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 |
|---|---|---|---|---|
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $91.52 | $572.00 | $147.45 – $703.56 | 6 |
| I131 iodide cap, rx HCPCS A9517 | $200.80 | $1,255.00 | $24.07 – $498.27 | 14 |
| Iaadi respiratory synctial virus CPT 87280 | $1.41 | $8.84 | $8.84 – $96.98 | 16 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $5.25 | $32.80 | $32.80 – $366.43 | 16 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $415.20 | $2,595.00 | $707.25 – $707.25 | 1 |
| Idh1 common variants CPT 81120 | $24.74 | $154.60 | $141.98 – $1,693.55 | 16 |
| Idh2 common variants CPT 81121 | $47.98 | $299.89 | $236.63 – $2,592.19 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $33.60 | $210.00 | $197.99 – $908.81 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $64.80 | $404.99 | $294.52 – $1,292.61 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $30.40 | $190.00 | $172.73 – $2,735.16 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $81.12 | $507.00 | $20.00 – $479.25 | 17 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $132.80 | $830.00 | $185.11 – $1,037.30 | 17 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $56.96 | $356.00 | $20.00 – $493.03 | 17 |
| Ikbkap gene CPT 81260 | $5.03 | $31.44 | $31.44 – $646.49 | 16 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,316.80 | $8,230.00 | $11.46 – $10,122.90 | 12 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $71.68 | $448.00 | $551.04 – $551.04 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $46.40 | $290.00 | $61.52 – $138.42 | 9 |
| Immune complex assay CPT 86332 | $3.47 | $21.66 | $21.66 – $262.98 | 16 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $58.72 | $367.00 | $18.50 – $224.41 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $58.72 | $367.00 | $18.50 – $224.41 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $33.76 | $211.00 | $5.90 – $129.31 | 16 |
| Immunodiffusion nes CPT 86329 | $36.32 | $227.00 | $12.49 – $138.39 | 16 |
| Immunofixation electrophoresis serum CPT 86334 | $63.20 | $395.00 | $15.00 – $241.04 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $15.97 | $99.84 | $48.35 – $598.83 | 17 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $86.40 | $540.00 | $61.08 – $493.03 | 17 |
| Immunoglobulin assay CPT 86023 | $14.22 | $88.90 | $11.07 – $115.87 | 16 |
| Immunology procedure CPT 86849 | $10.68 | $66.75 | $50.98 – $82.10 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,650.08 | $29,063.00 | $168.51 – $168.51 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $1,288.00 | $8,050.00 | $257.75 – $614.86 | 9 |
| In-111 autol wbc diag per dose HCPCS A9570 | $552.80 | $3,455.00 | $1,103.19 – $12,325.53 | 13 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $967.52 | $6,047.00 | $6,628.56 – $11,191.24 | 6 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $783.04 | $4,894.00 | $411.60 – $2,263.65 | 14 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $467.84 | $2,924.00 | $651.48 – $2,029.95 | 14 |
| In-111 pentetreotide HCPCS A9572 | $1,200.00 | $7,500.00 | $2,000.94 – $31,044.50 | 13 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $400.48 | $2,503.00 | $88.02 – $10,870.00 | 11 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $111.52 | $697.00 | $70.20 – $157.95 | 12 |
| Infect ag drug suscept pheno predict CPT 87900 | $38.70 | $241.89 | $130.35 – $1,375.86 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | $35.20 | $220.00 | $10.22 – $50.13 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $41.19 | $257.45 | $41.25 – $2,199.10 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $56.48 | $353.00 | $41.25 – $2,199.10 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $24.94 | $155.90 | $114.42 – $1,101.33 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $69.52 | $434.47 | $228.84 – $2,776.21 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $48.64 | $304.00 | $15.61 – $96.98 | 16 |
| Infect ag if hep delta agent CPT 87380 | $20.00 | $125.00 | $18.36 – $171.45 | 16 |
| Infect ag if influenza a CPT 87276 | $2.57 | $16.07 | $10.53 – $96.98 | 16 |
| Infect ag if influenza b CPT 87275 | $1.96 | $12.25 | $10.46 – $100.18 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| Infect ag if nos ea CPT 87299 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | $59.20 | $370.00 | $11.98 – $100.18 | 16 |
| Infect ag if varicella zoster CPT 87290 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $111.52 | $697.00 | $31.19 – $284.05 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $120.00 | $750.00 | $95.80 – $728.07 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $13.60 | $85.00 | $43.16 – $115.45 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $331.68 | $2,073.00 | $416.78 – $3,560.14 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $94.00 | $587.47 | $488.66 – $5,269.45 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $6.88 | $43.02 | $26.07 – $281.07 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $20.00 | $125.00 | $33.73 – $93.11 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $45.44 | $284.00 | $8.80 – $96.98 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $35.52 | $222.00 | $10.10 – $100.18 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $52.64 | $329.00 | $8.62 – $96.98 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $34.08 | $213.00 | $8.28 – $100.62 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $2.31 | $14.45 | $14.38 – $172.03 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $40.80 | $255.00 | $7.28 – $107.81 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $50.24 | $314.00 | $9.18 – $111.37 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $79.84 | $499.00 | $20.26 – $212.13 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $32.00 | $200.00 | $9.52 – $96.98 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $37.12 | $232.00 | $8.86 – $96.98 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $1.41 | $8.82 | $8.82 – $100.18 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $114.40 | $715.00 | $28.54 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $124.32 | $777.00 | $31.17 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $117.44 | $734.00 | $28.64 – $464.50 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $250.56 | $1,566.00 | $370.47 – $3,765.37 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $26.72 | $167.00 | $30.73 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $102.56 | $641.00 | $30.88 – $370.50 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $114.40 | $715.00 | $33.34 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $124.32 | $777.00 | $10.00 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $64.16 | $401.00 | $51.31 – $389.32 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $79.20 | $495.00 | $142.63 – $480.71 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $109.60 | $685.00 | $35.09 – $366.43 | 16 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $4.94 | $30.87 | $30.54 – $227.68 | 16 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $124.32 | $777.00 | $70.18 – $157.91 | 8 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $114.40 | $715.00 | $74.92 – $172.73 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $440.16 | $2,751.00 | $370.47 – $3,374.02 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $18.25 | $114.04 | $114.04 – $1,038.56 | 16 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $133.76 | $836.00 | $210.39 – $1,727.76 | 16 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $86.24 | $539.00 | $38.08 – $279.18 | 16 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $6.09 | $38.08 | $38.08 – $279.18 | 16 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $97.44 | $609.00 | $38.08 – $279.18 | 16 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $14.96 | $93.50 | $60.00 – $279.18 | 16 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $81.44 | $509.00 | $107.75 – $1,095.81 | 16 |
| Initiation & management bipap/cpap initial day CPT 94660 | $287.20 | $1,795.00 | $71.98 – $633.69 | 18 |
| Inj, bupivacaine liposome HCPCS J0666 | $424.84 | $2,655.24 | $1.77 – $7.40 | 12 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $248.11 | $1,550.71 | $2.42 – $8.15 | 14 |
| Inj ceftolozane tazobactam HCPCS J0695 | $185.80 | $1,161.24 | $8.84 – $1,428.33 | 14 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $211.68 | $1,323.00 | $34.92 – $160.91 | 9 |
| Inj disk cerv-thor ea lev CPT 62291 | $269.60 | $1,685.00 | $138.83 – $10,870.00 | 11 |
| Inj dx for sinogram CPT 20501 | $40.00 | $250.00 | $31.60 – $10,870.00 | 11 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $245.12 | $1,532.00 | $58.97 – $247.73 | 9 |
| Injection during cath supravalvular aortography CPT 93567 | $477.12 | $2,982.00 | $31.81 – $10,870.00 | 11 |
| Injection epidural blood patch or clot CPT 62273 | $380.48 | $2,378.00 | $93.42 – $2,042.73 | 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.