Valvuloplasty mitral at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$5,950.23
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.
$13,585.00
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.
$1,473.34 with Health Net vs $27,170.00 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 | $1,473.34 | ↓ -75% |
| Health Net | Medicaid|> 21 | $1,473.34 | ↓ -75% |
| SeaView | Medicare|All Plans | $1,824.96 | ↓ -69% |
| Sea View | Commercial|All Plans | $1,824.96 | ↓ -69% |
| Aetna | Medicare|Sea View | $1,824.96 | ↓ -69% |
| United | Medicare|Sea View | $1,824.96 | ↓ -69% |
| Blue Shield CA | Medicare|Sea View | $1,824.96 | ↓ -69% |
| Gold Coast Health Plan | Medicaid|All Plans | $3,266.31 | ↓ -45% |
| BCBS - Anthem | Commercial|DignityHealth | $3,667.95 | ↓ -38% |
| Western Growers | Commercial|All Plans | $7,471.75 | ↑ +26% |
| Kaiser | Commercial|All Plans | $8,422.70 | ↑ +42% |
| BCBS - Anthem | Commercial|Exchange | $8,714.00 | ↑ +46% |
| First Health | Commercial|All Plans | $9,101.95 | ↑ +53% |
| MultiPlan | Commercial|All Plans | $10,596.30 | ↑ +78% |
| BCBS - Anthem | Commercial|HMO | $12,055.00 | ↑ +103% |
| BCBS - Anthem | Commercial|HMO Non MCS | $12,055.00 | ↑ +103% |
| Humana | Medicare|All Plans | $13,585.00 | ↑ +128% |
| Aetna | Medicare|All Plans | $13,585.00 | ↑ +128% |
| Aetna | Medicare|All Other Plans | $13,585.00 | ↑ +128% |
| United | Medicare|All Plans | $13,585.00 | ↑ +128% |
| United | Medicare|All Other Plans | $13,585.00 | ↑ +128% |
| United | Commercial|Non-Options PPO | $13,585.00 | ↑ +128% |
| Health Net | Medicare|All Plans | $13,585.00 | ↑ +128% |
| Kaiser | Medicare|All Plans | $13,585.00 | ↑ +128% |
| BCBS - Anthem | Medicare|All Plans | $13,585.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Plans | $13,585.00 | ↑ +128% |
| Blue Shield CA | Medicare|All Other Plans | $13,585.00 | ↑ +128% |
| Scan Health Plan | Medicare|All Other Plans | $13,585.00 | ↑ +128% |
| Scan Health Plan | Medicare|Sea View | $13,585.00 | ↑ +128% |
| Valley Care IPA | Commercial|All Plans | $13,585.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Non-MCS | $14,523.00 | ↑ +144% |
| BCBS - Anthem | Commercial|PPO Non MCS | $14,523.00 | ↑ +144% |
| Aetna | Commercial|All Plans | $14,704.00 | ↑ +147% |
| Blue Shield CA | Commercial|EPN | $15,979.00 | ↑ +169% |
| BCBS - Anthem | Commercial|MCS | $21,131.00 | ↑ +255% |
| Blue Shield CA | Commercial|FFS | $23,189.00 | ↑ +290% |
| Clinicas | Commercial|All Plans | $26,644.42 | ↑ +348% |
| Clinicas | Medicaid|All Plans | $27,170.00 | ↑ +357% |
Visitor-reported prices
Comments
Valvuloplasty mitral at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $16,335.20 | not published |
| Antioch Medical Center | ANTIOCH | $16,335.20 | not published |
| Redwood City Medical Center | Redwood City | $16,335.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $16,335.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $11,377.60 | not published |
| Riverside Medical Center | RIVERSIDE | $11,377.60 | not published |
| Fremont Medical Center | FREMONT | $16,335.20 | not published |
| Panorama Medical Center | PANORAMA CITY | $11,377.60 | not published |