MRI breast c- unilateral at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$2,141.82
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.
$4,890.00
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.
$307.13 with Health Net vs $3,814.20 with MultiPlan — 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 | Medicare|All Plans | $307.13 | ↓ -86% |
| Aetna | Medicare|All Plans | $307.13 | ↓ -86% |
| Blue Shield CA | Medicare|All Plans | $307.13 | ↓ -86% |
| BCBS - Anthem | Medicare|All Plans | $307.13 | ↓ -86% |
| Kaiser | Medicare|All Plans | $307.13 | ↓ -86% |
| Aetna | Medicare|All Other Plans | $307.13 | ↓ -86% |
| Scan Health Plan | Medicare|All Other Plans | $307.13 | ↓ -86% |
| Blue Shield CA | Medicare|All Other Plans | $307.13 | ↓ -86% |
| Valley Care IPA | Commercial|All Plans | $307.13 | ↓ -86% |
| Scan Health Plan | Medicare|Sea View | $307.13 | ↓ -86% |
| United | Medicare|All Plans | $307.13 | ↓ -86% |
| Humana | Medicare|All Plans | $307.13 | ↓ -86% |
| United | Medicare|All Other Plans | $307.13 | ↓ -86% |
| Health Net | Medicaid|> 21 | $315.89 | ↓ -85% |
| Health Net | Medicaid|< 21 | $315.89 | ↓ -85% |
| United | Commercial|HMO | $517.79 | ↓ -76% |
| United | Commercial|All Other Plans | $517.79 | ↓ -76% |
| United | Commercial|Navigate | $517.79 | ↓ -76% |
| United | Commercial|Non-Options PPO | $517.79 | ↓ -76% |
| Clinicas | Commercial|All Plans | $586.14 | ↓ -73% |
| Clinicas | Medicaid|All Plans | $614.26 | ↓ -71% |
| Aetna | Commercial|All Plans | $1,042.75 | ↓ -51% |
| BCBS - Anthem | Commercial|DignityHealth | $1,320.30 | ↓ -38% |
| BCBS - Anthem | Commercial|Exchange | $1,542.74 | ↓ -28% |
| Cigna | Commercial|All Other Plans | $1,901.00 | ↓ -11% |
| Cigna | Commercial|PPO | $1,901.00 | ↓ -11% |
| Western Growers | Commercial|All Plans | $2,445.00 | ↑ +14% |
| BCBS - Anthem | Commercial|HMO Non MCS | $2,568.63 | ↑ +20% |
| BCBS - Anthem | Commercial|HMO | $2,568.63 | ↑ +20% |
| BCBS - Anthem | Commercial|PPO Non MCS | $2,571.23 | ↑ +20% |
| BCBS - Anthem | Commercial|Non-MCS | $2,571.23 | ↑ +20% |
| Kaiser | Commercial|All Plans | $3,031.80 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $3,178.50 | ↑ +48% |
| First Health | Commercial|All Plans | $3,276.30 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $3,423.00 | ↑ +60% |
| United | Medicare|Sea View | $3,423.00 | ↑ +60% |
| Sea View | Commercial|All Plans | $3,423.00 | ↑ +60% |
| SeaView | Medicare|All Plans | $3,423.00 | ↑ +60% |
| Aetna | Medicare|Sea View | $3,423.00 | ↑ +60% |
| BCBS - Anthem | Commercial|MCS | $3,739.97 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $3,814.20 | ↑ +78% |
Visitor-reported prices
Comments
MRI breast c- unilateral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $1,050.84 | $344.52 – $1,466.64 |
| Providence St Joseph Hospital Eureka | Eureka | $2,066.52 | $306.88 – $1,944.72 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,123.04 | $260.85 – $567.73 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,470.70 | $306.88 – $567.73 |
| Providence Saint Joseph Medical Center | Burbank | $2,784.95 | $306.88 – $809.05 |
| St Jude Medical Center | Fullerton | $3,463.68 | $260.85 – $567.73 |
| Providence St Joseph Hospital Orange | Orange | $2,200.80 | $260.85 – $567.73 |
| Providence Holy Cross Medical Center | Mission Hills | $2,280.95 | $306.88 – $567.73 |