Levothyroxine 100 mcg intravenous powder for solution 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

$122.14

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.

$763.35

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.

$16.29 with UHC HMO vs $938.92 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 →

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
UHC HMO UHC HMO $16.29 ↓ -87%
UHC JLL UHC JLL $16.29 ↓ -87%
BC EXCHANGE BC EXCHANGE $27.31 ↓ -78%
EHN - ALL PLANS EHN - ALL PLANS $229.01 ↑ +87%
VCHCP - ALL PLANS VCHCP - ALL PLANS $305.34 ↑ +150%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $316.87 ↑ +159%
HPN SENIOR HMO HPN SENIOR HMO $318.32 ↑ +161%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $350.38 ↑ +187%
BC MCS - ALL OTHER PLANS BC MCS - ALL OTHER PLANS $366.33 ↑ +200%
BC NON MCS BC NON MCS $366.33 ↑ +200%
KAISER - ALL PLANS KAISER - ALL PLANS $381.68 ↑ +212%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $383.20 ↑ +214%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $435.11 ↑ +256%
CIGNA HMO CIGNA HMO $453.43 ↑ +271%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $453.43 ↑ +271%
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $458.01 ↑ +275%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $496.18 ↑ +306%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $496.18 ↑ +306%
AETNA - ALL PLANS AETNA - ALL PLANS $525.95 ↑ +331%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $572.51 ↑ +369%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $572.51 ↑ +369%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $575.49 ↑ +371%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $610.68 ↑ +400%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $610.68 ↑ +400%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $633.58 ↑ +419%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $648.85 ↑ +431%
AHF - ALL PLANS AHF - ALL PLANS $648.85 ↑ +431%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $648.85 ↑ +431%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $687.02 ↑ +462%
GOLD COAST MCAL - ALL PLANS GOLD COAST MCAL - ALL PLANS $938.92 ↑ +669%

Visitor-reported prices

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Levothyroxine 100 mcg intravenous powder for solution at other California hospitals

Hospital City Cash price Negotiated range
Queen of The Valley Medical Center Napa $248.30 $14.52 – $15.61
Providence St Joseph Hospital Eureka Eureka $248.30 $15.40 – $18.15
Redwood Memorial Hospital Fortuna $225.92 $15.40 – $18.20
Santa Rosa Memorial Hospital Santa Rosa $1,582.49 $14.52 – $15.61
Providence Mission Hospital - Mission Viejo Mission Viejo $258.92 $10.41 – $18.61
Providence Cedars-Sinai Tarzana Medical Center Tarzana $586.16 $9.71 – $39.19
Providence Saint Joseph Medical Center Burbank $240.73 $9.71 – $39.27
St Jude Medical Center Fullerton $258.92 $10.34 – $18.84

All California hospitals for this procedure →