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 |
|---|---|---|---|---|
| Injection for arthrography wrist (both sides) CPT 25246 | $120.32 | $752.00 | $62.78 – $223.92 | 9 |
| Injection for bladder x-ray CPT 51600 | $228.64 | $1,429.00 | $38.11 – $315.97 | 9 |
| Injection for hip x-ray CPT 27095 | $498.72 | $3,117.00 | $70.90 – $254.15 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $300.00 | $1,875.00 | $43.02 – $212.02 | 9 |
| Injection for spleen x-ray CPT 38200 | $277.12 | $1,732.00 | $103.95 – $250.65 | 9 |
| Injection for ureter x-ray CPT 50684 | $224.80 | $1,405.00 | $49.97 – $310.48 | 9 |
| Injection into brain canal CPT 61055 | $310.72 | $1,942.00 | $174.01 – $888.28 | 9 |
| Injection jugular CPT 36299 | $374.40 | $2,340.00 | $2,878.20 – $10,870.00 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $693.71 | $4,335.66 | $6.51 – $18.56 | 14 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $236.16 | $1,476.00 | $514.17 – $1,156.89 | 8 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $841.92 | $5,262.00 | $60.44 – $10,870.00 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $602.24 | $3,764.00 | $86.70 – $10,870.00 | 11 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $672.96 | $4,206.00 | $274.76 – $10,870.00 | 11 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $481.60 | $3,010.00 | $270.64 – $10,870.00 | 11 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $59.20 | $370.00 | $37.56 – $983.00 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $52.96 | $331.00 | $407.13 – $983.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $112.48 | $703.00 | $87.90 – $983.00 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $52.96 | $331.00 | $33.08 – $895.00 | 13 |
| Inj for ext venography CPT 36005 | $383.04 | $2,394.00 | $41.58 – $10,870.00 | 11 |
| Inj for mammo ductogram CPT 19030 | $200.48 | $1,253.00 | $65.34 – $238.13 | 9 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $394.08 | $2,463.00 | $22.87 – $10,870.00 | 11 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $669.76 | $4,186.00 | $22.44 – $10,870.00 | 11 |
| Inj ivig privigen 500 mg HCPCS J1459 | $2,168.99 | $13,556.16 | $49.53 – $155.25 | 13 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $29.68 | $185.49 | $0.12 – $122.74 | 4 |
| Inj multihance HCPCS A9577 | $1.40 | $8.76 | $4.90 – $18.86 | 6 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $640.64 | $4,004.00 | $180.88 – $2,017.89 | 9 |
| Inj proc ankle arthr CPT 27648 | $92.64 | $579.00 | $44.27 – $282.45 | 9 |
| Inj proc elbow arthro CPT 24220 | $260.64 | $1,629.00 | $57.31 – $251.40 | 9 |
| Inj proc lumbr disk ea lvl CPT 62290 | $269.60 | $1,685.00 | $148.65 – $10,870.00 | 11 |
| Inj proc myelogram lumbar CPT 62284 | $398.24 | $2,489.00 | $74.18 – $10,870.00 | 11 |
| Inj proc sialogram CPT 42550 | $38.56 | $241.00 | $53.07 – $241.00 | 9 |
| Inj, releuko 1 mcg HCPCS Q5125 | $271.09 | $1,694.30 | $0.32 – $6.42 | 12 |
| Inj retro urethrocysto CPT 51610 | $233.60 | $1,460.00 | $60.81 – $338.41 | 9 |
| Inj w/fluor eval cv device CPT 36598 | $155.20 | $970.00 | $136.00 – $615.54 | 9 |
| Ins cath ren art 1st bi CPT 36252 | $2,998.40 | $18,740.00 | $364.97 – $10,870.00 | 11 |
| Ins cath ren art 1st uni CPT 36251 | $1,850.40 | $11,565.00 | $280.26 – $10,870.00 | 11 |
| Ins cath ren art 2nd+ bi CPT 36254 | $3,301.44 | $20,634.00 | $419.66 – $10,870.00 | 11 |
| Ins cath ren art 2nd+ uni CPT 36253 | $1,725.44 | $10,784.00 | $389.25 – $16,102.94 | 11 |
| Ins cerv dilator (sep proc) CPT 59200 | $82.24 | $514.00 | $120.00 – $881.85 | 13 |
| Insert cath pleura with image CPT 32557 | $752.80 | $4,705.00 | $124.56 – $10,870.00 | 11 |
| Insert hepatic shunt (tips) CPT 37182 | $3,313.60 | $20,710.00 | $670.41 – $53,049.38 | 9 |
| Insertion catheter bladder non indwelling CPT 51701 | $54.08 | $338.00 | $135.09 – $385.02 | 9 |
| Insertion catheter bladder temporary simple CPT 51702 | $116.16 | $726.00 | $122.34 – $385.02 | 9 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,911.68 | $11,948.00 | $737.26 – $10,361.23 | 9 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $1,702.24 | $10,639.00 | $221.07 – $10,870.00 | 11 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $2,912.64 | $18,204.00 | $241.41 – $16,102.94 | 13 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,019.84 | $6,374.00 | $91.28 – $10,870.00 | 11 |
| Insertion of catheter vein CPT 36481 | $361.09 | $2,256.80 | $284.67 – $640.51 | 9 |
| Insertion of catheter vein CPT 36500 | $319.36 | $1,996.00 | $140.12 – $10,870.00 | 11 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $6,303.20 | $39,395.00 | $915.86 – $30,246.75 | 9 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $4,536.48 | $28,353.00 | $915.86 – $30,246.75 | 9 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $5,217.60 | $32,610.00 | $317.81 – $3,450.00 | 12 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $717.28 | $4,483.00 | $70.75 – $10,870.00 | 11 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $558.88 | $3,493.00 | $100.00 – $10,870.00 | 12 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $12,619.84 | $78,874.00 | $1,100.86 – $90,835.43 | 9 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,578.40 | $28,615.00 | $320.55 – $23,947.88 | 9 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,374.88 | $27,343.00 | $788.22 – $23,947.88 | 9 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $4,272.16 | $26,701.00 | $8,533.84 – $23,947.88 | 11 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $2,200.48 | $13,753.00 | $319.80 – $10,870.00 | 11 |
| Insert picvad cath CPT 36570 | $1,340.32 | $8,377.00 | $416.26 – $10,870.00 | 11 |
| Insert pm/icd lead dual CPT 33217 | $3,611.84 | $22,574.00 | $386.49 – $23,947.88 | 9 |
| Insert/repl sq defib w/eltrd CPT 33270 | $20,725.28 | $129,533.00 | $625.98 – $90,835.43 | 9 |
| Insert swan-ganz cath CPT 93503 | $702.08 | $4,388.00 | $224.03 – $10,870.00 | 13 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $1,687.20 | $10,545.00 | $256.44 – $10,870.00 | 11 |
| Insert vad art access left hrt arterial access CPT 33990 | $3,480.64 | $21,754.00 | $307.51 – $10,870.00 | 11 |
| Ins icd gen exist mlt leads CPT 33231 | $7,573.92 | $47,337.00 | $399.32 – $90,835.43 | 9 |
| Ins icd gen exist sgl lead CPT 33240 | $10,083.36 | $63,021.00 | $472.12 – $64,370.25 | 9 |
| Insitu hybridization (fish) CPT 88366 | $79.20 | $495.00 | $219.12 – $907.87 | 17 |
| Insitu hybridization manual CPT 88368 | $78.40 | $489.99 | $133.05 – $1,037.30 | 17 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $63.20 | $395.00 | $78.29 – $493.03 | 17 |
| Ins lv lead exist pm/icd CPT 33224 | $6,457.12 | $40,357.00 | $343.91 – $30,246.75 | 9 |
| Ins picad w subq port 5yr> CPT 36571 | $1,340.32 | $8,377.00 | $373.67 – $10,870.00 | 11 |
| Ins pm gen exist dual lead CPT 33230 | $7,814.88 | $48,843.00 | $384.79 – $64,370.25 | 9 |
| Ins pm gen w/exist mlt leads CPT 33221 | $4,846.40 | $30,290.00 | $358.25 – $55,741.05 | 9 |
| Ins pq tunnld ip cath w/img CPT 49418 | $2,160.00 | $13,500.00 | $239.96 – $10,361.23 | 9 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $8,968.64 | $56,054.00 | $667.37 – $89,298.45 | 11 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $10,953.44 | $68,459.00 | $514.04 – $55,741.05 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $3,463.20 | $21,645.00 | $437.78 – $30,246.75 | 9 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $3,151.20 | $19,695.00 | $363.13 – $23,947.88 | 9 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $5,927.04 | $37,044.00 | $915.86 – $30,246.75 | 9 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $21,844.14 | $136,525.85 | $486.72 – $83,006.10 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,373.76 | $8,586.00 | $170.36 – $16,102.94 | 9 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,199.36 | $7,496.00 | $166.82 – $10,870.00 | 11 |
| Ins tun intraperit dia cath CPT 49421 | $2,011.68 | $12,573.00 | $321.93 – $10,361.23 | 9 |
| Insulin total CPT 83525 | $32.32 | $202.00 | $9.28 – $123.35 | 16 |
| Integra meshed bil wound mat HCPCS C9363 | $3,245.44 | $20,284.00 | $140.46 – $187.29 | 3 |
| Interdiscal perq aspir dx CPT 62267 | $273.44 | $1,709.00 | $143.33 – $10,870.00 | 11 |
| Intra-atrial pacing CPT 93610 | $2,530.72 | $15,817.00 | $186.81 – $22,571.33 | 14 |
| Intra-atrial recording CPT 93602 | $2,530.72 | $15,817.00 | $186.81 – $22,571.33 | 14 |
| Intracard echo interv w/s&i CPT 93662 | $1,645.60 | $10,285.00 | $538.42 – $12,650.55 | 7 |
| Intracranial complete study CPT 93886 | $321.44 | $2,009.00 | $306.88 – $2,030.00 | 18 |
| Intrauterine transfusion ftl CPT 36460 | $482.72 | $3,017.00 | $380.99 – $1,276.70 | 9 |
| Intraventricular pacing CPT 93612 | $1,928.32 | $12,052.00 | $186.81 – $22,571.33 | 14 |
| Intrinsic factor antibody CPT 86340 | $2.14 | $13.40 | $13.40 – $162.66 | 16 |
| Intro cath dialysis circuit CPT 36901 | $1,043.52 | $6,522.00 | $637.44 – $10,870.00 | 11 |
| Intro cath dialysis circuit w/pta CPT 36902 | $3,619.04 | $22,619.00 | $1,367.83 – $16,470.68 | 11 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $4,907.52 | $30,672.00 | $6,365.21 – $33,407.55 | 11 |
| Intro catheter aorta CPT 36200 | $175.84 | $1,099.00 | $119.82 – $10,870.00 | 11 |
| Intro cath svc/ivc CPT 36010 | $88.32 | $552.00 | $93.91 – $10,870.00 | 11 |
| Intro long gi tube CPT 44500 | $203.52 | $1,272.00 | $23.81 – $10,870.00 | 11 |
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.