Knee MRI (with contrast) at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,808.94
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.
$4,130.00
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.
$473.55 with Health Net vs $9,107.00 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 | $473.55 | ↓ -74% |
| Health Net | Medicaid|< 21 | $473.55 | ↓ -74% |
| Kaiser | Medicare|All Plans | $1,003.85 | ↓ -45% |
| Aetna | Medicare|All Other Plans | $1,003.85 | ↓ -45% |
| Scan Health Plan | Medicare|Sea View | $1,003.85 | ↓ -45% |
| Scan Health Plan | Medicare|All Other Plans | $1,003.85 | ↓ -45% |
| Valley Care IPA | Commercial|All Plans | $1,003.85 | ↓ -45% |
| United | Medicare|All Plans | $1,003.85 | ↓ -45% |
| Humana | Medicare|All Plans | $1,003.85 | ↓ -45% |
| United | Medicare|All Other Plans | $1,003.85 | ↓ -45% |
| Aetna | Medicare|All Plans | $1,003.85 | ↓ -45% |
| Blue Shield CA | Medicare|All Other Plans | $1,003.85 | ↓ -45% |
| Health Net | Medicare|All Plans | $1,003.85 | ↓ -45% |
| Blue Shield CA | Medicare|All Plans | $1,003.85 | ↓ -45% |
| BCBS - Anthem | Medicare|All Plans | $1,003.85 | ↓ -45% |
| Aetna | Commercial|All Plans | $1,042.75 | ↓ -42% |
| BCBS - Anthem | Commercial|DignityHealth | $1,115.10 | ↓ -38% |
| United | Commercial|HMO | $1,609.16 | ↓ -11% |
| United | Commercial|All Other Plans | $1,609.16 | ↓ -11% |
| United | Commercial|Navigate | $1,609.16 | ↓ -11% |
| United | Commercial|Non-Options PPO | $1,609.16 | ↓ -11% |
| Clinicas | Commercial|All Plans | $1,859.28 | ↑ +3% |
| Cigna | Commercial|All Other Plans | $1,901.00 | ↑ +5% |
| Cigna | Commercial|PPO | $1,901.00 | ↑ +5% |
| Clinicas | Medicaid|All Plans | $2,007.70 | ↑ +11% |
| Western Growers | Commercial|All Plans | $2,065.00 | ↑ +14% |
| Kaiser | Commercial|All Plans | $2,560.60 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $2,684.50 | ↑ +48% |
| First Health | Commercial|All Plans | $2,767.10 | ↑ +53% |
| United | Medicare|Sea View | $2,891.00 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $2,891.00 | ↑ +60% |
| Sea View | Commercial|All Plans | $2,891.00 | ↑ +60% |
| Aetna | Medicare|Sea View | $2,891.00 | ↑ +60% |
| SeaView | Medicare|All Plans | $2,891.00 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $3,221.40 | ↑ +78% |
| BCBS - Anthem | Commercial|Exchange | $3,755.00 | ↑ +108% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,258.00 | ↑ +246% |
| BCBS - Anthem | Commercial|HMO | $6,258.00 | ↑ +246% |
| BCBS - Anthem | Commercial|Non-MCS | $6,259.00 | ↑ +246% |
| BCBS - Anthem | Commercial|PPO Non MCS | $6,259.00 | ↑ +246% |
| BCBS - Anthem | Commercial|MCS | $9,107.00 | ↑ +403% |
Visitor-reported prices
Comments
Knee MRI (with contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $2,932.20 | $753.39 – $4,092.43 |
| Petaluma Valley Hospital | Petaluma | $6,093.48 | $1,056.42 – $3,151.45 |
| Queen of The Valley Medical Center | Napa | $8,601.15 | $1,089.31 – $3,982.66 |
| Providence St Joseph Hospital Eureka | Eureka | $4,864.38 | $1,008.25 – $4,516.36 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,237.70 | $1,089.31 – $3,388.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,054.72 | $857.02 – $1,865.27 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,870.75 | $733.99 – $1,865.27 |
| Providence Saint Joseph Medical Center | Burbank | $3,547.60 | $585.98 – $2,265.45 |