Repair pm/icd lead sgl at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$2,096.27
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.
$4,786.00
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.
$297.43 with Health Net vs $23,189.00 with Blue Shield CA — 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 | $297.43 | ↓ -86% |
| Health Net | Medicaid|< 21 | $297.43 | ↓ -86% |
| Gold Coast Health Plan | Medicaid|All Plans | $519.88 | ↓ -75% |
| BCBS - Anthem | Commercial|DignityHealth | $1,292.22 | ↓ -38% |
| Western Growers | Commercial|All Plans | $2,632.30 | ↑ +26% |
| Kaiser | Commercial|All Plans | $2,967.32 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $3,110.90 | ↑ +48% |
| First Health | Commercial|All Plans | $3,206.62 | ↑ +53% |
| United | Medicare|Sea View | $3,350.20 | ↑ +60% |
| Aetna | Medicare|Sea View | $3,350.20 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $3,350.20 | ↑ +60% |
| Sea View | Commercial|All Plans | $3,350.20 | ↑ +60% |
| SeaView | Medicare|All Plans | $3,350.20 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $3,733.08 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $3,972.38 | ↑ +89% |
| BCBS - Anthem | Commercial|Exchange | $4,529.00 | ↑ +116% |
| Kaiser | Medicare|All Plans | $4,624.09 | ↑ +121% |
| BCBS - Anthem | Medicare|All Plans | $4,624.09 | ↑ +121% |
| Health Net | Medicare|All Plans | $4,624.09 | ↑ +121% |
| United | Medicare|All Other Plans | $4,624.09 | ↑ +121% |
| United | Medicare|All Plans | $4,624.09 | ↑ +121% |
| Aetna | Medicare|All Other Plans | $4,624.09 | ↑ +121% |
| Blue Shield CA | Medicare|All Plans | $4,624.09 | ↑ +121% |
| Blue Shield CA | Medicare|All Other Plans | $4,624.09 | ↑ +121% |
| Scan Health Plan | Medicare|All Other Plans | $4,624.09 | ↑ +121% |
| Scan Health Plan | Medicare|Sea View | $4,624.09 | ↑ +121% |
| Aetna | Medicare|All Plans | $4,624.09 | ↑ +121% |
| Valley Care IPA | Commercial|All Plans | $4,624.09 | ↑ +121% |
| Humana | Medicare|All Plans | $4,624.09 | ↑ +121% |
| United | Commercial|Non-Options PPO | $4,786.00 | ↑ +128% |
| BCBS - Anthem | Commercial|HMO | $6,264.00 | ↑ +199% |
| BCBS - Anthem | Commercial|HMO Non MCS | $6,264.00 | ↑ +199% |
| BCBS - Anthem | Commercial|Non-MCS | $7,549.00 | ↑ +260% |
| BCBS - Anthem | Commercial|PPO Non MCS | $7,549.00 | ↑ +260% |
| Clinicas | Commercial|All Plans | $8,410.84 | ↑ +301% |
| Clinicas | Medicaid|All Plans | $9,248.18 | ↑ +341% |
| Aetna | Commercial|All Plans | $9,305.00 | ↑ +344% |
| Health Net | Commercial|Care Product | $10,371.00 | ↑ +395% |
| BCBS - Anthem | Commercial|MCS | $10,984.00 | ↑ +424% |
| Blue Shield CA | Commercial|EPN | $15,979.00 | ↑ +662% |
| Blue Shield CA | Commercial|FFS | $23,189.00 | ↑ +1006% |
Visitor-reported prices
Comments
Repair pm/icd lead sgl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $7,445.92 | $241.81 – $17,049.06 |
| French Hospital | San Luis Obispo | $6,415.87 | $241.81 – $16,039.66 |
| Bakersfield Memorial Hospital | Bakersfield | $2,430.28 | $241.81 – $5,231.38 |
| Queen of The Valley Medical Center | Napa | $7,975.38 | $5,305.96 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,647.34 | $4,806.35 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,869.84 | $241.81 – $5,342.40 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,202.00 | $4,042.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,988.48 | $4,085.40 – $20,774.00 |