CMS Price Transparency Data

X-ray, hip

Facility: Adventist Health Simi Valley

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $125
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Adventist Health Simi Valley is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.41x the Medicare baseline. Located in 2975 N Sycamore Dr, Simi Valley, CA.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $90 (101%)
Insurance Median: $125 (141%)
Cash: $90 (101% of Medicare)
Ins. Median: $125 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Vchcp - All Plans $19 - $433 21%
Hpn Senior Hmo $20 - $451 22%
UnitedHealthcare $20 - $449 22%
Western Growers - All Plans $20 - $454 22%
Blue Shield - All Other Plans $22 - $497 25%
Hpn - All Other Plans $24 - $543 27%
Kaiser - All Plans $24 - $541 27%
Aetna $26 - $595 29%
Scan Mcr Adv - All Plans $28 - $649 31%
First Health - All Plans $31 - $703 35%
Phcs Ppo - All Plans $31 - $703 35%
Beech Street Ppo - All Plans $35 - $812 39%
Choicecare Ppo - All Plans $35 - $812 39%
Health Net - All Plans $35 - $816 39%
Corvel Corp - All Plans $38 - $866 43%
Interplan Ppo - All Plans $38 - $866 43%
Multiplan Ppo - All Plans $39 - $898 44%
Ahf - All Plans $40 - $920 45%
Hmn Ppo/Epo - All Plans $40 - $920 45%
Trpn Ppo - All Plans $40 - $920 45%
Fpn Ppo - All Plans $42 - $974 47%
Gold Coast Mcal - All Plans $47 - $66 53%
Ehn - All Plans $50 56%
Blue Shield Mcare $112 126%
Facey Medical Mdcare $112 126%
Medicare (plans) $112 126%
Tricare $112 126%
Facey Medical Hmo/Pos - All Other Plans $134 151%
Ah Employee Health Plan - All Plans $201 226%
Centivo - All Plans $252 283%
Bc Exchange $282 317%
Cigna $293 330%
Bc Non Mcs $313 352%
Bc Mcs - All Other Plans $376 423%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals