Unlisted surgical path px at SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
$100.48
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.
$628.00
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.
$67.02 with MEDICARE 1/1/21 vs $565.20 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 →
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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 | $67.02 | ↓ -33% |
| BLUE SHIELD MCARE | BLUE SHIELD MCARE | $67.02 | ↓ -33% |
| FACEY MEDICAL MDCARE | FACEY MEDICAL MDCARE | $67.02 | ↓ -33% |
| UHC MCR ADV | UHC MCR ADV | $67.02 | ↓ -33% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $67.02 | ↓ -33% |
| UHC HMO | UHC HMO | $71.23 | ↓ -29% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $71.23 | ↓ -29% |
| UHC JLL | UHC JLL | $71.23 | ↓ -29% |
| FACEY MEDICAL HMO/POS - ALL OTHER PLANS | FACEY MEDICAL HMO/POS - ALL OTHER PLANS | $80.43 | ↓ -20% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $120.64 | ↑ +20% |
| CENTIVO - ALL PLANS | CENTIVO - ALL PLANS | $150.80 | ↑ +50% |
| CIGNA ALL OTHER - ALL OTHER PLANS | CIGNA ALL OTHER - ALL OTHER PLANS | $180.59 | ↑ +80% |
| CIGNA HMO | CIGNA HMO | $180.59 | ↑ +80% |
| EHN - ALL PLANS | EHN - ALL PLANS | $188.40 | ↑ +88% |
| VCHCP - ALL PLANS | VCHCP - ALL PLANS | $251.20 | ↑ +150% |
| HPN SENIOR HMO | HPN SENIOR HMO | $261.88 | ↑ +161% |
| BC EXCHANGE | BC EXCHANGE | $271.23 | ↑ +170% |
| BLUE SHIELD - ALL OTHER PLANS | BLUE SHIELD - ALL OTHER PLANS | $288.25 | ↑ +187% |
| BC MCS - ALL OTHER PLANS | BC MCS - ALL OTHER PLANS | $301.38 | ↑ +200% |
| BC NON MCS | BC NON MCS | $301.38 | ↑ +200% |
| KAISER - ALL PLANS | KAISER - ALL PLANS | $314.00 | ↑ +213% |
| HPN - ALL OTHER PLANS | HPN - ALL OTHER PLANS | $315.26 | ↑ +214% |
| WESTERN GROWERS - ALL PLANS | WESTERN GROWERS - ALL PLANS | $326.56 | ↑ +225% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $345.40 | ↑ +244% |
| SCAN MCR ADV - ALL PLANS | SCAN MCR ADV - ALL PLANS | $376.80 | ↑ +275% |
| FIRST HEALTH - ALL PLANS | FIRST HEALTH - ALL PLANS | $408.20 | ↑ +306% |
| PHCS PPO - ALL PLANS | PHCS PPO - ALL PLANS | $408.20 | ↑ +306% |
| BEECH STREET PPO - ALL PLANS | BEECH STREET PPO - ALL PLANS | $471.00 | ↑ +369% |
| CHOICECARE PPO - ALL PLANS | CHOICECARE PPO - ALL PLANS | $471.00 | ↑ +369% |
| HEALTH NET - ALL PLANS | HEALTH NET - ALL PLANS | $473.45 | ↑ +371% |
| INTERPLAN PPO - ALL PLANS | INTERPLAN PPO - ALL PLANS | $502.40 | ↑ +400% |
| CORVEL CORP - ALL PLANS | CORVEL CORP - ALL PLANS | $502.40 | ↑ +400% |
| MULTIPLAN PPO - ALL PLANS | MULTIPLAN PPO - ALL PLANS | $521.24 | ↑ +419% |
| HMN PPO/EPO - ALL PLANS | HMN PPO/EPO - ALL PLANS | $533.80 | ↑ +431% |
| TRPN PPO - ALL PLANS | TRPN PPO - ALL PLANS | $533.80 | ↑ +431% |
| AHF - ALL PLANS | AHF - ALL PLANS | $533.80 | ↑ +431% |
| FPN PPO - ALL PLANS | FPN PPO - ALL PLANS | $565.20 | ↑ +463% |
Visitor-reported prices
Comments
Unlisted surgical path px at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood City Medical Center | Redwood City | $250.88 | not published |
| Santa Clara Medical Center | SANTA CLARA | $250.88 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $224.12 | not published |
| Riverside Medical Center | RIVERSIDE | $224.12 | not published |
| Sacramento Medical Center | SACRAMENTO | $250.88 | not published |
| Oakland Medical Center | Oakland | $250.88 | not published |
| Walnut Creek Medical Center | WALNUT CREEK | $250.88 | not published |
| Mercy Hospitals – Bakersfield | Bakersfield | $150.26 | $51.80 – $263.25 |