Albumin (human), 5%, 250 ml at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$94.40
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.
$590.00
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.
$53.08 with MEDICARE 1/1/21 vs $301.91 with FPN PPO - ALL PLANS — 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 |
|---|---|---|---|
| MEDICARE 1/1/21 | MEDICARE 1/1/21 | $53.08 | ↓ -44% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $53.08 | ↓ -44% |
| FACEY MEDICAL MDCARE | FACEY MEDICAL MDCARE | $53.08 | ↓ -44% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $53.08 | ↓ -44% |
| UHC MCR ADV | UHC MCR ADV | $53.08 | ↓ -44% |
| FACEY MEDICAL HMO/POS - ALL OTHER PLANS | FACEY MEDICAL HMO/POS - ALL OTHER PLANS | $63.69 | ↓ -33% |
| GOLD COAST MCAL - ALL PLANS | GOLD COAST MCAL - ALL PLANS | $92.54 | ↓ -2% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $95.54 | ↑ +1% |
| EHN - ALL PLANS | EHN - ALL PLANS | $100.64 | ↑ +7% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $119.42 | ↑ +27% |
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $134.18 | ↑ +42% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $139.25 | ↑ +48% |
| HPN SENIOR HMO | HPN SENIOR HMO | $139.89 | ↑ +48% |
| UHC HMO | UHC HMO | $144.51 | ↑ +53% |
| UHC JLL | UHC JLL | $144.51 | ↑ +53% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $153.97 | ↑ +63% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $167.73 | ↑ +78% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $168.40 | ↑ +78% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $191.21 | ↑ +103% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $199.26 | ↑ +111% |
| CIGNA HMO | CIGNA HMO | $199.26 | ↑ +111% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $201.27 | ↑ +113% |
| BC EXCHANGE | BC EXCHANGE | $215.44 | ↑ +128% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $218.05 | ↑ +131% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $218.05 | ↑ +131% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $231.13 | ↑ +145% |
| BC NON MCS | BC NON MCS | $239.38 | ↑ +154% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $251.59 | ↑ +167% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $251.59 | ↑ +167% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $252.90 | ↑ +168% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $268.37 | ↑ +184% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $268.37 | ↑ +184% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $278.43 | ↑ +195% |
| AHF - ALL PLANS | AHF - ALL PLANS | $285.14 | ↑ +202% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $285.14 | ↑ +202% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $285.14 | ↑ +202% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $287.27 | ↑ +204% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $301.91 | ↑ +220% |
Visitor-reported prices
Comments
Albumin (human), 5%, 250 ml at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $282.51 | $34.27 – $98.99 |
| Arroyo Grande Hospital | Santa Maria | $920.20 | $52.45 – $540.96 |
| French Hospital | San Luis Obispo | $842.80 | $52.45 – $540.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $166.21 | $40.80 – $100.00 |
| Bakersfield Memorial Hospital | Bakersfield | $324.80 | $40.80 – $100.00 |
| Queen of The Valley Medical Center | Napa | $422.72 | $53.08 – $120.07 |
| Providence St Joseph Hospital Eureka | Eureka | $422.72 | $53.08 – $143.22 |
| Healdsburg Hospital | Healdsburg | $172.25 | $53.08 – $282.82 |