Nm radiopharmaceutical therapy oral administration at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$554.07
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.
$1,265.00
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.
$176.30 with Aetna vs $1,265.00 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 |
|---|---|---|---|
| Aetna | Commercial|All Plans | $176.30 | ↓ -68% |
| Health Net | Medicaid|> 21 | $180.21 | ↓ -67% |
| Health Net | Medicaid|< 21 | $180.21 | ↓ -67% |
| Valley Care IPA | Commercial|All Plans | $284.78 | ↓ -49% |
| Aetna | Medicare|All Plans | $284.78 | ↓ -49% |
| Aetna | Medicare|All Other Plans | $284.78 | ↓ -49% |
| United | Medicare|All Plans | $284.78 | ↓ -49% |
| United | Medicare|All Other Plans | $284.78 | ↓ -49% |
| Health Net | Medicare|All Plans | $284.78 | ↓ -49% |
| Kaiser | Medicare|All Plans | $284.78 | ↓ -49% |
| BCBS - Anthem | Medicare|All Plans | $284.78 | ↓ -49% |
| Blue Shield CA | Medicare|All Plans | $284.78 | ↓ -49% |
| Blue Shield CA | Medicare|All Other Plans | $284.78 | ↓ -49% |
| Scan Health Plan | Medicare|All Other Plans | $284.78 | ↓ -49% |
| Scan Health Plan | Medicare|Sea View | $284.78 | ↓ -49% |
| Humana | Medicare|All Plans | $284.78 | ↓ -49% |
| BCBS - Anthem | Commercial|DignityHealth | $341.55 | ↓ -38% |
| United | Commercial|All Other Plans | $561.65 | ↑ +1% |
| United | Commercial|Non-Options PPO | $561.65 | ↑ +1% |
| United | Commercial|HMO | $561.65 | ↑ +1% |
| United | Commercial|Navigate | $561.65 | ↑ +1% |
| Clinicas | Medicaid|All Plans | $569.56 | ↑ +3% |
| Clinicas | Commercial|All Plans | $626.82 | ↑ +13% |
| Western Growers | Commercial|All Plans | $632.50 | ↑ +14% |
| BCBS - Anthem | Commercial|Exchange | $646.39 | ↑ +17% |
| Kaiser | Commercial|All Plans | $784.30 | ↑ +42% |
| First Health | Commercial|All Plans | $847.55 | ↑ +53% |
| SeaView | Medicare|All Plans | $885.50 | ↑ +60% |
| United | Medicare|Sea View | $885.50 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $885.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $885.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $885.50 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $986.70 | ↑ +78% |
| BCBS - Anthem | Commercial|HMO Non MCS | $1,076.23 | ↑ +94% |
| BCBS - Anthem | Commercial|HMO | $1,076.23 | ↑ +94% |
| BCBS - Anthem | Commercial|Non-MCS | $1,077.32 | ↑ +94% |
| BCBS - Anthem | Commercial|PPO Non MCS | $1,077.32 | ↑ +94% |
| Cigna | Commercial|All Other Plans | $1,224.93 | ↑ +121% |
| Cigna | Commercial|PPO | $1,224.93 | ↑ +121% |
| BCBS - Anthem | Commercial|MCS | $1,265.00 | ↑ +128% |
Visitor-reported prices
Comments
Nm radiopharmaceutical therapy oral administration at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $726.40 | $44.83 – $1,010.74 |
| Arroyo Grande Hospital | Santa Maria | $1,580.18 | $119.11 – $3,147.76 |
| Mark Twain Medical Center | San Andreas | $853.82 | $119.11 – $592.90 |
| French Hospital | San Luis Obispo | $1,259.11 | $119.11 – $1,398.37 |
| Mercy Hospitals – Bakersfield | Bakersfield | $634.41 | $119.11 – $1,368.00 |
| Bakersfield Memorial Hospital | Bakersfield | $627.57 | $119.11 – $1,350.90 |
| Queen of The Valley Medical Center | Napa | $5,730.87 | $331.30 – $755.78 |
| Providence St Joseph Hospital Eureka | Eureka | $1,063.86 | $300.11 – $857.06 |