medicare|Sea View | $40,737.44 | ↑ +5% |
| Aetna | Medicare|All Plans | $40,737.44 | ↑ +5% |
| Aetna | Medicare|All Other Plans | $40,737.44 | ↑ +5% |
| United | Medicare|All Plans | $40,737.44 | ↑ +5% |
| United | Medicare|All Other Plans | $40,737.44 | ↑ +5% |
| Valley Care IPA | Commercial|All Plans | $40,737.44 | ↑ +5% |
| Health Net | Medicare|All Plans | $40,737.44 | ↑ +5% |
| Kaiser | Medicare|All Plans | $40,737.44 | ↑ +5% |
| BCBS - Anthem | Medicare|All Plans | $40,737.44 | ↑ +5% |
| Blue Shield CA | Medicare|All Plans | $40,737.44 | ↑ +5% |
| Blue Shield CA | Medicare|All Other Plans | $40,737.44 | ↑ +5% |
| Humana | Medicare|All Plans | $40,737.44 | ↑ +5% |
| Scan Health Plan | Medicare|All Other Plans | $40,737.44 | ↑ +5% |
| Health Net | Commercial|All Other Plans | $46,200.00 | ↑ +19% |
| Western Growers | Commercial|All Plans | $48,892.80 | ↑ +26% |
| Kaiser | Commercial|All Plans | $55,115.52 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $57,782.40 | ↑ +48% |
| First Health | Commercial|All Plans | $59,560.32 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $62,227.20 | ↑ +60% |
| Aetna | Medicare|Sea View | $62,227.20 | ↑ +60% |
| United | Medicare|Sea View | $62,227.20 | ↑ +60% |
| Sea View | Commercial|All Plans | $62,227.20 | ↑ +60% |
| SeaView | Medicare|All Plans | $62,227.20 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $69,338.88 | ↑ +78% |
| Clinicas | Commercial|All Plans | $80,511.58 | ↑ +107% |
| Clinicas | Medicaid|All Plans | $81,474.88 | ↑ +109% |
| United | Commercial|Non-Options PPO | $88,896.00 | ↑ +128% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $48,695.70 | $1,027.04 – $108,086.16 |
| French Hospital | San Luis Obispo | $45,510.03 | $1,027.04 – $108,086.16 |
| Mercy Hospitals – Bakersfield | Bakersfield | $42,654.25 | $1,027.04 – $91,976.80 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $1,027.04 – $90,827.09 |
| Queen of The Valley Medical Center | Napa | $72,027.81 | $9,256.00 – $126,547.00 |
| Providence St Joseph Hospital Eureka | Eureka | $37,077.00 | $11,046.00 – $126,547.00 |
| Redwood Memorial Hospital | Fortuna | $59,601.66 | $11,059.00 – $126,547.00 |
| St. Joseph's Medical Center Stockton | Stockton | $22,012.37 | $1,027.04 – $62,892.48 |