Oth resp proc, group at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$67.89
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.
$155.00
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.
$41.85 with BCBS - Anthem vs $17,179.00 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 | $41.85 | ↓ -38% |
| Aetna | Commercial|All Plans | $49.40 | ↓ -27% |
| Blue Shield CA | Medicare|All Other Plans | $49.87 | ↓ -27% |
| Valley Care IPA | Commercial|All Plans | $49.87 | ↓ -27% |
| Humana | Medicare|All Plans | $49.87 | ↓ -27% |
| Scan Health Plan | Medicare|All Other Plans | $49.87 | ↓ -27% |
| Scan Health Plan | Medicare|Sea View | $49.87 | ↓ -27% |
| United | Medicare|All Plans | $49.87 | ↓ -27% |
| Aetna | Medicare|All Other Plans | $49.87 | ↓ -27% |
| United | Medicare|All Other Plans | $49.87 | ↓ -27% |
| Aetna | Medicare|All Plans | $49.87 | ↓ -27% |
| Kaiser | Medicare|All Plans | $49.87 | ↓ -27% |
| Blue Shield CA | Medicare|All Plans | $49.87 | ↓ -27% |
| Health Net | Medicare|All Plans | $49.87 | ↓ -27% |
| BCBS - Anthem | Medicare|All Plans | $49.87 | ↓ -27% |
| Western Growers | Commercial|All Plans | $77.50 | ↑ +14% |
| Clinicas | Commercial|All Plans | $85.24 | ↑ +26% |
| Kaiser | Commercial|All Plans | $96.10 | ↑ +42% |
| Clinicas | Medicaid|All Plans | $99.74 | ↑ +47% |
| First Health | Commercial|All Plans | $103.85 | ↑ +53% |
| United | Medicare|Sea View | $108.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $108.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $108.50 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $108.50 | ↑ +60% |
| SeaView | Medicare|All Plans | $108.50 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $120.90 | ↑ +78% |
| Blue Shield CA | Commercial|EPN | $155.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Exchange | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|HMO | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|MCS | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Non-MCS | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|HMO Non MCS | $155.00 | ↑ +128% |
| BCBS - Anthem | Commercial|PPO Non MCS | $155.00 | ↑ +128% |
| Blue Shield CA | Commercial|FFS | $155.00 | ↑ +128% |
| Cigna | Commercial|PPO | $1,834.00 | ↑ +2601% |
| Cigna | Commercial|All Other Plans | $1,834.00 | ↑ +2601% |
| Ventura HP | Commercial|All Plans | $7,262.00 | ↑ +10597% |
| United | Commercial|HMO | $10,481.00 | ↑ +15338% |
| United | Commercial|Navigate | $17,179.00 | ↑ +25204% |
| United | Commercial|All Other Plans | $17,179.00 | ↑ +25204% |
Visitor-reported prices
Comments
Oth resp proc, group at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $290.62 | $49.87 – $746.00 |
| Mark Twain Medical Center | San Andreas | $247.76 | $41.66 – $157.78 |
| French Hospital | San Luis Obispo | $266.17 | $33.75 – $1,149.00 |
| Bakersfield Memorial Hospital | Bakersfield | $143.13 | $49.87 – $236.72 |
| St. Joseph's Medical Center Stockton | Stockton | $112.61 | $20.16 – $684.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $130.08 | $40.83 – $88.87 |
| Mercy Medical Center Merced | Merced | $644.78 | $43.92 – $745.00 |
| Dominican Hospital | Santa Cruz | $351.45 | $53.92 – $670.00 |