SIMI VALLEY HOSPITAL AND HEALTH CARE SERVICES
2975 Sycamore Dr, Simi Valley, CA · Adventisthealth · · NPI 1063495190
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $4.16 | $26.02 | $26.02 – $315.80 | 16 |
| 17-hydroxypregnenolone CPT 84143 | $3.24 | $20.28 | $20.28 – $246.27 | 16 |
| 17-ketosteroids CPT 83586 | $4.76 | $29.73 | $12.80 – $138.17 | 16 |
| 2nd order venous cath CPT 36012 | $323.68 | $2,023.00 | $139.67 – $10,870.00 | 11 |
| 3d ech img cgen car anomal CPT 93319 | $192.80 | $1,205.00 | $21.21 – $3,450.00 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $285.28 | $1,783.00 | $28.60 – $2,193.09 | 14 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $21.43 | $133.91 | $4.04 – $164.71 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $1.59 | $9.91 | $9.91 – $120.30 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $29.76 | $186.00 | $25.98 – $134.37 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $1.71 | $10.67 | $10.67 – $133.67 | 16 |
| Abd aorta w/runoff s&i CPT 75630 | $1,848.64 | $11,554.00 | $265.62 – $11,749.25 | 16 |
| Abd/low ext cath 1st CPT 36245 | $690.56 | $4,316.00 | $205.42 – $10,870.00 | 11 |
| Abd/low ext cath 2nd CPT 36246 | $2,016.00 | $12,600.00 | $216.99 – $10,870.00 | 11 |
| Abd/low ext cath 3rd CPT 36247 | $802.24 | $5,014.00 | $257.19 – $10,870.00 | 11 |
| Abd/low ext cath addl CPT 36248 | $363.04 | $2,269.00 | $41.67 – $10,870.00 | 11 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $935.52 | $5,847.00 | $225.60 – $1,803.37 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $830.72 | $5,192.00 | $225.60 – $1,456.70 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $642.88 | $4,018.00 | $134.46 – $1,207.94 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,633.12 | $10,207.00 | $448.71 – $4,651.38 | 16 |
| Abdominal MRI (with contrast) CPT 74182 | $1,076.32 | $6,727.00 | $448.71 – $2,513.90 | 16 |
| Abdominal MRI (without contrast) CPT 74181 | $895.68 | $5,598.00 | $306.88 – $2,058.62 | 16 |
| Abdominal paracentesis w/image guidance CPT 49083 | $356.48 | $2,228.00 | $110.52 – $10,870.00 | 11 |
| Abdominal Ultrasound (complete) CPT 76700 | $422.56 | $2,641.00 | $100.00 – $610.09 | 17 |
| Abdominal Ultrasound (limited) CPT 76705 | $301.28 | $1,883.00 | $100.00 – $539.49 | 17 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $329.92 | $2,062.00 | $72.04 – $10,870.00 | 11 |
| Abl1 gene CPT 81170 | $118.58 | $741.13 | $300.00 – $3,612.74 | 16 |
| Ablate arrhythmia add on CPT 93655 | $3,973.44 | $24,834.00 | $257.05 – $10,870.00 | 11 |
| Ablate heart dysrhythm focus CPT 93650 | $3,987.04 | $24,919.00 | $1,262.74 – $22,571.33 | 11 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $165.92 | $1,037.00 | $165.50 – $10,870.00 | 10 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,328.96 | $52,056.00 | $512.89 – $30,761.33 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $236.16 | $1,476.00 | $394.79 – $888.28 | 8 |
| Abscess drain retroperitoneal surg code CPT 49406 | $578.08 | $3,613.00 | $226.68 – $10,870.00 | 11 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $193.60 | $1,210.00 | $106.53 – $239.69 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $16.16 | $100.98 | $0.17 – $124.21 | 6 |
| Acetaminophen level CPT 80143 | $32.00 | $200.00 | $18.34 – $71.19 | 14 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $60.99 | $381.17 | $69.66 – $468.84 | 6 |
| Acetone qualitative CPT 82009 | $28.32 | $177.00 | $4.52 – $48.82 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1.38 | $8.60 | $8.60 – $27.46 | 12 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $117.73 | $735.80 | $1.01 – $905.03 | 6 |
| Acute hepatitis panel CPT 80074 | $148.00 | $925.00 | $41.79 – $436.39 | 16 |
| Acyclovir 400 mg tablet HCPCS J8499 | $51.36 | $321.02 | $109.17 – $109.17 | 1 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $36.00 | $225.00 | $0.33 – $169.92 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $12.05 | $75.33 | $1.44 – $92.66 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $12.64 | $79.00 | $12.87 – $138.90 | 16 |
| Adh-sendout CPT 84588 | $48.80 | $305.00 | $33.94 – $367.67 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $8.00 | $50.00 | $0.34 – $2.95 | 6 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $142.08 | $888.00 | $37.92 – $788.00 | 17 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $117.60 | $735.00 | $50.44 – $788.00 | 17 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $228.80 | $1,430.00 | $50.44 – $955.86 | 17 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $123.84 | $774.00 | $31.69 – $955.86 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $161.28 | $1,008.00 | $18.81 – $788.00 | 16 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $161.28 | $1,008.00 | $18.81 – $788.00 | 16 |
| Administration immunization 1 vaccine CPT 90471 | $23.36 | $146.00 | $7.87 – $208.36 | 13 |
| Administration immunization each additional vaccine CPT 90472 | $17.76 | $111.00 | $10.00 – $40.48 | 13 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $16.16 | $101.00 | $10.00 – $208.36 | 13 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $16.16 | $101.00 | $10.00 – $124.23 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $91.04 | $569.00 | $16.24 – $216.20 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $16.41 | $102.54 | $102.54 – $1,099.44 | 16 |
| Albumin body fluid quantitative each specimen CPT 82042 | $25.12 | $157.00 | $4.99 – $55.79 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $191.83 | $1,198.91 | $53.08 – $279.23 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $94.40 | $590.00 | $53.08 – $287.27 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $16.32 | $102.00 | $5.08 – $62.48 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $30.24 | $189.00 | $4.02 – $53.47 | 16 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $2.84 | $17.77 | $17.00 – $66.04 | 14 |
| Alkaline phosphatase CPT 84075 | $28.48 | $178.00 | $4.13 – $55.79 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $6.44 | $40.25 | $5.00 – $178.49 | 16 |
| Allergen egg white ige CPT 86003 | $27.04 | $169.00 | $4.65 – $170.58 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $1.28 | $7.97 | $7.97 – $174.79 | 16 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $3,988.96 | $24,931.00 | $150.42 – $3,504.27 | 11 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $2,041.28 | $12,758.00 | $150.42 – $338.45 | 8 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $9.16 | $57.26 | $57.26 – $679.90 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | $1.92 | $12.03 | $12.03 – $181.04 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $47.36 | $296.00 | $12.03 – $181.04 | 16 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $197.32 | $1,233.23 | $80.92 – $255.45 | 14 |
| Alt/sgpt CPT 84460 | $40.00 | $250.00 | $4.58 – $56.45 | 16 |
| Aluminum - quest CPT 82108 | $3.16 | $19.72 | $19.72 – $274.97 | 16 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $151.36 | $946.00 | $114.20 – $589.24 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $40.96 | $256.00 | $89.79 – $186.48 | 4 |
| Amino acids quant 2-5 CPT 82136 | $2.51 | $15.69 | $15.69 – $181.18 | 16 |
| Aminolevulinic acid delta CPT 82135 | $2.34 | $14.63 | $14.63 – $177.62 | 16 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $52.27 | $326.67 | $6.88 – $384.02 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $10.56 | $66.03 | $1.12 – $94.71 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | $5.56 | $34.77 | $12.03 – $185.25 | 4 |
| Ammonia CPT 82140 | $90.08 | $563.00 | $12.95 – $157.28 | 16 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $180.64 | $1,129.00 | $70.43 – $2,665.40 | 9 |
| Amphetamine confirm urine -sendout CPT 80324 | $36.64 | $229.00 | $10.57 – $160.91 | 4 |
| Amphetamines 5 or more CPT 80326 | $42.88 | $268.00 | $8.08 – $193.02 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $200.54 | $1,253.37 | $22.81 – $108.34 | 14 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $20.10 | $125.65 | $1.60 – $99.30 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $12.47 | $77.94 | $3.61 – $67.05 | 6 |
| Amylase CPT 82150 | $68.80 | $430.00 | $5.73 – $70.03 | 16 |
| Anabolic steroid 1 or 2 CPT 80327 | $22.88 | $143.00 | $175.89 – $267.20 | 4 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $9.92 | $62.00 | $76.26 – $209.51 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $6.06 | $37.90 | $46.62 – $341.44 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $6.08 | $37.99 | $46.73 – $434.79 | 16 |
| Analysis tumor CPT 88358 | $67.36 | $421.00 | $117.82 – $493.03 | 17 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $4.82 | $30.15 | $35.09 – $179.31 | 12 |
| Anastrozole 1 mg HCPCS S0170 | $5.60 | $35.00 | $43.05 – $59.20 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $42.88 | $268.00 | $13.38 – $162.44 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | $896.80 | $5,605.00 | $419.47 – $10,361.23 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.