Surgical pathology level 4 gross & microscopic examination at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$190.10
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.
$434.00
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.
$59.71 with United vs $338.52 with MultiPlan — 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 |
|---|---|---|---|
| United | Commercial|All Other Plans | $59.71 | ↓ -69% |
| United | Commercial|HMO | $59.71 | ↓ -69% |
| United | Commercial|Navigate | $59.71 | ↓ -69% |
| United | Commercial|Non-Options PPO | $59.71 | ↓ -69% |
| Aetna | Medicare|All Other Plans | $67.89 | ↓ -64% |
| Scan Health Plan | Medicare|All Other Plans | $67.89 | ↓ -64% |
| Blue Shield CA | Medicare|All Other Plans | $67.89 | ↓ -64% |
| United | Medicare|All Plans | $67.89 | ↓ -64% |
| United | Medicare|All Other Plans | $67.89 | ↓ -64% |
| Blue Shield CA | Medicare|All Plans | $67.89 | ↓ -64% |
| Health Net | Medicare|All Plans | $67.89 | ↓ -64% |
| Humana | Medicare|All Plans | $67.89 | ↓ -64% |
| BCBS - Anthem | Medicare|All Plans | $67.89 | ↓ -64% |
| Valley Care IPA | Commercial|All Plans | $67.89 | ↓ -64% |
| Kaiser | Medicare|All Plans | $67.89 | ↓ -64% |
| Scan Health Plan | Medicare|Sea View | $67.89 | ↓ -64% |
| Aetna | Medicare|All Plans | $67.89 | ↓ -64% |
| Health Net | Medicaid|< 21 | $88.95 | ↓ -53% |
| Health Net | Medicaid|> 21 | $88.95 | ↓ -53% |
| Cigna | Commercial|PPO | $91.80 | ↓ -52% |
| Cigna | Commercial|All Other Plans | $91.80 | ↓ -52% |
| BCBS - Anthem | Commercial|DignityHealth | $117.18 | ↓ -38% |
| BCBS - Anthem | Commercial|Exchange | $119.04 | ↓ -37% |
| Clinicas | Commercial|All Plans | $125.86 | ↓ -34% |
| Clinicas | Medicaid|All Plans | $135.78 | ↓ -29% |
| BCBS - Anthem | Commercial|HMO | $198.20 | ↑ +4% |
| BCBS - Anthem | Commercial|HMO Non MCS | $198.20 | ↑ +4% |
| BCBS - Anthem | Commercial|Non-MCS | $198.40 | ↑ +4% |
| BCBS - Anthem | Commercial|PPO Non MCS | $198.40 | ↑ +4% |
| Western Growers | Commercial|All Plans | $217.00 | ↑ +14% |
| Aetna | Commercial|All Plans | $230.03 | ↑ +21% |
| Kaiser | Commercial|All Plans | $269.08 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $282.10 | ↑ +48% |
| BCBS - Anthem | Commercial|MCS | $288.58 | ↑ +52% |
| First Health | Commercial|All Plans | $290.78 | ↑ +53% |
| United | Medicare|Sea View | $303.80 | ↑ +60% |
| Aetna | Medicare|Sea View | $303.80 | ↑ +60% |
| SeaView | Medicare|All Plans | $303.80 | ↑ +60% |
| Sea View | Commercial|All Plans | $303.80 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $303.80 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $338.52 | ↑ +78% |
Visitor-reported prices
Comments
Surgical pathology level 4 gross & microscopic examination at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $504.39 | $70.23 – $110.13 |
| Arroyo Grande Hospital | Santa Maria | $170.18 | $16.70 – $89.15 |
| Mark Twain Medical Center | San Andreas | $115.22 | $9.75 – $37.66 |
| French Hospital | San Luis Obispo | $155.86 | $9.02 – $104.80 |
| Mercy Hospitals – Bakersfield | Bakersfield | $135.79 | $18.93 – $99.43 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $18.93 – $99.43 |
| Queen of The Valley Medical Center | Napa | $379.44 | $73.99 – $139.18 |
| Providence St Joseph Hospital Eureka | Eureka | $275.91 | $67.02 – $157.83 |