Revasc intravasc lithotripsy 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

$4,938.56

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.

$30,866.00

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.

$3,500.00 with SCAN MCR ADV - ALL PLANS vs $33,407.55 with CENTIVO - 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
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $3,500.00 ↓ -29%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $4,270.00 ↓ -14%
EHN - ALL PLANS EHN - ALL PLANS $6,000.00 ↑ +21%
HPN SENIOR HMO HPN SENIOR HMO $6,863.00 ↑ +39%
BC EXCHANGE BC EXCHANGE $7,457.00 ↑ +51%
AETNA - ALL PLANS AETNA - ALL PLANS $8,050.00 ↑ +63%
BC NON MCS BC NON MCS $8,347.00 ↑ +69%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $8,591.00 ↑ +74%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $8,884.00 ↑ +80%
BC MCS - ALL OTHER PLANS BC MCS - ALL OTHER PLANS $10,017.00 ↑ +103%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $10,252.00 ↑ +108%
CIGNA HMO CIGNA HMO $11,724.00 ↑ +137%
VCHCP - ALL PLANS VCHCP - ALL PLANS $12,346.40 ↑ +150%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $12,896.00 ↑ +161%
UHC MCR ADV UHC MCR ADV $14,847.80 ↑ +201%
BLUE SHIELD MCARE BLUE SHIELD MCARE $14,847.80 ↑ +201%
MEDICARE 1/1/21 MEDICARE 1/1/21 $14,847.80 ↑ +201%
FACEY MEDICAL MDCARE FACEY MEDICAL MDCARE $14,847.80 ↑ +201%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $14,847.80 ↑ +201%
KAISER - ALL PLANS KAISER - ALL PLANS $15,433.00 ↑ +213%
UHC HMO UHC HMO $15,675.00 ↑ +217%
UHC JLL UHC JLL $17,567.00 ↑ +256%
FACEY MEDICAL HMO/POS - ALL OTHER PLANS FACEY MEDICAL HMO/POS - ALL OTHER PLANS $17,817.36 ↑ +261%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $18,492.00 ↑ +274%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $20,062.90 ↑ +306%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $20,062.90 ↑ +306%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $23,149.50 ↑ +369%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $23,149.50 ↑ +369%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $24,692.80 ↑ +400%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $24,692.80 ↑ +400%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $25,618.78 ↑ +419%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $26,236.10 ↑ +431%
AHF - ALL PLANS AHF - ALL PLANS $26,236.10 ↑ +431%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $26,236.10 ↑ +431%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $26,726.04 ↑ +441%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $27,779.40 ↑ +463%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $33,407.55 ↑ +576%

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Revasc intravasc lithotripsy at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $13,820.80 not published
St. John's Camarillo Hospital Camarillo $8,787.60 $5,146.20 – $26,644.42
Antioch Medical Center ANTIOCH $13,820.80 not published
Redwood City Medical Center Redwood City $13,820.80 not published
Santa Clara Medical Center SANTA CLARA $13,820.80 not published
Baldwin Park Medical Center BALDWIN PARK $6,099.60 not published
Riverside Medical Center RIVERSIDE $6,099.60 not published
Fremont Medical Center FREMONT $13,820.80 not published

All California hospitals for this procedure →