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 |
|---|---|---|---|---|
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $7.95 | $49.69 | $0.05 – $58.90 | 3 |
| G6pd full gene sequence CPT 81249 | $144.00 | $900.00 | $600.00 – $4,839.38 | 16 |
| G6pd gene alys cmn variant CPT 81247 | $27.97 | $174.81 | $174.81 – $1,409.93 | 16 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $122.24 | $764.00 | $58.16 – $939.72 | 6 |
| Gabapentin non-blood CPT 80355 | $2.56 | $16.00 | $12.58 – $136.87 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.08 | $13.00 | $0.76 – $15.99 | 6 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $121.12 | $757.00 | $3.98 – $931.11 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.20 | $1.27 | $0.28 – $1.63 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $11.36 | $71.00 | $33.60 – $87.33 | 6 |
| Galectin-3 CPT 82777 | $7.08 | $44.25 | $44.25 – $116.19 | 16 |
| Gammaglobulin iga CPT 82784 | $30.40 | $190.00 | $6.08 – $83.62 | 16 |
| Gammaglobulin ige CPT 82785 | $46.72 | $292.00 | $8.03 – $177.69 | 16 |
| Gamma glutamyltransferase CPT 82977 | $32.32 | $202.00 | $6.40 – $78.02 | 16 |
| Gastric emptying imag study CPT 78265 | $326.72 | $2,042.00 | $514.17 – $3,663.15 | 18 |
| Gastroesophageal reflux study CPT 78262 | $269.92 | $1,687.00 | $190.79 – $1,647.04 | 18 |
| Gastroesophageal reflux test CPT 91034 | $499.52 | $3,122.00 | $136.93 – $2,033.32 | 13 |
| Gastro/jejuno tube, std HCPCS B4087 | $165.12 | $1,032.00 | $1,269.36 – $1,269.36 | 1 |
| Gated heart multiple CPT 78473 | $668.32 | $4,177.00 | $442.52 – $2,479.01 | 18 |
| General health panel CPT 80050 | $126.40 | $790.00 | $68.09 – $477.24 | 8 |
| Genetic tstg severe inh cond CPT 81443 | $272.40 | $1,702.50 | $2,094.08 – $16,423.53 | 14 |
| Genome sequence analysis CPT 81425 | $496.00 | $3,100.00 | $5,031.20 – $23,234.98 | 13 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $8.95 | $55.96 | $5.91 – $36.88 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $64.00 | $400.00 | $14.56 – $160.19 | 16 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $1.25 | $7.84 | $7.84 – $82.89 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $21.12 | $132.00 | $17.11 – $173.41 | 16 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $16.36 | $102.26 | $102.26 – $1,062.97 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $2.72 | $17.00 | $10.41 – $154.81 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $608.48 | $3,803.00 | $132.98 – $372.36 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | $93.60 | $585.00 | $4.82 – $48.67 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,807.68 | $17,548.00 | $106.40 – $10,870.00 | 11 |
| Ghs chemo >8 hrs CPT 96416 | $246.24 | $1,539.00 | $81.49 – $955.86 | 17 |
| Ghs chemo IV push, ea addtl CPT 96411 | $105.28 | $658.00 | $31.69 – $788.00 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $4.99 | $31.19 | $31.19 – $366.43 | 16 |
| Ghs community re-entry 15 minutes CPT 97537 | $22.72 | $142.00 | $35.24 – $536.00 | 20 |
| Ghs cutdown placement age 1 and over CPT 36425 | $82.08 | $513.00 | $73.73 – $1,292.76 | 9 |
| Ghs cutdown placement under 1 yr CPT 36420 | $26.24 | $164.00 | $51.75 – $385.02 | 9 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $518.56 | $3,241.00 | $361.85 – $10,870.00 | 11 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $632.48 | $3,953.00 | $277.71 – $2,800.98 | 16 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $17.76 | $111.00 | $5.32 – $68.00 | 16 |
| Ghs fish cytogen CPT 88271 | $17.08 | $106.75 | $18.76 – $1,830.70 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $29.73 | $185.81 | $48.00 – $2,824.52 | 17 |
| Ghs flow volume loop CPT 94375 | $104.32 | $652.00 | $40.97 – $624.85 | 16 |
| Ghs gastric intub aspiration lavage CPT 43753 | $111.20 | $695.00 | $30.51 – $624.85 | 9 |
| Ghs histoplasma antigen CPT 87385 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| Ghs HIV antibody CPT 86703 | $66.56 | $416.00 | $13.71 – $152.49 | 16 |
| Ghs inf midline insertion CPT 36140 | $75.04 | $469.00 | $77.42 – $10,870.00 | 11 |
| Ghs inhibitor screen CPT 85335 | $2.03 | $12.71 | $11.44 – $138.90 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $63.68 | $398.00 | $258.05 – $580.61 | 8 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $111.52 | $697.00 | $857.31 – $10,870.00 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $408.00 | $2,550.00 | $305.43 – $10,870.00 | 11 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $24.48 | $153.00 | $8.60 – $92.77 | 16 |
| Ghs low level laser therapy CPT 97039 | $44.00 | $275.00 | $125.00 – $536.00 | 12 |
| Ghs mbp CPT 83873 | $2.45 | $15.29 | $15.29 – $179.66 | 16 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $119.84 | $749.00 | $21.74 – $122.85 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $116.64 | $729.00 | $82.08 – $184.68 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $123.68 | $773.00 | $72.06 – $162.14 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $119.84 | $749.00 | $14.23 – $32.02 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $116.64 | $729.00 | $54.91 – $123.55 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $977.12 | $6,107.00 | $80.13 – $10,870.00 | 11 |
| Ghs nerve block brachial plexus CPT 64415 | $931.52 | $5,822.00 | $88.84 – $2,559.56 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $177.60 | $1,110.00 | $159.81 – $10,870.00 | 11 |
| Ghs opcc repair cvp without subq port CPT 36575 | $347.68 | $2,173.00 | $56.32 – $10,870.00 | 11 |
| Ghs opcc repair cvp w subq port CPT 36576 | $430.40 | $2,690.00 | $141.50 – $10,870.00 | 11 |
| Ghs ot prosthetic training/15 min CPT 97761 | $29.12 | $182.00 | $45.01 – $536.00 | 20 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $44.80 | $280.00 | $42.64 – $536.00 | 20 |
| Ghs pacing - transcutaneous CPT 92953 | $390.88 | $2,443.00 | $35.99 – $3,450.00 | 12 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $38.08 | $238.00 | $18.58 – $199.85 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $394.72 | $2,467.00 | $84.33 – $4,555.42 | 9 |
| Ghs plt ct-manual CPT 85032 | $32.16 | $201.00 | $4.31 – $46.49 | 16 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $27.52 | $172.00 | $8.59 – $104.39 | 16 |
| Ghs protein, misc fluid CPT 84160 | $4.08 | $25.50 | $5.61 – $55.79 | 16 |
| Ghs protoporphyrins fract CPT 84202 | $2.04 | $12.75 | $12.75 – $154.88 | 16 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $1.74 | $10.89 | $10.89 – $132.14 | 16 |
| Ghs refill of implantable pump CPT 95990 | $114.24 | $714.00 | $87.37 – $955.86 | 13 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $33.76 | $211.00 | $5.15 – $96.98 | 16 |
| Ghs sedimentation rate CPT 85651 | $37.12 | $232.00 | $4.18 – $38.29 | 16 |
| Ghs semen analysis fert CPT 89320 | $31.52 | $197.00 | $12.31 – $242.31 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $49.76 | $311.00 | $7.46 – $74.32 | 16 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $79.68 | $498.00 | $33.17 – $536.00 | 20 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $146.08 | $913.00 | $91.66 – $536.00 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $73.60 | $460.00 | $43.96 – $385.02 | 17 |
| Ghs st - re-eval for alt comm CPT 92597 | $151.36 | $946.00 | $77.39 – $536.00 | 20 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $22.72 | $142.00 | $23.87 – $983.00 | 14 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $87.04 | $544.00 | $244.20 – $983.00 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $2.09 | $13.08 | $13.08 – $158.73 | 16 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $469.76 | $2,936.00 | $316.00 – $10,934.68 | 16 |
| Giardia lamblia antibody CPT 86674 | $10.08 | $63.00 | $14.72 – $156.92 | 16 |
| Gi inhouse confirmation CPT 87045 | $87.20 | $545.00 | $9.44 – $101.78 | 16 |
| Gjb2 gene full sequence CPT 81252 | $16.18 | $101.12 | $95.24 – $265.55 | 16 |
| Gjb6 gene com variants CPT 81254 | $5.60 | $35.00 | $35.00 – $91.91 | 16 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $178.08 | $1,112.98 | $135.00 – $429.72 | 12 |
| Glucagon plasma - sendout CPT 82943 | $2.03 | $12.70 | $12.70 – $130.91 | 16 |
| Glucose 1 hr post dose CPT 82950 | $51.52 | $322.00 | $4.19 – $51.22 | 16 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $31.68 | $198.00 | $2.77 – $8.61 | 13 |
| Glucose blood quantitative CPT 82947 | $52.48 | $328.00 | $3.30 – $42.43 | 16 |
| Glucose body fluid CPT 82945 | $15.84 | $99.00 | $3.29 – $42.28 | 16 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $100.16 | $626.00 | $11.27 – $138.90 | 16 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $12.96 | $81.00 | $3.46 – $42.35 | 16 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $32.49 | $203.09 | $1.04 – $112.61 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $52.48 | $328.00 | $16.41 – $200.51 | 16 |
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.