Mopath procedure level 5 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$394.20
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.
$900.00
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.
$171.00 with BCBS - Anthem vs $729.21 with Cigna — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|DignityHealth | $171.00 | ↓ -57% |
| BCBS - Anthem | Medicare|All Plans | $274.83 | ↓ -30% |
| Kaiser | Medicare|All Plans | $274.83 | ↓ -30% |
| Aetna | Medicare|All Other Plans | $274.83 | ↓ -30% |
| Blue Shield CA | Medicare|All Plans | $274.83 | ↓ -30% |
| Health Net | Medicare|All Plans | $274.83 | ↓ -30% |
| Blue Shield CA | Medicare|All Other Plans | $274.83 | ↓ -30% |
| Scan Health Plan | Medicare|Sea View | $274.83 | ↓ -30% |
| Valley Care IPA | Commercial|All Plans | $274.83 | ↓ -30% |
| United | Medicare|All Plans | $274.83 | ↓ -30% |
| Humana | Medicare|All Plans | $274.83 | ↓ -30% |
| United | Medicare|All Other Plans | $274.83 | ↓ -30% |
| Aetna | Medicare|All Plans | $274.83 | ↓ -30% |
| Scan Health Plan | Medicare|All Other Plans | $274.83 | ↓ -30% |
| Western Growers | Commercial|All Plans | $316.67 | ↓ -20% |
| Aetna | Commercial|All Plans | $326.83 | ↓ -17% |
| United | Commercial|HMO | $329.80 | ↓ -16% |
| United | Commercial|All Other Plans | $329.80 | ↓ -16% |
| United | Commercial|Navigate | $329.80 | ↓ -16% |
| United | Commercial|Non-Options PPO | $329.80 | ↓ -16% |
| BCBS - Anthem | Commercial|Exchange | $354.67 | ↓ -10% |
| Kaiser | Commercial|All Plans | $392.67 | ↓ -0% |
| Ventura HP | Commercial|All Plans | $411.67 | ↑ +4% |
| Health Net | Medicaid|> 21 | $415.79 | ↑ +5% |
| Health Net | Medicaid|< 21 | $415.79 | ↑ +5% |
| First Health | Commercial|All Plans | $424.34 | ↑ +8% |
| Aetna | Medicare|Sea View | $443.34 | ↑ +12% |
| Sea View | Commercial|All Plans | $443.34 | ↑ +12% |
| SeaView | Medicare|All Plans | $443.34 | ↑ +12% |
| Blue Shield CA | Medicare|Sea View | $443.34 | ↑ +12% |
| United | Medicare|Sea View | $443.34 | ↑ +12% |
| Gold Coast Health Plan | Medicaid|All Plans | $472.71 | ↑ +20% |
| MultiPlan | Commercial|All Plans | $494.00 | ↑ +25% |
| Clinicas | Medicaid|All Plans | $549.66 | ↑ +39% |
| Clinicas | Commercial|All Plans | $549.66 | ↑ +39% |
| BCBS - Anthem | Commercial|HMO | $595.34 | ↑ +51% |
| BCBS - Anthem | Commercial|Non-MCS | $595.34 | ↑ +51% |
| BCBS - Anthem | Commercial|HMO Non MCS | $595.34 | ↑ +51% |
| BCBS - Anthem | Commercial|PPO Non MCS | $595.34 | ↑ +51% |
| BCBS - Anthem | Commercial|MCS | $633.33 | ↑ +61% |
| Cigna | Commercial|All Other Plans | $729.21 | ↑ +85% |
| Cigna | Commercial|PPO | $729.21 | ↑ +85% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $342.77 | $54.97 – $453.47 |
| Arroyo Grande Hospital | Santa Maria | $516.17 | $72.77 – $708.13 |
| Mark Twain Medical Center | San Andreas | $599.40 | $202.99 – $367.50 |
| French Hospital | San Luis Obispo | $472.76 | $39.30 – $832.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $333.90 | $153.63 – $789.77 |
| Bakersfield Memorial Hospital | Bakersfield | $330.30 | $153.63 – $789.77 |
| St. Joseph's Behavioral Health Center | Stockton | $513.90 | $30.73 – $245.81 |
| St. Joseph's Medical Center Stockton | Stockton | $264.60 | $64.53 – $307.26 |