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 |
|---|---|---|---|---|
| MRA pelvis wo IV cont HCPCS C8919 | $844.80 | $5,280.00 | $306.88 – $6,494.40 | 14 |
| MRA upper extremity post contrast-bil CPT 73225 | $446.40 | $2,790.00 | $371.07 – $2,060.19 | 16 |
| MRA w/cont, lwr ext HCPCS C8912 | $938.08 | $5,863.00 | $448.71 – $7,211.49 | 14 |
| MRA without cont, lwr ext HCPCS C8913 | $938.08 | $5,863.00 | $306.88 – $7,211.49 | 14 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $938.08 | $5,863.00 | $448.71 – $7,211.49 | 14 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $844.80 | $5,280.00 | $448.71 – $6,494.40 | 14 |
| MRI breast c- unilateral CPT 77046 | $563.36 | $3,521.00 | $306.88 – $2,726.71 | 14 |
| MRI breast c-+ w/cad uni CPT 77048 | $780.16 | $4,876.00 | $381.45 – $1,870.72 | 14 |
| MRI breast without cont bi CPT 77047 | $829.76 | $5,186.00 | $306.88 – $1,129.17 | 14 |
| MRI breast w IV cont bi CPT 77049 | $960.00 | $6,000.00 | $387.00 – $1,861.40 | 14 |
| MRI chest without contrast CPT 71550 | $651.04 | $4,069.00 | $306.88 – $2,058.62 | 16 |
| MRI chest without & w/contrast CPT 71552 | $1,462.24 | $9,139.00 | $448.71 – $4,623.04 | 16 |
| MRI chest w IV cont CPT 71551 | $795.20 | $4,970.00 | $736.04 – $3,213.97 | 16 |
| MRI guid ndl plc s&i CPT 77021 | $667.84 | $4,174.00 | $495.55 – $2,111.76 | 12 |
| MRI loex nonjt w IV cont CPT 73719 | $938.08 | $5,863.00 | $448.71 – $2,508.17 | 16 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,135.04 | $7,094.00 | $306.88 – $2,091.95 | 16 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,373.12 | $14,832.00 | $448.71 – $2,151.04 | 16 |
| MRI orbit/face/neck without contrast CPT 70540 | $650.72 | $4,067.00 | $306.88 – $2,057.57 | 16 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,468.64 | $9,179.00 | $448.71 – $4,642.89 | 16 |
| MRI orbit fac&nck w IV cont CPT 70542 | $793.44 | $4,959.00 | $448.71 – $2,508.17 | 16 |
| MRI tmj CPT 70336 | $577.44 | $3,609.00 | $306.88 – $4,439.07 | 16 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $992.48 | $6,203.00 | $306.88 – $2,091.95 | 16 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,588.16 | $9,926.00 | $448.71 – $2,151.04 | 16 |
| MRI upper extremity w/dye CPT 73219 | $797.44 | $4,984.00 | $448.71 – $2,521.29 | 16 |
| Mr spectroscopy CPT 76390 | $658.72 | $4,117.00 | $111.93 – $5,063.91 | 16 |
| Msh2 gene known variants CPT 81296 | $54.04 | $337.73 | $132.59 – $886.86 | 16 |
| Msh6 gene dup/delete variant CPT 81300 | $22.08 | $138.00 | $138.00 – $1,876.11 | 16 |
| Msh6 gene known variants CPT 81299 | $49.28 | $308.00 | $132.59 – $808.81 | 16 |
| Mthfr gene analy common variants CPT 81291 | $10.45 | $65.34 | $65.34 – $493.35 | 16 |
| M.tuberculo dna dir probe CPT 87555 | $54.88 | $343.00 | $26.88 – $209.37 | 16 |
| Mucopolysaccharides CPT 83864 | $24.04 | $150.25 | $28.12 – $207.84 | 16 |
| Mumps antibody igg CPT 86735 | $37.12 | $232.00 | $11.59 – $142.32 | 16 |
| Mycobacteria dna dir probe CPT 87550 | $54.88 | $343.00 | $20.05 – $209.37 | 16 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $0.90 | $5.64 | $0.41 – $6.94 | 6 |
| Mycoplasma antibody igm CPT 86738 | $14.08 | $88.00 | $10.88 – $142.32 | 16 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $22.45 | $140.32 | $140.32 – $1,176.45 | 14 |
| Myelography via inj w/s&i cervical CPT 62302 | $732.96 | $4,581.00 | $133.26 – $10,870.00 | 11 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $416.80 | $2,605.00 | $1,008.25 – $2,268.56 | 8 |
| Myelography via inj w/s&i thoracic CPT 62303 | $766.88 | $4,793.00 | $135.09 – $10,870.00 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $85.44 | $534.00 | $8.60 – $252.45 | 16 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $47.52 | $297.00 | $0.20 – $74.49 | 3 |
| Natriuretic peptide CPT 83880 | $107.04 | $669.00 | $30.15 – $366.36 | 16 |
| Natural killer cells total count CPT 86357 | $5.34 | $33.37 | $15.20 – $398.18 | 16 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,246.24 | $7,789.00 | $225.60 – $1,876.26 | 18 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,107.84 | $6,924.00 | $366.02 – $2,151.04 | 18 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,005.92 | $6,287.00 | $134.46 – $1,259.45 | 18 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $1,419.36 | $8,871.00 | $448.71 – $4,050.49 | 18 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,118.08 | $6,988.00 | $448.71 – $2,470.47 | 18 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $793.60 | $4,960.00 | $306.88 – $2,058.62 | 18 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,316.16 | $8,226.00 | $448.71 – $4,160.76 | 16 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $961.92 | $6,012.00 | $448.71 – $2,116.01 | 16 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $802.88 | $5,018.00 | $306.88 – $2,116.01 | 16 |
| Neisseria meningitidis CPT 86741 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $8.00 | $50.00 | $3.84 – $61.50 | 6 |
| Nerve teasing preparations CPT 88362 | $14.40 | $90.00 | $90.00 – $2,331.54 | 17 |
| Neurolysis celiac plexus CPT 64680 | $311.04 | $1,944.00 | $145.16 – $10,870.00 | 11 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $1,743.84 | $10,899.00 | $461.81 – $615.77 | 3 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $123.35 | $770.91 | $0.20 – $696.67 | 4 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $27.83 | $173.93 | $4.02 – $194.45 | 4 |
| Njx interlaminar crv/thrc CPT 62325 | $564.32 | $3,527.00 | $240.42 – $10,870.00 | 11 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $289.12 | $1,807.00 | $584.31 – $2,017.89 | 9 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $805.76 | $5,036.00 | $231.30 – $1,647.04 | 18 |
| Nm imaging bone/joint whole body CPT 78306 | $727.68 | $4,548.00 | $248.82 – $1,647.04 | 18 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $641.44 | $4,009.00 | $296.00 – $1,647.04 | 18 |
| Nm imaging gastric emptying study CPT 78264 | $709.44 | $4,434.00 | $514.17 – $1,647.04 | 18 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $686.40 | $4,290.00 | $229.01 – $1,647.04 | 18 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $823.84 | $5,149.00 | $535.00 – $2,620.23 | 18 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $759.68 | $4,748.00 | $274.51 – $2,135.54 | 18 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $809.44 | $5,059.00 | $513.27 – $2,428.37 | 18 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $480.96 | $3,006.00 | $388.34 – $1,952.82 | 18 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $454.40 | $2,840.00 | $210.15 – $1,124.05 | 18 |
| Non-card vasc flow imaging CPT 78445 | $205.60 | $1,285.00 | $213.18 – $1,647.04 | 18 |
| Npm1 gene CPT 81310 | $39.44 | $246.52 | $197.21 – $647.37 | 16 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,866.88 | $11,668.00 | $535.00 – $5,668.70 | 18 |
| Nudt15 gene common variants CPT 81306 | $37.29 | $233.09 | $233.09 – $1,954.28 | 14 |
| Nushield 1 square cm HCPCS Q4160 | $1,847.52 | $11,547.00 | $150.42 – $338.45 | 8 |
| Observation direct referral from physician office for admission HCPCS G0379 | $137.92 | $862.00 | $765.95 – $1,723.39 | 8 |
| Obstetrics panel CPT 80055 | $72.16 | $451.00 | $47.81 – $177.69 | 16 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $172.64 | $1,079.00 | $100.00 – $546.89 | 17 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $172.64 | $1,079.00 | $82.51 – $282.89 | 13 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $71.55 | $447.21 | $1.80 – $49.82 | 6 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $50.67 | $316.68 | $2.21 – $389.52 | 4 |
| Oncology prostate prob score CPT 81539 | $123.20 | $770.00 | $760.00 – $3,965.44 | 16 |
| Onco (ovar) five proteins CPT 81503 | $71.20 | $445.00 | $445.00 – $6,111.86 | 16 |
| Oncoprotein dcp CPT 83951 | $9.16 | $57.26 | $57.26 – $692.62 | 16 |
| Oncoprotein her-2/neu CPT 83950 | $54.28 | $339.25 | $64.41 – $695.16 | 16 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $15.68 | $98.00 | $0.25 – $60.02 | 6 |
| Ophth Ultrasound b & quant a CPT 76510 | $156.80 | $980.00 | $100.00 – $646.63 | 17 |
| Organic acids total quant ea spec CPT 83918 | $15.71 | $98.20 | $23.60 – $171.88 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $139.52 | $872.00 | $504.77 – $1,204.20 | 9 |
| Osmolality blood CPT 83930 | $53.92 | $337.00 | $5.88 – $97.13 | 16 |
| Osmolality urine CPT 83935 | $58.72 | $367.00 | $6.82 – $73.59 | 16 |
| Ot evaluation high complexity patient/family CPT 97167 | $140.64 | $879.00 | $110.73 – $536.00 | 20 |
| Ot evaluation low complexity patient/family CPT 97165 | $131.04 | $819.00 | $110.73 – $1,007.37 | 20 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $135.84 | $849.00 | $110.73 – $1,044.27 | 20 |
| Oth resp proc, indiv HCPCS G0238 | $16.96 | $106.00 | $37.20 – $536.00 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $37.60 | $235.00 | $51.72 – $536.00 | 20 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $40.00 | $250.00 | $30.37 – $536.00 | 20 |
| Ot re-evaluation patient/family CPT 97168 | $201.60 | $1,260.00 | $75.81 – $536.00 | 20 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $48.48 | $303.00 | $19.65 – $536.00 | 20 |
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.