Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$115.79
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.
$279.00
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.
$75.33 with BCBS - Anthem vs $12,774.00 with Aetna — 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 | $75.33 | ↓ -35% |
| Health Net | Medicaid|< 21 | $102.99 | ↓ -11% |
| Health Net | Medicaid|> 21 | $102.99 | ↓ -11% |
| Western Growers | Commercial|All Plans | $139.50 | ↑ +20% |
| Kaiser | Commercial|All Plans | $172.98 | ↑ +49% |
| Gold Coast Health Plan | Medicaid|All Plans | $180.03 | ↑ +55% |
| Ventura HP | Commercial|All Plans | $181.35 | ↑ +57% |
| First Health | Commercial|All Plans | $186.93 | ↑ +61% |
| Sea View | Commercial|All Plans | $195.30 | ↑ +69% |
| SeaView | Medicare|All Plans | $195.30 | ↑ +69% |
| MultiPlan | Commercial|All Plans | $223.20 | ↑ +93% |
| Cigna | Commercial|PPO | $226.00 | ↑ +95% |
| Cigna | Commercial|All Other Plans | $226.00 | ↑ +95% |
| Scan Health Plan | Medicare|Sea View | $252.47 | ↑ +118% |
| Aetna | Medicare|All Plans | $252.47 | ↑ +118% |
| Aetna | Medicare|All Other Plans | $252.47 | ↑ +118% |
| Valley Care IPA | Commercial|All Plans | $252.47 | ↑ +118% |
| United | Medicare|All Plans | $252.47 | ↑ +118% |
| United | Medicare|All Other Plans | $252.47 | ↑ +118% |
| Health Net | Medicare|All Plans | $252.47 | ↑ +118% |
| Kaiser | Medicare|All Plans | $252.47 | ↑ +118% |
| BCBS - Anthem | Medicare|All Plans | $252.47 | ↑ +118% |
| Humana | Medicare|All Plans | $252.47 | ↑ +118% |
| Blue Shield CA | Medicare|All Plans | $252.47 | ↑ +118% |
| Blue Shield CA | Medicare|All Other Plans | $252.47 | ↑ +118% |
| Scan Health Plan | Medicare|All Other Plans | $252.47 | ↑ +118% |
| United | Commercial|Non-Options PPO | $279.00 | ↑ +141% |
| Clinicas | Commercial|All Plans | $453.26 | ↑ +291% |
| Clinicas | Medicaid|All Plans | $504.94 | ↑ +336% |
| Blue Shield CA | Commercial|EPN | $1,228.00 | ↑ +961% |
| Blue Shield CA | Commercial|FFS | $1,782.00 | ↑ +1439% |
| Health Net | Commercial|Care Product | $3,598.00 | ↑ +3007% |
| Health Net | Commercial|All Other Plans | $4,499.00 | ↑ +3785% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +3811% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +5310% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +5310% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +6420% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +6420% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +9386% |
| Aetna | Commercial|All Plans | $12,774.00 | ↑ +10932% |
| United | Medicare|Sea View | not published by hospital | — |
| Aetna | Medicare|Sea View | not published by hospital | — |
| Blue Shield CA | Medicare|Sea View | not published by hospital | — |
Visitor-reported prices
Comments
Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,727.88 | $270.38 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $110.56 | $42.95 – $162.68 |
| Bakersfield Memorial Hospital | Bakersfield | $246.26 | $83.73 – $530.09 |
| Queen of The Valley Medical Center | Napa | $1,145.97 | $284.87 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,312.74 | $258.05 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $767.04 | $270.32 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $1,316.31 | $1,333.00 – $8,222.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,358.64 | $279.18 – $4,042.00 |