Audit/dast over 30 min at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$20.64
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.
$129.00
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.
$51.60 with VCHCP - ALL PLANS vs $612.00 with UHC ALL PAYER - ALL OTHER 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 |
|---|---|---|---|
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $51.60 | ↑ +150% |
| HPN SENIOR HMO | HPN SENIOR HMO | $53.79 | ↑ +161% |
| BC EXCHANGE | BC EXCHANGE | $55.72 | ↑ +170% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $59.21 | ↑ +187% |
| BC NON MCS | BC NON MCS | $61.91 | ↑ +200% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $61.91 | ↑ +200% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $64.50 | ↑ +213% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $64.76 | ↑ +214% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $73.53 | ↑ +256% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $76.63 | ↑ +271% |
| CIGNA HMO | CIGNA HMO | $76.63 | ↑ +271% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $77.40 | ↑ +275% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $83.85 | ↑ +306% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $83.85 | ↑ +306% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $88.88 | ↑ +331% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $96.75 | ↑ +369% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $96.75 | ↑ +369% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $97.25 | ↑ +371% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $103.20 | ↑ +400% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $103.20 | ↑ +400% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $107.07 | ↑ +419% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $109.65 | ↑ +431% |
| AHF - ALL PLANS | AHF - ALL PLANS | $109.65 | ↑ +431% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $109.65 | ↑ +431% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $116.10 | ↑ +463% |
| GOLD COAST MCAL - ALL PLANS | GOLD COAST MCAL - ALL PLANS | $158.67 | ↑ +669% |
| EHN - ALL PLANS | EHN - ALL PLANS | $360.00 | ↑ +1644% |
| UHC HMO | UHC HMO | $542.00 | ↑ +2526% |
| UHC JLL | UHC JLL | $581.00 | ↑ +2715% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $612.00 | ↑ +2865% |
Visitor-reported prices
Comments
Audit/dast over 30 min at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $109.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $238.28 | $146.88 – $451.52 |
| Antioch Medical Center | ANTIOCH | $109.20 | not published |
| Redwood City Medical Center | Redwood City | $109.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $109.20 | not published |
| Fremont Medical Center | FREMONT | $109.20 | not published |
| Sacramento Medical Center | SACRAMENTO | $109.20 | not published |
| Oakland Medical Center | Oakland | $109.20 | not published |