Ampicillin-sulbactam 1.5 gram solution for injection 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

$12.47

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.

$77.94

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.

$3.61 with UHC HMO vs $67.05 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
UHC HMO UHC HMO $3.61 ↓ -71%
UHC JLL UHC JLL $3.61 ↓ -71%
EHN - ALL PLANS EHN - ALL PLANS $16.35 ↑ +31%
BC EXCHANGE BC EXCHANGE $17.59 ↑ +41%
BC NON MCS BC NON MCS $19.55 ↑ +57%
VCHCP - ALL PLANS VCHCP - ALL PLANS $21.81 ↑ +75%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $22.63 ↑ +81%
HPN SENIOR HMO HPN SENIOR HMO $22.73 ↑ +82%
BC MCS - ALL OTHER PLANS BC MCS - ALL OTHER PLANS $23.46 ↑ +88%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $25.02 ↑ +101%
KAISER - ALL PLANS KAISER - ALL PLANS $27.26 ↑ +119%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $27.37 ↑ +119%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $31.07 ↑ +149%
CIGNA HMO CIGNA HMO $32.38 ↑ +160%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $32.38 ↑ +160%
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $32.71 ↑ +162%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $35.43 ↑ +184%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $35.43 ↑ +184%
AETNA - ALL PLANS AETNA - ALL PLANS $37.56 ↑ +201%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $40.89 ↑ +228%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $40.89 ↑ +228%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $41.10 ↑ +230%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $43.61 ↑ +250%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $43.61 ↑ +250%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $45.25 ↑ +263%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $46.34 ↑ +272%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $46.34 ↑ +272%
AHF - ALL PLANS AHF - ALL PLANS $46.34 ↑ +272%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $49.06 ↑ +293%
GOLD COAST MCAL - ALL PLANS GOLD COAST MCAL - ALL PLANS $67.05 ↑ +438%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Ampicillin-sulbactam 1.5 gram solution for injection at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $122.50 $1.49 – $1.49
St. John's Camarillo Hospital Camarillo $57.38 $2.71 – $52.26
Antioch Medical Center ANTIOCH $122.50 $1.49 – $1.49
Redwood City Medical Center Redwood City $122.50 $1.49 – $1.49
Santa Clara Medical Center SANTA CLARA $122.50 $1.49 – $1.49
Baldwin Park Medical Center BALDWIN PARK $113.75 $1.49 – $1.49
Riverside Medical Center RIVERSIDE $113.75 $1.49 – $1.49
Fremont Medical Center FREMONT $122.50 $1.49 – $1.49

All California hospitals for this procedure →