Tc-99m bicisate at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$727.52
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.
$1,661.00
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.
$443.07 with BCBS - Anthem vs $1,737.68 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|DignityHealth | $443.07 | ↓ -39% |
| BCBS - Anthem | Commercial|Exchange | $503.83 | ↓ -31% |
| Health Net | Medicaid|< 21 | $513.39 | ↓ -29% |
| Health Net | Medicaid|> 21 | $513.39 | ↓ -29% |
| Gold Coast Health Plan | Medicaid|All Plans | $583.66 | ↓ -20% |
| Ventura HP | Commercial|All Plans | $656.40 | ↓ -10% |
| United | Commercial|Non-Options PPO | $663.50 | ↓ -9% |
| Western Growers | Commercial|All Plans | $820.50 | ↑ +13% |
| BCBS - Anthem | Commercial|Non-MCS | $839.71 | ↑ +15% |
| BCBS - Anthem | Commercial|PPO Non MCS | $839.71 | ↑ +15% |
| Humana | Medicare|All Plans | $868.84 | ↑ +19% |
| United | Medicare|All Plans | $868.84 | ↑ +19% |
| United | Medicare|All Other Plans | $868.84 | ↑ +19% |
| Health Net | Medicare|All Plans | $868.84 | ↑ +19% |
| Kaiser | Medicare|All Plans | $868.84 | ↑ +19% |
| BCBS - Anthem | Medicare|All Plans | $868.84 | ↑ +19% |
| Aetna | Medicare|All Other Plans | $868.84 | ↑ +19% |
| Aetna | Medicare|All Plans | $868.84 | ↑ +19% |
| Blue Shield CA | Medicare|All Plans | $868.84 | ↑ +19% |
| Blue Shield CA | Medicare|All Other Plans | $868.84 | ↑ +19% |
| Scan Health Plan | Medicare|All Other Plans | $868.84 | ↑ +19% |
| Scan Health Plan | Medicare|Sea View | $868.84 | ↑ +19% |
| Valley Care IPA | Commercial|All Plans | $868.84 | ↑ +19% |
| Kaiser | Commercial|All Plans | $1,017.42 | ↑ +40% |
| BCBS - Anthem | Commercial|HMO | $1,067.82 | ↑ +47% |
| BCBS - Anthem | Commercial|HMO Non MCS | $1,067.82 | ↑ +47% |
| First Health | Commercial|All Plans | $1,099.47 | ↑ +51% |
| United | Commercial|HMO | $1,128.27 | ↑ +55% |
| United | Commercial|All Other Plans | $1,128.27 | ↑ +55% |
| United | Commercial|Navigate | $1,128.27 | ↑ +55% |
| Sea View | Commercial|All Plans | $1,148.70 | ↑ +58% |
| SeaView | Medicare|All Plans | $1,148.70 | ↑ +58% |
| United | Medicare|Sea View | $1,162.70 | ↑ +60% |
| Blue Shield CA | Medicare|Sea View | $1,162.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $1,162.70 | ↑ +60% |
| BCBS - Anthem | Commercial|MCS | $1,220.91 | ↑ +68% |
| MultiPlan | Commercial|All Plans | $1,295.58 | ↑ +78% |
| Clinicas | Medicaid|All Plans | $1,737.68 | ↑ +139% |
Visitor-reported prices
Comments
Tc-99m bicisate at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $5,061.84 | $3,587.00 – $3,587.00 |
| Santa Clara Medical Center | SANTA CLARA | $5,061.84 | $3,587.00 – $3,587.00 |
| Sacramento Medical Center | SACRAMENTO | $5,061.84 | $3,587.00 – $3,587.00 |
| Oakland Medical Center | Oakland | $5,061.84 | $3,587.00 – $3,587.00 |
| Walnut Creek Medical Center | WALNUT CREEK | $5,061.84 | $3,587.00 – $3,587.00 |
| Arroyo Grande Hospital | Santa Maria | $1,203.54 | $339.34 – $2,755.76 |
| Mark Twain Medical Center | San Andreas | $952.38 | $315.10 – $1,193.64 |
| French Hospital | San Luis Obispo | $1,112.50 | $339.34 – $2,781.24 |