Stent/tib/peroneal/unilat/initial 37230 at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$11,858.85
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.
$27,075.00
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.
$899.51 with Health Net vs $45,631.62 with Clinicas — 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 | $899.51 | ↓ -92% |
| Health Net | Medicaid|> 21 | $899.51 | ↓ -92% |
| Gold Coast Health Plan | Medicaid|All Plans | $1,034.53 | ↓ -91% |
| BCBS - Anthem | Commercial|DignityHealth | $7,310.25 | ↓ -38% |
| Blue Shield CA | Commercial|EPN | $7,521.00 | ↓ -37% |
| BCBS - Anthem | Commercial|Exchange | $8,399.00 | ↓ -29% |
| Aetna | Commercial|All Plans | $9,305.00 | ↓ -22% |
| Blue Shield CA | Commercial|FFS | $10,915.00 | ↓ -8% |
| BCBS - Anthem | Commercial|HMO | $11,624.00 | ↓ -2% |
| BCBS - Anthem | Commercial|HMO Non MCS | $11,624.00 | ↓ -2% |
| BCBS - Anthem | Commercial|Non-MCS | $13,999.00 | ↑ +18% |
| BCBS - Anthem | Commercial|PPO Non MCS | $13,999.00 | ↑ +18% |
| Western Growers | Commercial|All Plans | $14,891.25 | ↑ +26% |
| Kaiser | Commercial|All Plans | $16,786.50 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $17,598.75 | ↑ +48% |
| First Health | Commercial|All Plans | $18,140.25 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $18,952.50 | ↑ +60% |
| Aetna | Medicare|Sea View | $18,952.50 | ↑ +60% |
| United | Medicare|Sea View | $18,952.50 | ↑ +60% |
| Sea View | Commercial|All Plans | $18,952.50 | ↑ +60% |
| SeaView | Medicare|All Plans | $18,952.50 | ↑ +60% |
| BCBS - Anthem | Commercial|MCS | $20,369.00 | ↑ +72% |
| MultiPlan | Commercial|All Plans | $21,118.50 | ↑ +78% |
| Health Net | Commercial|All Other Plans | $22,472.25 | ↑ +89% |
| Blue Shield CA | Medicare|All Other Plans | $22,815.81 | ↑ +92% |
| United | Medicare|All Other Plans | $22,815.81 | ↑ +92% |
| United | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Humana | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Scan Health Plan | Medicare|All Other Plans | $22,815.81 | ↑ +92% |
| Scan Health Plan | Medicare|Sea View | $22,815.81 | ↑ +92% |
| Aetna | Medicare|All Other Plans | $22,815.81 | ↑ +92% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Health Net | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Blue Shield CA | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Aetna | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Valley Care IPA | Commercial|All Plans | $22,815.81 | ↑ +92% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↑ +92% |
| Health Net | Commercial|Care Product | $24,186.00 | ↑ +104% |
| United | Commercial|Non-Options PPO | $27,075.00 | ↑ +128% |
| Clinicas | Commercial|All Plans | $43,115.78 | ↑ +264% |
| Clinicas | Medicaid|All Plans | $45,631.62 | ↑ +285% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $594.56 – $34,187.30 |
| French Hospital | San Luis Obispo | $13,674.92 | $594.56 – $34,025.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $18,273.98 | $594.56 – $33,402.40 |
| Bakersfield Memorial Hospital | Bakersfield | $15,323.36 | $594.56 – $32,984.87 |
| Providence St Joseph Hospital Eureka | Eureka | $18,127.95 | $11,036.00 – $89,248.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,206.78 | $0.80 – $12,709.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $17,905.08 | $4,233.00 – $89,248.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $12,844.80 | $9,779.00 – $59,944.00 |