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 |
|---|---|---|---|---|
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $52.48 | $328.00 | $16.38 – $199.85 | 16 |
| Graft axiofill 1000mg HCPCS J3590 | $50.41 | $315.06 | $387.53 – $387.53 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $8,080.00 | $50,500.00 | $150.42 – $338.45 | 8 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $464.96 | $2,906.00 | $2,681.40 – $2,681.40 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $10,656.32 | $66,602.00 | $980.31 – $980.31 | 1 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,592.00 | $16,200.00 | $150.42 – $506.86 | 11 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $1,708.80 | $10,680.00 | $150.42 – $338.45 | 8 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $464.96 | $2,906.00 | $370.23 – $370.23 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $458.56 | $2,866.00 | $642.06 – $642.06 | 1 |
| Granisetron hcl injection HCPCS J1626 | $134.08 | $838.00 | $0.41 – $1,030.74 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | $520.64 | $3,254.00 | $146.46 – $7,992.40 | 16 |
| Guided cath fluid drainage 10030 CPT 10030 | $790.88 | $4,943.00 | $235.15 – $10,870.00 | 13 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $10,656.32 | $66,602.00 | $668.13 – $1,503.29 | 9 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,113.60 | $6,960.00 | $127.92 – $127.92 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $535.36 | $3,346.00 | $560.88 – $560.88 | 1 |
| Guid loc target vol rad tx CPT 77387 | $370.56 | $2,316.00 | $38.98 – $747.00 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $900.00 | $5,625.00 | $121.77 – $121.77 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $10.83 | $67.66 | $1.98 – $83.22 | 6 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $3,408.00 | $21,300.00 | $7,835.10 – $7,835.10 | 1 |
| Hand X-ray CPT 73130 | $245.12 | $1,532.00 | $37.00 – $292.79 | 16 |
| Haptoglobin quantitative CPT 83010 | $37.12 | $232.00 | $10.70 – $135.70 | 16 |
| Hba1/hba2 full gene sequence CPT 81259 | $74.80 | $467.50 | $467.50 – $4,839.38 | 16 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $25.91 | $161.92 | $161.92 – $1,632.52 | 16 |
| Hbb full gene sequence CPT 81364 | $144.00 | $900.00 | $324.58 – $2,617.98 | 16 |
| Hbb gene dup/del variants CPT 81363 | $25.91 | $161.92 | $161.92 – $1,632.52 | 16 |
| Hcg free betachain test CPT 84704 | $2.14 | $13.38 | $13.38 – $162.37 | 16 |
| Hcg qualitative CPT 84703 | $76.16 | $476.00 | $6.46 – $81.07 | 16 |
| Hcg quantitative CPT 84702 | $82.56 | $516.00 | $13.24 – $155.46 | 16 |
| Hc nm fusion spect CT unlisted CPT 78999 | $96.96 | $606.00 | $514.17 – $1,647.04 | 14 |
| Hc nm kidney imaging with flow CPT 78701 | $425.92 | $2,662.00 | $211.42 – $1,647.04 | 18 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $681.92 | $4,262.00 | $535.00 – $5,668.70 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $1,021.28 | $6,383.00 | $225.60 – $1,506.29 | 18 |
| Head CT scan (with contrast) CPT 70460 | $920.00 | $5,750.00 | $225.60 – $1,207.39 | 18 |
| Head CT scan (without contrast) CPT 70450 | $866.24 | $5,414.00 | $134.46 – $1,006.45 | 18 |
| Heinz bodies direct CPT 85441 | $9.08 | $56.75 | $4.20 – $45.26 | 16 |
| Heinz bodies induced CPT 85445 | $9.08 | $56.75 | $6.82 – $73.59 | 16 |
| Helicobacter pylori antibody igm CPT 86677 | $42.08 | $263.00 | $16.85 – $160.70 | 16 |
| Hematocrit CPT 85014 | $19.20 | $120.00 | $2.11 – $25.50 | 16 |
| Hemodialysis one evaluation CPT 90935 | $651.52 | $4,072.00 | $99.86 – $1,986.11 | 15 |
| Hemoglobin CPT 85018 | $24.00 | $150.00 | $2.07 – $25.50 | 16 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $22.08 | $138.00 | $8.20 – $79.04 | 16 |
| Hemoglobin plasma CPT 83051 | $20.64 | $129.00 | $6.50 – $78.82 | 16 |
| Hemoglobin urine CPT 83069 | $0.56 | $3.51 | $3.51 – $42.57 | 16 |
| Hemolysins/agglutinins auto CPT 86940 | $1.24 | $7.75 | $7.75 – $88.34 | 16 |
| Hemolysins and agglutinins incubated CPT 86941 | $14.24 | $89.00 | $10.12 – $130.69 | 16 |
| Heparin assay CPT 85520 | $68.96 | $431.00 | $11.47 – $120.01 | 16 |
| Heparin bolus from bag HCPCS J1644 | $19.78 | $123.65 | $0.50 – $37.26 | 6 |
| Heparin neutralization CPT 85525 | $5.60 | $35.00 | $10.10 – $92.70 | 16 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $8.00 | $50.00 | $0.05 – $61.50 | 6 |
| Hepatitis a antibody igm CPT 86709 | $34.40 | $215.00 | $9.91 – $117.47 | 16 |
| Hepatitis b core antibody igm CPT 86705 | $40.32 | $252.00 | $10.37 – $122.92 | 16 |
| Hepatitis b core antibody total CPT 86704 | $37.92 | $237.00 | $8.95 – $125.90 | 16 |
| Hepatitis b surface antibody CPT 86706 | $41.60 | $260.00 | $8.38 – $112.09 | 16 |
| Hepatitis c antibody CPT 86803 | $46.88 | $293.00 | $12.57 – $149.07 | 16 |
| Hepatitis d quantification CPT 87523 | $36.00 | $225.00 | $42.84 – $97.53 | 12 |
| Hepatobiliary system imaging CPT 78226 | $862.40 | $5,390.00 | $514.17 – $2,620.23 | 18 |
| Hereditary colon ca dsordrs CPT 81435 | $374.40 | $2,340.00 | $719.43 – $23,234.98 | 16 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $240.00 | $1,500.00 | $632.06 – $2,990.66 | 16 |
| Herpes simplex 1 ag if CPT 87274 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| Herpes simplex 2 ag if CPT 87273 | $1.62 | $10.10 | $10.10 – $100.18 | 16 |
| Herpes simplex type 1 antibody igg CPT 86695 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Herpes simplex type 2 antibody igg CPT 86696 | $32.02 | $200.10 | $17.20 – $208.71 | 16 |
| Herpes simplex virus isolation CPT 87255 | $4.33 | $27.08 | $27.08 – $365.34 | 16 |
| Heterophile antibodies screening CPT 86308 | $53.92 | $337.00 | $4.49 – $55.79 | 16 |
| Heterophile antibodies titer CPT 86309 | $0.92 | $5.75 | $5.75 – $69.81 | 16 |
| Hexa gene CPT 81255 | $8.23 | $51.45 | $51.45 – $1,593.44 | 16 |
| Hhv-6 dna quant CPT 87533 | $5.94 | $37.12 | $37.12 – $279.18 | 16 |
| Hip X-ray CPT 73502 | $173.12 | $1,082.00 | $47.00 – $375.51 | 16 |
| Histamine CPT 83088 | $4.20 | $26.25 | $26.25 – $318.63 | 16 |
| Histochemical stains add-on CPT 88314 | $15.84 | $99.00 | $28.00 – $211.28 | 17 |
| Hla class i&ii antibody qual CPT 86828 | $52.80 | $330.00 | $64.19 – $338.03 | 16 |
| Hla ii typing 1 loc hr CPT 81382 | $40.00 | $250.00 | $123.68 – $908.81 | 16 |
| Hla i low res one antigen equiv ea CPT 81374 | $10.35 | $64.66 | $64.66 – $1,303.72 | 16 |
| Hla i typing 1 locus hr CPT 81380 | $39.20 | $245.00 | $177.25 – $1,157.56 | 16 |
| Hla i typing complete hr CPT 81379 | $61.44 | $384.00 | $335.38 – $4,041.79 | 16 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $39.20 | $245.00 | $36.26 – $1,303.72 | 16 |
| Hla typing a b or c CPT 86813 | $50.40 | $315.00 | $58.00 – $625.71 | 16 |
| Homocysteine CPT 83090 | $47.68 | $298.00 | $14.99 – $181.91 | 16 |
| Homogenization tissue CPT 87176 | $18.24 | $114.00 | $5.23 – $63.49 | 16 |
| Homovanillic acid (hva) CPT 83150 | $3.59 | $22.41 | $20.11 – $177.19 | 16 |
| Hpa-1 genotyping CPT 81105 | $17.38 | $108.64 | $108.64 – $1,322.32 | 16 |
| Hpv types 16 & 18 only CPT 87625 | $7.20 | $45.00 | $40.55 – $284.05 | 16 |
| H pylori (c-13) breath CPT 83013 | $136.96 | $856.00 | $59.88 – $690.29 | 16 |
| H pylori drug admin CPT 83014 | $12.64 | $79.00 | $7.86 – $84.42 | 16 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $408.00 | $2,550.00 | $958.44 – $4,626.81 | 16 |
| Hrdtry cardmypy gene panel CPT 81439 | $283.20 | $1,770.00 | $584.90 – $5,284.12 | 16 |
| Hrdtry perph neurphy panel CPT 81448 | $240.00 | $1,500.00 | $584.90 – $5,824.18 | 16 |
| Htt gene detc abnor alleles CPT 81271 | $17.54 | $109.60 | $109.60 – $918.98 | 14 |
| Human epididymis protein 4 (he4) CPT 86305 | $23.16 | $144.72 | $18.50 – $286.59 | 16 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $80.35 | $502.20 | $46.74 – $617.71 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $22.90 | $143.13 | $11.95 – $176.05 | 6 |
| Hydration IV infusion each additional hour CPT 96361 | $131.04 | $819.00 | $25.76 – $983.00 | 14 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $162.56 | $1,016.00 | $90.51 – $983.00 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $34.64 | $216.50 | $7.87 – $211.99 | 6 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $14.70 | $91.89 | $0.38 – $72.94 | 4 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $37.90 | $236.88 | $62.85 – $62.85 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | $1.87 | $11.67 | $4.98 – $14.35 | 4 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $13.14 | $82.13 | $15.58 – $182.93 | 16 |
| Hysterosalpingography s&i CPT 74740 | $180.48 | $1,128.00 | $82.43 – $1,094.96 | 16 |
| I-123 iobenguane diag HCPCS A9582 | $1,889.12 | $11,807.00 | $2,317.50 – $11,665.08 | 13 |
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.