Prcrd drg 6+yr without anomly at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$525.60
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.
$1,200.00
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.
$315.42 with Health Net vs $14,704.00 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 |
|---|---|---|---|
| Health Net | Medicaid|< 21 | $315.42 | ↓ -40% |
| Health Net | Medicaid|> 21 | $315.42 | ↓ -40% |
| BCBS - Anthem | Commercial|DignityHealth | $324.00 | ↓ -38% |
| Gold Coast Health Plan | Medicaid|All Plans | $362.77 | ↓ -31% |
| Western Growers | Commercial|All Plans | $660.00 | ↑ +26% |
| Kaiser | Commercial|All Plans | $744.00 | ↑ +42% |
| First Health | Commercial|All Plans | $804.00 | ↑ +53% |
| SeaView | Medicare|All Plans | $840.00 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $840.00 | ↑ +60% |
| Sea View | Commercial|All Plans | $840.00 | ↑ +60% |
| United | Medicare|Sea View | $840.00 | ↑ +60% |
| Aetna | Medicare|Sea View | $840.00 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $936.00 | ↑ +78% |
| United | Commercial|Non-Options PPO | $1,200.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $1,228.00 | ↑ +134% |
| Blue Shield CA | Commercial|FFS | $1,782.00 | ↑ +239% |
| BCBS - Anthem | Commercial|Exchange | $5,816.00 | ↑ +1007% |
| BCBS - Anthem | Commercial|HMO Non MCS | $8,043.00 | ↑ +1430% |
| BCBS - Anthem | Commercial|HMO | $8,043.00 | ↑ +1430% |
| BCBS - Anthem | Commercial|PPO Non MCS | $9,683.00 | ↑ +1742% |
| BCBS - Anthem | Commercial|Non-MCS | $9,683.00 | ↑ +1742% |
| BCBS - Anthem | Commercial|MCS | $14,103.00 | ↑ +2583% |
| Aetna | Commercial|All Plans | $14,704.00 | ↑ +2698% |
Visitor-reported prices
Comments
Prcrd drg 6+yr without anomly at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,154.64 | $593.00 – $6,619.00 |
| Arroyo Grande Hospital | Santa Maria | $2,157.55 | $208.49 – $4,607.96 |
| French Hospital | San Luis Obispo | $1,976.08 | $208.49 – $4,607.96 |
| Bakersfield Memorial Hospital | Bakersfield | $1,756.83 | $208.49 – $4,739.13 |
| Queen of The Valley Medical Center | Napa | $1,049.58 | $1,727.00 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,444.43 | $1,802.00 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $1,311.72 | $721.00 – $721.00 |
| Redwood Memorial Hospital | Fortuna | $3,148.74 | $1,847.00 – $9,031.00 |