X-ray mandible ltd <4 views 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

$77.60

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.

$485.00

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.

$44.28 with GOLD COAST MCAL - ALL PLANS vs $436.50 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 →

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
GOLD COAST MCAL - ALL PLANS GOLD COAST MCAL - ALL PLANS $44.28 ↓ -43%
EHN - ALL PLANS EHN - ALL PLANS $50.00 ↓ -36%
BLUE SHIELD MCARE BLUE SHIELD MCARE $111.93 ↑ +44%
MEDICARE 1/1/21 MEDICARE 1/1/21 $111.93 ↑ +44%
UHC MCR ADV UHC MCR ADV $111.93 ↑ +44%
FACEY MEDICAL MDCARE FACEY MEDICAL MDCARE $111.93 ↑ +44%
TRICARE BLUE SHIELD - ALL PLANS TRICARE BLUE SHIELD - ALL PLANS $111.93 ↑ +44%
BC EXCHANGE BC EXCHANGE $120.79 ↑ +56%
UHC JLL UHC JLL $124.70 ↑ +61%
UHC HMO UHC HMO $124.70 ↑ +61%
BC NON MCS BC NON MCS $134.22 ↑ +73%
FACEY MEDICAL HMO/POS - ALL OTHER PLANS FACEY MEDICAL HMO/POS - ALL OTHER PLANS $134.31 ↑ +73%
BC MCS - ALL OTHER PLANS BC MCS - ALL OTHER PLANS $161.06 ↑ +108%
VCHCP - ALL PLANS VCHCP - ALL PLANS $194.00 ↑ +150%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $201.32 ↑ +159%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $201.47 ↑ +160%
HPN SENIOR HMO HPN SENIOR HMO $202.25 ↑ +161%
WESTERN GROWERS - ALL PLANS WESTERN GROWERS - ALL PLANS $203.70 ↑ +163%
BLUE SHIELD - ALL OTHER PLANS BLUE SHIELD - ALL OTHER PLANS $222.62 ↑ +187%
KAISER - ALL PLANS KAISER - ALL PLANS $242.50 ↑ +213%
HPN - ALL OTHER PLANS HPN - ALL OTHER PLANS $243.47 ↑ +214%
CENTIVO - ALL PLANS CENTIVO - ALL PLANS $251.84 ↑ +225%
AETNA - ALL PLANS AETNA - ALL PLANS $266.75 ↑ +244%
SCAN MCR ADV - ALL PLANS SCAN MCR ADV - ALL PLANS $291.00 ↑ +275%
CIGNA ALL OTHER - ALL OTHER PLANS CIGNA ALL OTHER - ALL OTHER PLANS $292.79 ↑ +277%
CIGNA HMO CIGNA HMO $292.79 ↑ +277%
FIRST HEALTH - ALL PLANS FIRST HEALTH - ALL PLANS $315.25 ↑ +306%
PHCS PPO - ALL PLANS PHCS PPO - ALL PLANS $315.25 ↑ +306%
BEECH STREET PPO - ALL PLANS BEECH STREET PPO - ALL PLANS $363.75 ↑ +369%
CHOICECARE PPO - ALL PLANS CHOICECARE PPO - ALL PLANS $363.75 ↑ +369%
HEALTH NET - ALL PLANS HEALTH NET - ALL PLANS $365.64 ↑ +371%
INTERPLAN PPO - ALL PLANS INTERPLAN PPO - ALL PLANS $388.00 ↑ +400%
CORVEL CORP - ALL PLANS CORVEL CORP - ALL PLANS $388.00 ↑ +400%
MULTIPLAN PPO - ALL PLANS MULTIPLAN PPO - ALL PLANS $402.55 ↑ +419%
AHF - ALL PLANS AHF - ALL PLANS $412.25 ↑ +431%
HMN PPO/EPO - ALL PLANS HMN PPO/EPO - ALL PLANS $412.25 ↑ +431%
TRPN PPO - ALL PLANS TRPN PPO - ALL PLANS $412.25 ↑ +431%
FPN PPO - ALL PLANS FPN PPO - ALL PLANS $436.50 ↑ +463%

Visitor-reported prices

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X-ray mandible ltd <4 views at other California hospitals

Hospital City Cash price Negotiated range
Fresno Medical Center FRESNO $604.80 $118.00 – $118.00
St. John's Camarillo Hospital Camarillo $389.82 $54.46 – $694.20
Antioch Medical Center ANTIOCH $604.80 $118.00 – $118.00
Redwood City Medical Center Redwood City $604.80 $118.00 – $118.00
Santa Clara Medical Center SANTA CLARA $604.80 $118.00 – $118.00
Baldwin Park Medical Center BALDWIN PARK $327.60 $81.00 – $81.00
Riverside Medical Center RIVERSIDE $327.60 $81.00 – $81.00
Fremont Medical Center FREMONT $604.80 $118.00 – $118.00

All California hospitals for this procedure →