Acyclovir 400 mg tablet at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES

2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190

Source: hospital's published price file ↗ · Published May 21, 2026 · Ingested Sep 16, 2026

$51.36

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.

Full explanation →

What you pay up front if you don't use insurance.

$321.02

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$26.63 with EHN - ALL PLANS vs $109.17 with GOLD COAST MCAL - ALL PLANS — same scan, same building. Share

Negotiated rates by payer
?

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
EHN - ALL PLANS EHN - ALL PLANS $26.63 ↓ -48%
UHC JLL UHC JLL $35.00 ↓ -32%
VCHCP - ALL PLANS VCHCP - ALL PLANS $35.50 ↓ -31%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $36.84 ↓ -28%
UHC HMO UHC HMO $36.84 ↓ -28%
HPN SENIOR HMO HPN SENIOR HMO $37.01 ↓ -28%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $40.74 ↓ -21%
KAISER - ALL PLANS KAISER - ALL PLANS $44.38 ↓ -14%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $44.56 ↓ -13%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $50.59 ↓ -1%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $52.72 ↑ +3%
CIGNA HMO CIGNA HMO $52.72 ↑ +3%
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $53.26 ↑ +4%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $57.69 ↑ +12%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $57.69 ↑ +12%
AETNA - ALL PLANS AETNA - ALL PLANS $61.16 ↑ +19%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $66.57 ↑ +30%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $66.57 ↑ +30%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $66.92 ↑ +30%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $71.01 ↑ +38%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $71.01 ↑ +38%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $73.67 ↑ +43%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $75.45 ↑ +47%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $75.45 ↑ +47%
AHF - ALL PLANS AHF - ALL PLANS $75.45 ↑ +47%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $79.88 ↑ +56%
GOLD COAST MCAL - ALL PLANS GOLD COAST MCAL - ALL PLANS $109.17 ↑ +113%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Acyclovir 400 mg tablet at other California hospitals

Hospital City Cash price Negotiated range
Mercy Medical Center Redding Redding $33.97 $50.92 – $65.66
REEDLEY COMMUNITY HOSPITAL Reedley $60.80 $1.11 – $74.00
ST HELENA HOSPITAL Vallejo $142.93 $141.46 – $141.46
HANFORD COMMUNITY HOSPITAL Selma $87.75 $75.63 – $127.07
SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield $98.87 $85.62 – $232.89
SIERRA VISTA HOSPITAL, INC. San Luis Obispo $126.63 $1.84 – $2.39
ADVENTIST HEALTH DELANO Delano $15.17 $64.49 – $97.87
ADVENTIST HEALTH MENDOCINO COAST Fort Bragg $124.08 $3.00 – $4.35

All California hospitals for this procedure →