Removal biliary drg cath at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$676.71
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.
$1,545.00
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.
$417.15 with BCBS - Anthem vs $7,832.00 with BCBS - Anthem — 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 | $417.15 | ↓ -38% |
| Health Net | Medicaid|< 21 | $513.13 | ↓ -24% |
| Health Net | Medicaid|> 21 | $513.13 | ↓ -24% |
| Gold Coast Health Plan | Medicaid|All Plans | $590.16 | ↓ -13% |
| Western Growers | Commercial|All Plans | $849.75 | ↑ +26% |
| Kaiser | Commercial|All Plans | $957.90 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $1,004.25 | ↑ +48% |
| First Health | Commercial|All Plans | $1,035.15 | ↑ +53% |
| United | Medicare|Sea View | $1,081.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $1,081.50 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $1,081.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $1,081.50 | ↑ +60% |
| SeaView | Medicare|All Plans | $1,081.50 | ↑ +60% |
| Health Net | Medicare|All Plans | $1,191.26 | ↑ +76% |
| United | Medicare|All Other Plans | $1,191.26 | ↑ +76% |
| United | Medicare|All Plans | $1,191.26 | ↑ +76% |
| Kaiser | Medicare|All Plans | $1,191.26 | ↑ +76% |
| BCBS - Anthem | Medicare|All Plans | $1,191.26 | ↑ +76% |
| Aetna | Medicare|All Other Plans | $1,191.26 | ↑ +76% |
| Blue Shield CA | Medicare|All Plans | $1,191.26 | ↑ +76% |
| Blue Shield CA | Medicare|All Other Plans | $1,191.26 | ↑ +76% |
| Scan Health Plan | Medicare|All Other Plans | $1,191.26 | ↑ +76% |
| Scan Health Plan | Medicare|Sea View | $1,191.26 | ↑ +76% |
| Aetna | Medicare|All Plans | $1,191.26 | ↑ +76% |
| Valley Care IPA | Commercial|All Plans | $1,191.26 | ↑ +76% |
| Humana | Medicare|All Plans | $1,191.26 | ↑ +76% |
| MultiPlan | Commercial|All Plans | $1,205.10 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $1,282.35 | ↑ +89% |
| United | Commercial|Non-Options PPO | $1,545.00 | ↑ +128% |
| Clinicas | Commercial|All Plans | $2,072.04 | ↑ +206% |
| Clinicas | Medicaid|All Plans | $2,382.52 | ↑ +252% |
| BCBS - Anthem | Commercial|Exchange | $3,230.00 | ↑ +377% |
| Blue Shield CA | Commercial|EPN | $3,977.00 | ↑ +488% |
| BCBS - Anthem | Commercial|HMO | $4,465.00 | ↑ +560% |
| BCBS - Anthem | Commercial|HMO Non MCS | $4,465.00 | ↑ +560% |
| Aetna | Commercial|All Plans | $4,932.00 | ↑ +629% |
| BCBS - Anthem | Commercial|Non-MCS | $5,383.00 | ↑ +695% |
| BCBS - Anthem | Commercial|PPO Non MCS | $5,383.00 | ↑ +695% |
| Health Net | Commercial|Care Product | $5,494.00 | ↑ +712% |
| Blue Shield CA | Commercial|FFS | $5,772.00 | ↑ +753% |
| BCBS - Anthem | Commercial|MCS | $7,832.00 | ↑ +1057% |
Visitor-reported prices
Comments
Removal biliary drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $3,432.99 | $339.17 – $5,780.04 |
| French Hospital | San Luis Obispo | $3,190.49 | $339.17 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.12 | $339.17 – $1,515.20 |
| Bakersfield Memorial Hospital | Bakersfield | $952.74 | $339.17 – $1,496.26 |
| Providence St Joseph Hospital Eureka | Eureka | $1,215.33 | $1,166.53 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,199.12 | $339.17 – $3,141.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,675.97 | $1,262.04 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,065.44 | $991.55 – $5,171.00 |