Repos lv lead pm/icd at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$1,969.69
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.
$4,497.00
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.
$406.66 with Health Net vs $18,812.00 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 |
|---|---|---|---|
| Health Net | Medicaid|> 21 | $406.66 | ↓ -79% |
| Health Net | Medicaid|< 21 | $406.66 | ↓ -79% |
| Gold Coast Health Plan | Medicaid|All Plans | $467.71 | ↓ -76% |
| BCBS - Anthem | Commercial|DignityHealth | $1,214.19 | ↓ -38% |
| Western Growers | Commercial|All Plans | $2,473.35 | ↑ +26% |
| Kaiser | Commercial|All Plans | $2,788.14 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $2,923.05 | ↑ +48% |
| First Health | Commercial|All Plans | $3,012.99 | ↑ +53% |
| Aetna | Medicare|Sea View | $3,147.90 | ↑ +60% |
| SeaView | Medicare|All Plans | $3,147.90 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $3,147.90 | ↑ +60% |
| Sea View | Commercial|All Plans | $3,147.90 | ↑ +60% |
| United | Medicare|Sea View | $3,147.90 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $3,507.66 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $3,732.51 | ↑ +89% |
| Humana | Medicare|All Plans | $3,999.21 | ↑ +103% |
| Aetna | Medicare|All Plans | $3,999.21 | ↑ +103% |
| Aetna | Medicare|All Other Plans | $3,999.21 | ↑ +103% |
| United | Medicare|All Plans | $3,999.21 | ↑ +103% |
| United | Medicare|All Other Plans | $3,999.21 | ↑ +103% |
| Health Net | Medicare|All Plans | $3,999.21 | ↑ +103% |
| Kaiser | Medicare|All Plans | $3,999.21 | ↑ +103% |
| BCBS - Anthem | Medicare|All Plans | $3,999.21 | ↑ +103% |
| Blue Shield CA | Medicare|All Plans | $3,999.21 | ↑ +103% |
| Blue Shield CA | Medicare|All Other Plans | $3,999.21 | ↑ +103% |
| Scan Health Plan | Medicare|All Other Plans | $3,999.21 | ↑ +103% |
| Scan Health Plan | Medicare|Sea View | $3,999.21 | ↑ +103% |
| Valley Care IPA | Commercial|All Plans | $3,999.21 | ↑ +103% |
| United | Commercial|Non-Options PPO | $4,497.00 | ↑ +128% |
| Blue Shield CA | Commercial|EPN | $6,083.00 | ↑ +209% |
| Clinicas | Commercial|All Plans | $7,477.22 | ↑ +280% |
| Aetna | Commercial|All Plans | $7,550.00 | ↑ +283% |
| BCBS - Anthem | Commercial|Exchange | $7,757.00 | ↑ +294% |
| Clinicas | Medicaid|All Plans | $7,998.42 | ↑ +306% |
| Blue Shield CA | Commercial|FFS | $8,827.00 | ↑ +348% |
| BCBS - Anthem | Commercial|HMO Non MCS | $10,734.00 | ↑ +445% |
| BCBS - Anthem | Commercial|HMO | $10,734.00 | ↑ +445% |
| BCBS - Anthem | Commercial|PPO Non MCS | $12,929.00 | ↑ +556% |
| BCBS - Anthem | Commercial|Non-MCS | $12,929.00 | ↑ +556% |
| BCBS - Anthem | Commercial|MCS | $18,812.00 | ↑ +855% |
Visitor-reported prices
Comments
Repos lv lead pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $3,234.83 | $268.80 – $7,406.84 |
| French Hospital | San Luis Obispo | $3,014.48 | $268.80 – $7,536.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,374.49 | $268.80 – $5,111.30 |
| Providence St Joseph Hospital Eureka | Eureka | $3,231.36 | $4,061.05 – $17,611.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,827.21 | $268.80 – $5,220.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,198.43 | $3,423.00 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,898.88 | $3,451.89 – $7,908.00 |
| Mercy Medical Center Merced | Merced | $3,245.02 | $268.80 – $6,237.99 |