In-111 pentetate dtpa / 0.5 mci 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

$467.84

Cash price

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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.

$2,924.00

Gross charge

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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.

$651.48 with BC EXCHANGE vs $2,631.60 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 →

Payer
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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
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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
BC EXCHANGE BC EXCHANGE $651.48 ↑ +39%
BC NON MCS BC NON MCS $723.86 ↑ +55%
UHC MCR ADV UHC MCR ADV $745.62 ↑ +59%
BLUE SHIELD MCARE BLUE SHIELD MCARE $745.62 ↑ +59%
FACEY MEDICAL MDCARE FACEY MEDICAL MDCARE $745.62 ↑ +59%
MEDICARE 1/1/21 MEDICARE 1/1/21 $745.62 ↑ +59%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $745.62 ↑ +59%
BC MCS - ALL OTHER PLANS BC MCS - ALL OTHER PLANS $868.68 ↑ +86%
EHN - ALL PLANS EHN - ALL PLANS $877.20 ↑ +88%
FACEY MEDICAL HMO/POS - ALL OTHER PLANS FACEY MEDICAL HMO/POS - ALL OTHER PLANS $894.74 ↑ +91%
GOLD COAST MCAL - ALL PLANS GOLD COAST MCAL - ALL PLANS $960.47 ↑ +105%
VCHCP - ALL PLANS VCHCP - ALL PLANS $1,169.60 ↑ +150%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $1,213.75 ↑ +159%
HPN SENIOR HMO HPN SENIOR HMO $1,219.31 ↑ +161%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $1,342.12 ↑ +187%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $1,342.12 ↑ +187%
KAISER - ALL PLANS KAISER - ALL PLANS $1,462.00 ↑ +213%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $1,467.85 ↑ +214%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $1,520.48 ↑ +225%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $1,677.65 ↑ +259%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $1,736.86 ↑ +271%
CIGNA HMO CIGNA HMO $1,736.86 ↑ +271%
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $1,754.40 ↑ +275%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $1,900.60 ↑ +306%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $1,900.60 ↑ +306%
UHC HMO UHC HMO $2,029.95 ↑ +334%
UHC JLL UHC JLL $2,029.95 ↑ +334%
AETNA - ALL PLANS AETNA - ALL PLANS $2,040.95 ↑ +336%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $2,193.00 ↑ +369%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $2,193.00 ↑ +369%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $2,204.40 ↑ +371%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $2,339.20 ↑ +400%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $2,339.20 ↑ +400%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $2,426.92 ↑ +419%
AHF - ALL PLANS AHF - ALL PLANS $2,485.40 ↑ +431%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $2,485.40 ↑ +431%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $2,485.40 ↑ +431%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $2,631.60 ↑ +463%

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In-111 pentetate dtpa / 0.5 mci at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $4,666.65 $232.00 – $232.00
St. John's Camarillo Hospital Camarillo $1,712.15 $312.91 – $3,049.02
Antioch Medical Center ANTIOCH $4,666.65 $232.00 – $232.00
Redwood City Medical Center Redwood City $4,666.65 $232.00 – $232.00
Santa Clara Medical Center SANTA CLARA $4,666.65 $232.00 – $232.00
Baldwin Park Medical Center BALDWIN PARK $4,333.32 $207.00 – $207.00
Riverside Medical Center RIVERSIDE $4,333.32 $207.00 – $207.00
Fremont Medical Center FREMONT $4,666.65 $232.00 – $232.00

All California hospitals for this procedure →