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 |
|---|---|---|---|---|
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $55.04 | $344.00 | $19.24 – $536.00 | 20 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $66.08 | $413.00 | $20.53 – $536.00 | 20 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $42.56 | $266.00 | $19.34 – $536.00 | 20 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $41.12 | $257.00 | $21.56 – $536.00 | 20 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $47.68 | $298.00 | $9.37 – $536.00 | 20 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $33.65 | $210.31 | $1.55 – $129.30 | 6 |
| Pad repl cerv collr univ adult HCPCS L0999 | $81.28 | $508.00 | $624.84 – $624.84 | 1 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $53.98 | $337.35 | $30.74 – $850.65 | 6 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.65 | $47.83 | $11.73 – $58.83 | 4 |
| Parathormone (pth) intact CPT 83970 | $116.64 | $729.00 | $34.84 – $445.40 | 16 |
| Parathyroid planar imaging CPT 78070 | $384.96 | $2,406.00 | $169.57 – $1,647.04 | 18 |
| Pca3/klk3 antigen CPT 81313 | $40.81 | $255.05 | $255.05 – $1,517.52 | 16 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,203.68 | $7,523.00 | $225.60 – $1,800.94 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $828.16 | $5,176.00 | $225.60 – $1,454.88 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $780.80 | $4,880.00 | $134.46 – $1,258.80 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,471.04 | $9,194.00 | $448.71 – $4,651.38 | 16 |
| Pelvic MRI (with contrast) CPT 72196 | $888.80 | $5,555.00 | $448.71 – $2,151.04 | 16 |
| Pelvic MRI (without contrast) CPT 72195 | $663.84 | $4,149.00 | $306.88 – $2,099.03 | 16 |
| Pelvic Ultrasound (complete) CPT 76856 | $360.80 | $2,255.00 | $100.00 – $539.49 | 17 |
| Pelvic Ultrasound (limited) CPT 76857 | $221.76 | $1,386.00 | $74.40 – $539.49 | 17 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $393.24 | $2,457.78 | $10.39 – $87.04 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $18.32 | $114.49 | $2.13 – $140.82 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $8,328.96 | $52,056.00 | $4,791.31 – $30,761.33 | 11 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $4,149.60 | $25,935.00 | $2,506.00 – $53,049.38 | 13 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $5,043.36 | $31,521.00 | $2,506.00 – $38,770.83 | 13 |
| Perc d-e cor stent ather s HCPCS C9602 | $6,368.64 | $39,804.00 | $2,506.00 – $53,049.38 | 13 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,297.60 | $33,110.00 | $2,506.00 – $40,725.30 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $5,668.80 | $35,430.00 | $2,506.00 – $43,578.90 | 13 |
| Percut ablate liver rf CPT 47382 | $3,694.40 | $23,090.00 | $977.39 – $17,495.01 | 9 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $879.68 | $5,498.00 | $180.98 – $10,870.00 | 11 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,012.96 | $6,331.00 | $247.02 – $10,870.00 | 11 |
| Peri-proc device eval icd CPT 93287 | $30.56 | $191.00 | $55.03 – $3,450.00 | 15 |
| Peri-proc device eval pm CPT 93286 | $25.92 | $162.00 | $42.06 – $3,450.00 | 15 |
| Perq art m-thrombect &/nfs CPT 61645 | $6,349.76 | $39,686.00 | $737.70 – $1,659.83 | 9 |
| Perq plmt bile duct stent CPT 47540 | $3,944.00 | $24,650.00 | $5,838.13 – $17,495.01 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $1,470.56 | $9,191.00 | $1,839.15 – $7,722.38 | 17 |
| Pet CT whole body initial CPT 78816 | $1,750.08 | $10,938.00 | $1,839.15 – $9,189.85 | 17 |
| Pet fdg brain metoblic eval sb CPT 78608 | $938.72 | $5,867.00 | $1,839.15 – $6,602.52 | 16 |
| Pet image w/ct lmtd CPT 78814 | $1,348.80 | $8,430.00 | $1,839.15 – $7,083.08 | 17 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $477.44 | $2,984.00 | $707.25 – $707.25 | 1 |
| Ph body fluid CPT 83986 | $21.28 | $133.00 | $3.18 – $38.58 | 16 |
| Phencyclidine (pcp) CPT 83992 | $2.53 | $15.84 | $19.48 – $139.26 | 8 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $85.35 | $533.45 | $8.04 – $656.14 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $74.08 | $463.00 | $14.82 – $123.35 | 16 |
| Phentolaine mesylate inj HCPCS J2760 | $461.20 | $2,882.51 | $75.39 – $1,144.97 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $6.70 | $41.86 | $0.03 – $48.26 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $98.88 | $618.00 | $11.78 – $143.04 | 16 |
| Phlebotomy therapeutic CPT 99195 | $48.96 | $306.00 | $28.93 – $895.00 | 13 |
| Phosphorus CPT 84100 | $42.40 | $265.00 | $4.21 – $51.07 | 16 |
| Phosphorus 24 hour urine CPT 84105 | $52.48 | $328.00 | $4.62 – $55.79 | 16 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $61.59 | $384.93 | $7.66 – $473.46 | 6 |
| Pin caspar distraction 12mm HCPCS C1821 | $324.00 | $2,025.00 | $1,275.51 – $1,275.51 | 1 |
| Pinworm exam CPT 87172 | $12.16 | $76.00 | $3.80 – $46.06 | 16 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $17.62 | $110.12 | $2.97 – $120.48 | 6 |
| Place cath intracranial art CPT 36228 | $2,272.64 | $14,204.00 | $217.70 – $10,870.00 | 11 |
| Place cath xtrnl carotid CPT 36227 | $4,040.16 | $25,251.00 | $105.29 – $10,870.00 | 11 |
| Place gastrostomy tube perc CPT 49440 | $684.96 | $4,281.00 | $1,132.46 – $10,870.00 | 11 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $600.80 | $3,755.00 | $265.59 – $4,779.52 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $68.32 | $427.00 | $42.42 – $186.38 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $236.80 | $1,480.00 | $585.69 – $2,049.25 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,316.80 | $14,480.00 | $951.58 – $6,049.31 | 9 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $6,225.44 | $38,909.00 | $692.32 – $33,407.55 | 13 |
| Place non-slctv cath thoracic arta CPT 36221 | $2,419.84 | $15,124.00 | $213.85 – $10,870.00 | 11 |
| Placental lactogen CPT 83632 | $23.36 | $146.00 | $20.22 – $218.09 | 16 |
| Place slctv cath carotd art uni CPT 36224 | $6,329.12 | $39,557.00 | $345.27 – $16,102.94 | 11 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,628.64 | $22,679.00 | $292.62 – $10,870.00 | 11 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $4,512.96 | $28,206.00 | $315.97 – $16,102.94 | 11 |
| Place slctv cath subclavian art CPT 36225 | $1,382.72 | $8,642.00 | $314.60 – $10,870.00 | 11 |
| Place slctv cath vertebral art uni CPT 36226 | $4,870.56 | $30,441.00 | $346.20 – $16,102.94 | 11 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $24.80 | $155.00 | $132.05 – $689.00 | 13 |
| Platelet aggregation each agent teg CPT 85576 | $68.96 | $431.00 | $21.00 – $196.95 | 16 |
| Platelet automated CPT 85049 | $36.16 | $226.00 | $4.48 – $48.31 | 16 |
| Platelet pheresis each unit HCPCS P9034 | $101.43 | $633.92 | $308.96 – $695.16 | 13 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $121.86 | $761.60 | $189.59 – $689.00 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $113.43 | $708.96 | $490.00 – $1,151.08 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $121.86 | $761.60 | $490.00 – $1,531.37 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $485.92 | $3,037.00 | $490.00 – $1,366.72 | 13 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,060.80 | $12,880.00 | $1,507.50 – $10,361.23 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,723.04 | $10,769.00 | $180.59 – $10,870.00 | 11 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,881.12 | $18,007.00 | $1,601.37 – $10,870.00 | 11 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $46.40 | $290.00 | $36.69 – $290.00 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $90.88 | $568.00 | $84.85 – $1,079.87 | 16 |
| Plmt biliary drainage cath CPT 47534 | $1,421.60 | $8,885.00 | $1,854.62 – $10,361.23 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $1,263.36 | $7,896.00 | $1,283.11 – $10,200.85 | 9 |
| Pm device progr eval dual CPT 93280 | $278.88 | $1,743.00 | $48.00 – $3,450.00 | 15 |
| Pm device progr eval multi CPT 93281 | $333.44 | $2,084.00 | $48.00 – $3,450.00 | 15 |
| Pmp22 gene dup/delet CPT 81324 | $83.20 | $520.00 | $639.60 – $5,167.16 | 16 |
| Pms2 gene dup/delet variants CPT 81319 | $24.71 | $154.43 | $154.43 – $4,926.99 | 16 |
| Pms2 gene full seq analysis CPT 81317 | $83.59 | $522.43 | $522.43 – $4,894.81 | 16 |
| Pms2 known familial variants CPT 81318 | $52.96 | $331.00 | $132.59 – $869.21 | 16 |
| Pneum full leg splnt pre ots HCPCS L4370 | $44.64 | $279.00 | $187.72 – $478.53 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $183.36 | $1,146.00 | $20.91 – $208.79 | 16 |
| Post-op hip abduct custom fa HCPCS L1685 | $1,060.80 | $6,630.00 | $1,786.75 – $4,020.19 | 8 |
| Potassium 24 hour urine CPT 84133 | $46.88 | $293.00 | $3.83 – $46.42 | 16 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $33.47 | $209.21 | $0.33 – $45.56 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $44.00 | $275.00 | $3.44 – $50.05 | 16 |
| Pq biliary strict dil s&i CPT 74363 | $568.00 | $3,550.00 | $1,405.06 – $4,366.50 | 4 |
| Pq dr cath chg w cont s&i CPT 75984 | $412.80 | $2,580.00 | $105.47 – $603.26 | 12 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,715.04 | $35,719.00 | $535.81 – $20,998.58 | 9 |
| Pq thr inj ext pse CPT 36002 | $383.36 | $2,396.00 | $275.89 – $1,815.34 | 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.