Manipulation chest wall initial demonstration/evaluation at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$260.18
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.
$594.00
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.
$40.03 with Aetna vs $17,179.00 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 |
|---|---|---|---|
| Aetna | Medicare|Sea View | $40.03 | ↓ -85% |
| SeaView | Medicare|All Plans | $40.03 | ↓ -85% |
| Blue Shield CA | Medicare|Sea View | $40.03 | ↓ -85% |
| Sea View | Commercial|All Plans | $40.03 | ↓ -85% |
| United | Medicare|Sea View | $40.03 | ↓ -85% |
| Gold Coast Health Plan | Medicaid|All Plans | $49.10 | ↓ -81% |
| Health Net | Medicaid|< 21 | $53.65 | ↓ -79% |
| Health Net | Medicaid|> 21 | $53.65 | ↓ -79% |
| BCBS - Anthem | Commercial|DignityHealth | $160.38 | ↓ -38% |
| Scan Health Plan | Medicare|All Other Plans | $163.78 | ↓ -37% |
| Blue Shield CA | Medicare|All Other Plans | $163.78 | ↓ -37% |
| Kaiser | Medicare|All Plans | $163.78 | ↓ -37% |
| BCBS - Anthem | Medicare|All Plans | $163.78 | ↓ -37% |
| Blue Shield CA | Medicare|All Plans | $163.78 | ↓ -37% |
| Valley Care IPA | Commercial|All Plans | $163.78 | ↓ -37% |
| Aetna | Medicare|All Plans | $163.78 | ↓ -37% |
| Aetna | Medicare|All Other Plans | $163.78 | ↓ -37% |
| United | Medicare|All Plans | $163.78 | ↓ -37% |
| Humana | Medicare|All Plans | $163.78 | ↓ -37% |
| United | Medicare|All Other Plans | $163.78 | ↓ -37% |
| Scan Health Plan | Medicare|Sea View | $163.78 | ↓ -37% |
| Health Net | Medicare|All Plans | $163.78 | ↓ -37% |
| BCBS - Anthem | Commercial|Exchange | $181.53 | ↓ -30% |
| Clinicas | Commercial|All Plans | $291.44 | ↑ +12% |
| Western Growers | Commercial|All Plans | $297.00 | ↑ +14% |
| BCBS - Anthem | Commercial|HMO Non MCS | $302.24 | ↑ +16% |
| BCBS - Anthem | Commercial|HMO | $302.24 | ↑ +16% |
| BCBS - Anthem | Commercial|PPO Non MCS | $302.54 | ↑ +16% |
| BCBS - Anthem | Commercial|Non-MCS | $302.54 | ↑ +16% |
| Clinicas | Medicaid|All Plans | $327.56 | ↑ +26% |
| Kaiser | Commercial|All Plans | $368.28 | ↑ +42% |
| First Health | Commercial|All Plans | $397.98 | ↑ +53% |
| BCBS - Anthem | Commercial|MCS | $440.06 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $463.32 | ↑ +78% |
| United | Commercial|Non-Options PPO | $594.00 | ↑ +128% |
| Cigna | Commercial|All Other Plans | $594.00 | ↑ +128% |
| Cigna | Commercial|PPO | $594.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $594.00 | ↑ +128% |
| Blue Shield CA | Commercial|FFS | $594.00 | ↑ +128% |
| United | Commercial|HMO | $10,481.00 | ↑ +3928% |
| United | Commercial|All Other Plans | $17,179.00 | ↑ +6503% |
| United | Commercial|Navigate | $17,179.00 | ↑ +6503% |
Visitor-reported prices
Comments
Manipulation chest wall initial demonstration/evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $53.84 | $25.78 – $107.67 |
| Petaluma Valley Hospital | Petaluma | $534.48 | $164.65 – $182.96 |
| Arroyo Grande Hospital | Santa Maria | $42.80 | $26.80 – $746.00 |
| Mark Twain Medical Center | San Andreas | $185.82 | $35.46 – $273.42 |
| French Hospital | San Luis Obispo | $64.29 | $26.80 – $1,149.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $306.82 | $35.46 – $727.76 |
| Bakersfield Memorial Hospital | Bakersfield | $303.51 | $35.46 – $12,607.00 |
| Queen of The Valley Medical Center | Napa | $786.93 | $188.91 – $208.08 |