The term "camera ready" refers to artwork that is ready to print, ie., with no further steps.  Artwork is the proper size, resolution, with included fonts and bitmaps.  If bleeds are needed then artwork should extend 1/8th inch beyond the borders of the item.  For example, a business card is 2 x 3.5 inches.  With bleeds all around the artwork would be 2.25 x 3.75 inches.

DESIGN CONSIDERATIONS

Registration:  Colors touching or within 1/16" of each other add a registration charge.

Flat and Raised Inks:  Having PART of your card printed with RAISED INK (THERMOGRAPHY) and PART WITHOUT costs more than having it all done with one process.  

Bleed:  When colors go within 1/16 inch of the border of your card, ( the edge) there is a bleed charge.  EACH EDGE OF YOUR PRODUCT IS CONSIDERED: If the design goes off all four edges of a business card the bleed cost would be times four.

Backside printing:   If your design includes text/graphics on the back, that will add to the cost.

Pantone®:   If your design requires an exact color match, or spot color, that adds additional charges.