X-ray exam of eye sockets at St. John's Camarillo Hospital
2309 Antonio Ave, Camarillo, CA · CommonSpirit Health · · NPI 1073665360
$582.98
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.
$1,331.00
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.
$82.23 with Health Net vs $1,038.18 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 |
|---|---|---|---|
| Health Net | Medicaid|< 21 | $82.23 | ↓ -86% |
| Health Net | Medicaid|> 21 | $82.23 | ↓ -86% |
| Aetna | Commercial|All Plans | $98.33 | ↓ -83% |
| Kaiser | Medicare|All Plans | $135.12 | ↓ -77% |
| Aetna | Medicare|All Other Plans | $135.12 | ↓ -77% |
| Scan Health Plan | Medicare|Sea View | $135.12 | ↓ -77% |
| Scan Health Plan | Medicare|All Other Plans | $135.12 | ↓ -77% |
| Valley Care IPA | Commercial|All Plans | $135.12 | ↓ -77% |
| Blue Shield CA | Medicare|All Plans | $135.12 | ↓ -77% |
| United | Medicare|All Plans | $135.12 | ↓ -77% |
| Humana | Medicare|All Plans | $135.12 | ↓ -77% |
| United | Medicare|All Other Plans | $135.12 | ↓ -77% |
| Aetna | Medicare|All Plans | $135.12 | ↓ -77% |
| Blue Shield CA | Medicare|All Other Plans | $135.12 | ↓ -77% |
| Health Net | Medicare|All Plans | $135.12 | ↓ -77% |
| BCBS - Anthem | Medicare|All Plans | $135.12 | ↓ -77% |
| BCBS - Anthem | Commercial|Exchange | $199.41 | ↓ -66% |
| United | Commercial|HMO | $245.18 | ↓ -58% |
| United | Commercial|All Other Plans | $245.18 | ↓ -58% |
| United | Commercial|Navigate | $245.18 | ↓ -58% |
| United | Commercial|Non-Options PPO | $245.18 | ↓ -58% |
| Clinicas | Commercial|All Plans | $268.26 | ↓ -54% |
| Clinicas | Medicaid|All Plans | $270.24 | ↓ -54% |
| BCBS - Anthem | Commercial|HMO Non MCS | $332.01 | ↓ -43% |
| BCBS - Anthem | Commercial|HMO | $332.01 | ↓ -43% |
| BCBS - Anthem | Commercial|Non-MCS | $332.34 | ↓ -43% |
| BCBS - Anthem | Commercial|PPO Non MCS | $332.34 | ↓ -43% |
| BCBS - Anthem | Commercial|DignityHealth | $359.37 | ↓ -38% |
| BCBS - Anthem | Commercial|MCS | $483.41 | ↓ -17% |
| Cigna | Commercial|PPO | $527.07 | ↓ -10% |
| Cigna | Commercial|All Other Plans | $527.07 | ↓ -10% |
| Western Growers | Commercial|All Plans | $665.50 | ↑ +14% |
| Kaiser | Commercial|All Plans | $825.22 | ↑ +42% |
| Ventura HP | Commercial|All Plans | $865.15 | ↑ +48% |
| First Health | Commercial|All Plans | $891.77 | ↑ +53% |
| Blue Shield CA | Medicare|Sea View | $931.70 | ↑ +60% |
| Aetna | Medicare|Sea View | $931.70 | ↑ +60% |
| SeaView | Medicare|All Plans | $931.70 | ↑ +60% |
| Sea View | Commercial|All Plans | $931.70 | ↑ +60% |
| United | Medicare|Sea View | $931.70 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $1,038.18 | ↑ +78% |
Visitor-reported prices
Comments
X-ray exam of eye sockets at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $784.00 | $142.00 – $142.00 |
| Antioch Medical Center | ANTIOCH | $784.00 | $142.00 – $142.00 |
| Redwood City Medical Center | Redwood City | $784.00 | $142.00 – $142.00 |
| Santa Clara Medical Center | SANTA CLARA | $784.00 | $142.00 – $142.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $473.20 | $96.00 – $96.00 |
| Riverside Medical Center | RIVERSIDE | $473.20 | $96.00 – $96.00 |
| Fremont Medical Center | FREMONT | $784.00 | $142.00 – $142.00 |
| Banner Lassen Medical Center | Susanville | $275.52 | $21.27 – $407.40 |