Ot evaluation moderate complexity patient/family at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$222.95
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.
$509.00
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.
$130.68 with BCBS - Anthem vs $1,097.00 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|DignityHealth | $130.68 | ↓ -41% |
| Aetna | Medicare|Sea View | $162.24 | ↓ -27% |
| SeaView | Medicare|All Plans | $162.24 | ↓ -27% |
| Sea View | Commercial|All Plans | $162.24 | ↓ -27% |
| United | Medicare|Sea View | $162.24 | ↓ -27% |
| Blue Shield CA | Medicare|Sea View | $162.24 | ↓ -27% |
| Western Growers | Commercial|All Plans | $242.00 | ↑ +9% |
| Aetna | Commercial|All Plans | $251.40 | ↑ +13% |
| Kaiser | Commercial|All Plans | $300.08 | ↑ +35% |
| First Health | Commercial|All Plans | $324.28 | ↑ +45% |
| MultiPlan | Commercial|All Plans | $377.52 | ↑ +69% |
| Ventura HP | Commercial|All Plans | $389.00 | ↑ +74% |
| United | Commercial|All Other Plans | $484.00 | ↑ +117% |
| United | Commercial|HMO | $484.00 | ↑ +117% |
| United | Commercial|Navigate | $484.00 | ↑ +117% |
| BCBS - Anthem | Commercial|Exchange | $484.00 | ↑ +117% |
| BCBS - Anthem | Commercial|MCS | $484.00 | ↑ +117% |
| Cigna | Commercial|PPO | $484.00 | ↑ +117% |
| BCBS - Anthem | Commercial|HMO Non MCS | $484.00 | ↑ +117% |
| BCBS - Anthem | Commercial|PPO Non MCS | $484.00 | ↑ +117% |
| Blue Shield CA | Commercial|FFS | $484.00 | ↑ +117% |
| Blue Shield CA | Commercial|EPN | $484.00 | ↑ +117% |
| Cigna | Commercial|All Other Plans | $484.00 | ↑ +117% |
| BCBS - Anthem | Commercial|HMO | $509.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Non-MCS | $509.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $1,097.00 | ↑ +392% |
Visitor-reported prices
Comments
Ot evaluation moderate complexity patient/family at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $392.70 | $125.00 – $127.55 |
| Queen of The Valley Medical Center | Napa | $286.62 | $127.55 – $127.55 |
| Providence St Joseph Hospital Eureka | Eureka | $416.16 | $127.55 – $127.55 |
| Healdsburg Hospital | Healdsburg | $242.76 | $127.55 – $240.55 |
| Redwood Memorial Hospital | Fortuna | $358.53 | not published |
| Santa Rosa Memorial Hospital | Santa Rosa | $360.57 | $125.00 – $127.55 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $294.72 | $94.12 – $204.85 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $239.75 | $110.73 – $204.85 |