Nm imaging hepatobiliary system w/pharmacologic intervention at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,546.58
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.
$3,531.00
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.
$592.95 with Health Net vs $3,531.00 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 | $592.95 | ↓ -62% |
| Health Net | Medicaid|< 21 | $592.95 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $683.93 | ↓ -56% |
| Kaiser | Medicare|All Plans | $683.93 | ↓ -56% |
| Aetna | Medicare|All Other Plans | $683.93 | ↓ -56% |
| Scan Health Plan | Medicare|All Other Plans | $683.93 | ↓ -56% |
| Blue Shield CA | Medicare|All Other Plans | $683.93 | ↓ -56% |
| Valley Care IPA | Commercial|All Plans | $683.93 | ↓ -56% |
| Scan Health Plan | Medicare|Sea View | $683.93 | ↓ -56% |
| United | Medicare|All Plans | $683.93 | ↓ -56% |
| Humana | Medicare|All Plans | $683.93 | ↓ -56% |
| United | Medicare|All Other Plans | $683.93 | ↓ -56% |
| Aetna | Medicare|All Plans | $683.93 | ↓ -56% |
| Blue Shield CA | Medicare|All Plans | $683.93 | ↓ -56% |
| Health Net | Medicare|All Plans | $683.93 | ↓ -56% |
| BCBS - Anthem | Commercial|DignityHealth | $953.37 | ↓ -38% |
| United | Commercial|HMO | $1,101.15 | ↓ -29% |
| United | Commercial|All Other Plans | $1,101.15 | ↓ -29% |
| United | Commercial|Navigate | $1,101.15 | ↓ -29% |
| United | Commercial|Non-Options PPO | $1,101.15 | ↓ -29% |
| Aetna | Commercial|All Plans | $1,253.70 | ↓ -19% |
| Clinicas | Commercial|All Plans | $1,266.30 | ↓ -18% |
| Clinicas | Medicaid|All Plans | $1,367.86 | ↓ -12% |
| Western Growers | Commercial|All Plans | $1,765.50 | ↑ +14% |
| BCBS - Anthem | Commercial|Exchange | $1,977.36 | ↑ +28% |
| Kaiser | Commercial|All Plans | $2,189.22 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $2,295.15 | ↑ +48% |
| First Health | Commercial|All Plans | $2,365.77 | ↑ +53% |
| Cigna | Commercial|PPO | $2,368.99 | ↑ +53% |
| Cigna | Commercial|All Other Plans | $2,368.99 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $2,471.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $2,471.70 | ↑ +60% |
| Sea View | Commercial|All Plans | $2,471.70 | ↑ +60% |
| United | Medicare|Sea View | $2,471.70 | ↑ +60% |
| SeaView | Medicare|All Plans | $2,471.70 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $2,754.18 | ↑ +78% |
| BCBS - Anthem | Commercial|Non-MCS | $3,319.14 | ↑ +115% |
| BCBS - Anthem | Commercial|PPO Non MCS | $3,319.14 | ↑ +115% |
| BCBS - Anthem | Commercial|HMO Non MCS | $3,319.14 | ↑ +115% |
| BCBS - Anthem | Commercial|HMO | $3,319.14 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $3,531.00 | ↑ +128% |
Visitor-reported prices
Comments
Nm imaging hepatobiliary system w/pharmacologic intervention at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $1,966.03 | $107.65 – $2,842.10 |
| Petaluma Valley Hospital | Petaluma | $4,328.88 | $731.71 – $1,884.48 |
| Arroyo Grande Hospital | Santa Maria | $1,525.40 | $391.93 – $3,038.00 |
| Mark Twain Medical Center | San Andreas | $2,311.69 | $391.93 – $2,637.18 |
| French Hospital | San Luis Obispo | $1,159.54 | $391.93 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $621.06 | $391.93 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $614.36 | $391.93 – $2,565.73 |
| Queen of The Valley Medical Center | Napa | $4,047.36 | $755.17 – $2,469.71 |