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 |
|---|---|---|---|---|
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $2.20 | $13.77 | $13.77 – $233.05 | 16 |
| Mayo manganese CPT 83785 | $14.72 | $92.00 | $21.86 – $265.31 | 16 |
| Mayo metanephrines plasma CPT 83835 | $2.68 | $16.73 | $15.06 – $182.85 | 16 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $3.44 | $21.51 | $22.20 – $169.05 | 4 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $2.94 | $18.40 | $12.05 – $41.90 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $1.96 | $12.27 | $12.27 – $41.90 | 12 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $41.44 | $259.00 | $12.93 – $158.01 | 16 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $38.72 | $242.00 | $12.59 – $157.14 | 16 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $23.41 | $146.32 | $95.00 – $359.76 | 16 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $35.36 | $221.00 | $182.24 – $708.24 | 14 |
| Mayo muramidase CPT 85549 | $2.67 | $16.67 | $16.67 – $202.39 | 16 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $47.20 | $295.00 | $18.40 – $41.90 | 12 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $2.57 | $16.04 | $16.04 – $117.18 | 16 |
| Mayo myoglobin CPT 83874 | $53.92 | $337.00 | $11.48 – $139.77 | 16 |
| Mayo nickel CPT 83885 | $3.49 | $21.79 | $21.79 – $264.44 | 16 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $18.56 | $116.00 | $19.08 – $201.38 | 4 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $0.96 | $6.00 | $7.38 – $201.38 | 4 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $2.35 | $14.68 | $14.68 – $177.55 | 16 |
| Mayo oxalate 24 hour urine CPT 83945 | $1.85 | $11.56 | $7.77 – $138.90 | 16 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $2.14 | $13.36 | $13.36 – $162.44 | 16 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $131.20 | $820.00 | $10.71 – $130.11 | 16 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $4.99 | $31.19 | $31.19 – $366.43 | 16 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $2.56 | $15.98 | $15.98 – $153.79 | 16 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $1.96 | $12.23 | $12.23 – $151.25 | 16 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $1.20 | $7.50 | $7.50 – $91.17 | 16 |
| Mayo pregnenolone CPT 84140 | $2.94 | $18.38 | $18.38 – $218.30 | 16 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $44.32 | $277.00 | $14.75 – $179.15 | 16 |
| Mayo proinsulin CPT 84206 | $3.10 | $19.39 | $19.39 – $185.98 | 16 |
| Mayo psaft prostate specific antigen free CPT 84154 | $63.04 | $394.00 | $16.35 – $197.60 | 16 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $49.60 | $310.00 | $12.27 – $145.80 | 16 |
| Mayo receptor assay transferrin soluble CPT 84238 | $3.61 | $22.58 | $22.58 – $381.76 | 16 |
| Mayo renin CPT 84244 | $3.13 | $19.55 | $19.55 – $237.34 | 16 |
| Mayo repu protein electrophoresis urine CPT 84166 | $49.28 | $308.00 | $15.85 – $188.52 | 16 |
| Mayo selenium CPT 84255 | $14.72 | $92.00 | $22.69 – $275.55 | 16 |
| Mayo serotonin CPT 84260 | $4.41 | $27.54 | $27.54 – $334.25 | 16 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $2.75 | $17.20 | $17.20 – $208.71 | 16 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $1.92 | $11.99 | $11.99 – $144.86 | 16 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $48.96 | $306.00 | $22.61 – $207.07 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $17.60 | $110.00 | $3.80 – $46.06 | 16 |
| Mayo tau phosphorylated 217 each CPT 84393 | $60.00 | $375.00 | $128.92 – $290.07 | 11 |
| Mayo tgrp testosterone free CPT 84402 | $3.62 | $22.64 | $22.64 – $280.64 | 16 |
| Mayo tgrp testosterone total CPT 84403 | $72.80 | $455.00 | $22.80 – $278.53 | 16 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $2.84 | $17.74 | $21.82 – $113.27 | 12 |
| Mayo thyroglobulin CPT 84432 | $46.24 | $289.00 | $14.28 – $176.75 | 16 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $5.10 | $31.88 | $9.05 – $109.70 | 16 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $2.88 | $18.01 | $11.01 – $132.36 | 16 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $14.56 | $91.00 | $7.38 – $201.38 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $1.81 | $11.32 | $11.32 – $112.24 | 16 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $1.93 | $12.04 | $12.04 – $109.77 | 16 |
| Mayo vasoactive intestinal peptide CPT 84586 | $5.65 | $35.33 | $35.33 – $126.33 | 16 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $2.88 | $17.99 | $17.99 – $185.40 | 16 |
| Mayo vitamin b3 (niacin) CPT 84591 | $15.52 | $97.00 | $9.00 – $125.03 | 16 |
| Mayo vitamin k CPT 84597 | $1.95 | $12.20 | $12.20 – $143.11 | 16 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $1.88 | $11.78 | $11.78 – $86.01 | 16 |
| #mec-opiates CPT 80356 | $1.12 | $7.00 | $4.92 – $201.38 | 4 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $5.60 | $35.00 | $2.56 – $37.17 | 4 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $1,709.60 | $10,685.00 | $92.85 – $92.85 | 2 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $2,446.08 | $15,288.00 | $150.42 – $338.45 | 11 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $9.60 | $60.00 | $1.51 – $73.80 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $14.33 | $89.54 | $1.04 – $107.31 | 6 |
| Metabolic Blood Panel (Basic) CPT 80048 | $138.56 | $866.00 | $7.27 – $91.32 | 16 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $185.12 | $1,157.00 | $10.56 – $114.20 | 16 |
| Methadone oral 5mg HCPCS S0109 | $2.93 | $18.29 | $0.79 – $5.08 | 4 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.99 | $24.95 | $0.41 – $30.69 | 6 |
| Methotrexate therapeutic drug level CPT 80204 | $12.80 | $80.00 | $37.96 – $147.47 | 14 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $181.08 | $1,131.73 | $1.01 – $1,392.03 | 6 |
| Methylphenidate CPT 80360 | $16.00 | $100.00 | $2.46 – $160.91 | 4 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $23.50 | $146.88 | $0.33 – $180.66 | 4 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $84.50 | $528.13 | $0.50 – $2.42 | 4 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $7.93 | $49.55 | $2.94 – $60.95 | 6 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $7.47 | $46.66 | $0.33 – $57.39 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $8.00 | $50.00 | $0.08 – $61.50 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $69.12 | $432.00 | $0.68 – $265.68 | 6 |
| Microbe susceptible mlc CPT 87187 | $6.43 | $40.17 | $19.90 – $105.48 | 16 |
| Microdissection manual CPT 88381 | $18.05 | $112.83 | $14.60 – $1,304.96 | 17 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $11.00 | $68.73 | $0.38 – $59.32 | 6 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $17.22 | $107.62 | $3.68 – $132.37 | 6 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $1.61 | $10.09 | $4.67 – $12.41 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $1,440.00 | $9,000.00 | $28.46 – $411.70 | 13 |
| Mlh1 gene dup/delete variant CPT 81294 | $40.59 | $253.67 | $202.40 – $2,920.41 | 16 |
| Mlh1 gene full seq CPT 81292 | $66.27 | $414.19 | $414.19 – $5,483.11 | 16 |
| Mnl appl strs jt radiography CPT 77071 | $42.72 | $267.00 | $43.33 – $292.79 | 16 |
| Mopath procedure level 1 CPT 81400 | $64.80 | $405.00 | $63.96 – $341.44 | 16 |
| Mopath procedure level 3 CPT 81402 | $59.56 | $372.25 | $150.33 – $802.60 | 16 |
| Mopath procedure level 5 CPT 81404 | $74.80 | $467.50 | $225.00 – $1,939.97 | 16 |
| Mopath procedure level 6 CPT 81405 | $136.00 | $850.00 | $41.40 – $2,543.08 | 16 |
| Mopath procedure level 7 CPT 81406 | $144.00 | $900.00 | $38.00 – $2,594.08 | 16 |
| Mopath procedure level 8 CPT 81407 | $174.40 | $1,090.00 | $112.00 – $20,911.51 | 16 |
| Mopath procedure level 9 CPT 81408 | $310.88 | $1,943.00 | $442.00 – $24,438.09 | 16 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $9.39 | $58.66 | $1.68 – $38.79 | 6 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $4.60 | $28.73 | $7.87 – $35.34 | 4 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $31.62 | $197.63 | $30.16 – $243.08 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $200.00 | $1,250.00 | $147.00 – $1,674.66 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $136.16 | $851.00 | $75.00 – $1,037.30 | 17 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $97.44 | $609.00 | $73.50 – $493.03 | 17 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $82.70 | $516.88 | $169.79 – $1,558.13 | 17 |
| Mpl gene analysis common variants CPT 81338 | $24.05 | $150.33 | $147.92 – $574.93 | 14 |
| MRA abdomen post contrast CPT 74185 | $1,077.44 | $6,734.00 | $384.92 – $2,061.24 | 16 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $651.68 | $4,073.00 | $383.71 – $2,060.76 | 16 |
| MRA pelvis w IV cont HCPCS C8918 | $844.80 | $5,280.00 | $448.71 – $6,494.40 | 14 |
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.