Ot re-evaluation patient/family at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$201.60
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.
$1,260.00
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.
$75.81 with MEDICARE 1/1/21 vs $536.00 with BC MCS - 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 |
|---|---|---|---|
| MEDICARE 1/1/21 | MEDICARE 1/1/21 | $75.81 | ↓ -62% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $75.81 | ↓ -62% |
| FACEY MEDICAL MDCARE | FACEY MEDICAL MDCARE | $75.81 | ↓ -62% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $75.81 | ↓ -62% |
| UHC MCR ADV | UHC MCR ADV | $75.81 | ↓ -62% |
| FACEY MEDICAL HMO/POS - ALL OTHER PLANS | FACEY MEDICAL HMO/POS - ALL OTHER PLANS | $90.97 | ↓ -55% |
| EHN - ALL PLANS | EHN - ALL PLANS | $125.00 | ↓ -38% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $136.46 | ↓ -32% |
| GOLD COAST MCAL - ALL PLANS | GOLD COAST MCAL - ALL PLANS | $154.06 | ↓ -24% |
| UHC HMO | UHC HMO | $169.00 | ↓ -16% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $170.57 | ↓ -15% |
| UHC JLL | UHC JLL | $193.00 | ↓ -4% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $203.00 | ↑ +1% |
| HPN SENIOR HMO | HPN SENIOR HMO | $204.00 | ↑ +1% |
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $215.20 | ↑ +7% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $254.00 | ↑ +26% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $269.00 | ↑ +33% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $295.90 | ↑ +47% |
| CIGNA HMO | CIGNA HMO | $319.57 | ↑ +59% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $319.57 | ↑ +59% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $322.80 | ↑ +60% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $342.00 | ↑ +70% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $349.70 | ↑ +73% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $349.70 | ↑ +73% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $357.00 | ↑ +77% |
| BC EXCHANGE | BC EXCHANGE | $399.00 | ↑ +98% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $403.50 | ↑ +100% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $403.50 | ↑ +100% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $416.30 | ↑ +106% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $430.40 | ↑ +113% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $430.40 | ↑ +113% |
| BC NON MCS | BC NON MCS | $446.00 | ↑ +121% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $446.54 | ↑ +121% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $457.30 | ↑ +127% |
| AHF - ALL PLANS | AHF - ALL PLANS | $457.30 | ↑ +127% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $457.30 | ↑ +127% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $484.20 | ↑ +140% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $536.00 | ↑ +166% |
Visitor-reported prices
Comments
Ot re-evaluation patient/family at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $319.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $153.74 | $90.45 – $389.00 |
| Antioch Medical Center | ANTIOCH | $319.20 | not published |
| Redwood City Medical Center | Redwood City | $319.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $319.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $212.16 | not published |
| Riverside Medical Center | RIVERSIDE | $212.16 | not published |
| Fremont Medical Center | FREMONT | $319.20 | not published |