Tacrolimus 1 mg capsule, immediate-release at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$2.75
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.
$17.21
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.
$0.54 with UHC JLL vs $13.18 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 |
|---|---|---|---|
| UHC JLL | UHC JLL | $0.54 | ↓ -80% |
| UHC HMO | UHC HMO | $0.54 | ↓ -80% |
| EHN - ALL PLANS | EHN - ALL PLANS | $3.10 | ↑ +13% |
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $4.14 | ↑ +51% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $4.29 | ↑ +56% |
| HPN SENIOR HMO | HPN SENIOR HMO | $4.31 | ↑ +57% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $4.75 | ↑ +73% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $5.17 | ↑ +88% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $5.19 | ↑ +89% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $5.90 | ↑ +115% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $6.14 | ↑ +123% |
| CIGNA HMO | CIGNA HMO | $6.14 | ↑ +123% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $6.21 | ↑ +126% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $6.72 | ↑ +144% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $6.72 | ↑ +144% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $7.13 | ↑ +159% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $7.76 | ↑ +182% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $7.76 | ↑ +182% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $7.80 | ↑ +184% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $8.28 | ↑ +201% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $8.28 | ↑ +201% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $8.59 | ↑ +212% |
| AHF - ALL PLANS | AHF - ALL PLANS | $8.79 | ↑ +220% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $8.79 | ↑ +220% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $8.79 | ↑ +220% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $9.31 | ↑ +239% |
| BC EXCHANGE | BC EXCHANGE | $9.88 | ↑ +259% |
| BC NON MCS | BC NON MCS | $10.98 | ↑ +299% |
| GOLD COAST MCAL - ALL PLANS | GOLD COAST MCAL - ALL PLANS | $12.72 | ↑ +363% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $13.18 | ↑ +379% |
Visitor-reported prices
Comments
Tacrolimus 1 mg capsule, immediate-release at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $34.61 | $0.30 – $11.70 |
| Petaluma Valley Hospital | Petaluma | $5.61 | $0.39 – $5.09 |
| Arroyo Grande Hospital | Santa Maria | $20.55 | $0.30 – $5.88 |
| Mark Twain Medical Center | San Andreas | $12.08 | $4.70 – $17.77 |
| French Hospital | San Luis Obispo | $18.82 | $0.30 – $5.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $53.06 | $0.30 – $3.20 |
| Bakersfield Memorial Hospital | Bakersfield | $52.49 | $0.30 – $3.16 |
| Queen of The Valley Medical Center | Napa | $24.17 | $0.39 – $5.51 |