Perq nl/pl lithotrp cplx>2cm at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$4,698.43
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.
$10,727.00
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.
$892.80 with Health Net vs $21,454.00 with Clinicas — 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 | $892.80 | ↓ -81% |
| Health Net | Medicaid|< 21 | $892.80 | ↓ -81% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,560.58 | ↓ -67% |
| BCBS - Anthem | Commercial|DignityHealth | $2,896.29 | ↓ -38% |
| BCBS - Anthem | Commercial|Exchange | $5,816.00 | ↑ +24% |
| Western Growers | Commercial|All Plans | $5,899.85 | ↑ +26% |
| Kaiser | Commercial|All Plans | $6,650.74 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $6,972.55 | ↑ +48% |
| First Health | Commercial|All Plans | $7,187.09 | ↑ +53% |
| United | Medicare|Sea View | $7,508.90 | ↑ +60% |
| Aetna | Medicare|Sea View | $7,508.90 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $7,508.90 | ↑ +60% |
| Sea View | Commercial|All Plans | $7,508.90 | ↑ +60% |
| SeaView | Medicare|All Plans | $7,508.90 | ↑ +60% |
| BCBS - Anthem | Commercial|HMO | $8,043.00 | ↑ +71% |
| BCBS - Anthem | Commercial|HMO Non MCS | $8,043.00 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $8,367.06 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $8,903.41 | ↑ +89% |
| BCBS - Anthem | Commercial|Non-MCS | $9,683.00 | ↑ +106% |
| BCBS - Anthem | Commercial|PPO Non MCS | $9,683.00 | ↑ +106% |
| Aetna | Commercial|All Plans | $10,596.00 | ↑ +126% |
| Blue Shield CA | Medicare|All Plans | $10,727.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Other Plans | $10,727.00 | ↑ +128% |
| Humana | Medicare|All Plans | $10,727.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $10,727.00 | ↑ +128% |
| United | Medicare|All Other Plans | $10,727.00 | ↑ +128% |
| Kaiser | Medicare|All Plans | $10,727.00 | ↑ +128% |
| BCBS - Anthem | Medicare|All Plans | $10,727.00 | ↑ +128% |
| United | Medicare|All Plans | $10,727.00 | ↑ +128% |
| Aetna | Medicare|All Other Plans | $10,727.00 | ↑ +128% |
| Scan Health Plan | Medicare|All Other Plans | $10,727.00 | ↑ +128% |
| Scan Health Plan | Medicare|Sea View | $10,727.00 | ↑ +128% |
| Aetna | Medicare|All Plans | $10,727.00 | ↑ +128% |
| Valley Care IPA | Commercial|All Plans | $10,727.00 | ↑ +128% |
| Health Net | Medicare|All Plans | $10,727.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $11,873.00 | ↑ +153% |
| BCBS - Anthem | Commercial|MCS | $14,103.00 | ↑ +200% |
| Health Net | Commercial|Care Product | $15,837.00 | ↑ +237% |
| Blue Shield CA | Commercial|FFS | $17,230.00 | ↑ +267% |
| Clinicas | Medicaid|All Plans | $21,454.00 | ↑ +357% |
| Clinicas | Commercial|All Plans | $21,454.00 | ↑ +357% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp cplx>2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $725.85 – $19,604.90 |
| Mark Twain Medical Center | San Andreas | $2,317.02 | $725.85 – $3,409.42 |
| French Hospital | San Luis Obispo | $10,729.83 | $725.85 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $725.85 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $725.85 – $13,088.87 |
| Mercy San Juan Medical Center | Carmichael | $8,589.08 | $725.85 – $26,018.01 |
| Mercy General Hospital | Sacramento | $6,833.65 | $725.85 – $25,077.60 |
| Mercy Hospital of Folsom | Folsom | $12,193.99 | $725.85 – $25,704.54 |