Graft xenmtrx sft rect 19x28cm at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$458.56
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.
$2,866.00
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.
$156.60 with EHN - ALL PLANS vs $642.06 with GOLD COAST MCAL - 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 |
|---|---|---|---|
| EHN - ALL PLANS | EHN - ALL PLANS | $156.60 | ↓ -66% |
| UHC JLL | UHC JLL | $205.82 | ↓ -55% |
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $208.80 | ↓ -54% |
| UHC HMO | UHC HMO | $216.68 | ↓ -53% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $216.68 | ↓ -53% |
| HPN SENIOR HMO | HPN SENIOR HMO | $217.67 | ↓ -53% |
| BC EXCHANGE | BC EXCHANGE | $225.45 | ↓ -51% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $239.60 | ↓ -48% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $250.51 | ↓ -45% |
| BC NON MCS | BC NON MCS | $250.51 | ↓ -45% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $261.00 | ↓ -43% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $262.04 | ↓ -43% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $297.54 | ↓ -35% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $310.07 | ↓ -32% |
| CIGNA HMO | CIGNA HMO | $310.07 | ↓ -32% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $313.20 | ↓ -32% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $339.30 | ↓ -26% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $339.30 | ↓ -26% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $359.66 | ↓ -22% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $391.50 | ↓ -15% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $391.50 | ↓ -15% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $393.54 | ↓ -14% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $417.60 | ↓ -9% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $417.60 | ↓ -9% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $433.26 | ↓ -6% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $443.70 | ↓ -3% |
| AHF - ALL PLANS | AHF - ALL PLANS | $443.70 | ↓ -3% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $443.70 | ↓ -3% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $469.80 | ↑ +2% |
| GOLD COAST MCAL - ALL PLANS | GOLD COAST MCAL - ALL PLANS | $642.06 | ↑ +40% |
Visitor-reported prices
Comments
Graft xenmtrx sft rect 19x28cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,151.46 | $63.84 – $207.48 |
| Baldwin Park Medical Center | BALDWIN PARK | $5,172.23 | not published |
| Riverside Medical Center | RIVERSIDE | $5,172.23 | not published |
| Banner Lassen Medical Center | Susanville | $687.12 | $348.50 – $824.50 |
| Panorama Medical Center | PANORAMA CITY | $5,172.23 | not published |
| Petaluma Valley Hospital | Petaluma | $5,410.08 | not published |
| Arroyo Grande Hospital | Santa Maria | $2,103.20 | $61.18 – $260.68 |
| French Hospital | San Luis Obispo | $1,926.29 | $50.54 – $260.68 |