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 |
|---|---|---|---|---|
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $1,339.04 | $8,369.00 | $180.87 – $406.96 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $1,339.04 | $8,369.00 | $484.48 – $9,468.77 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,896.16 | $11,851.00 | $455.19 – $9,468.77 | 9 |
| Pr application of long arm splint CPT 29105 | $129.28 | $808.00 | $81.51 – $470.26 | 17 |
| Pr application splint static short arm CPT 29125 | $129.12 | $807.00 | $65.03 – $385.02 | 17 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $19.20 | $120.00 | $18.37 – $108.43 | 13 |
| Prcrd drg 6+yr without anomly CPT 33017 | $858.40 | $5,365.00 | $210.50 – $10,870.00 | 11 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $1,929.28 | $12,058.00 | $677.27 – $10,870.00 | 11 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $116.32 | $727.00 | $74.30 – $580.61 | 20 |
| Prealbumin CPT 84134 | $59.52 | $372.00 | $12.47 – $157.86 | 16 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $4.26 | $26.64 | $1.17 – $19.92 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.28 | $8.03 | $0.03 – $2.00 | 6 |
| Pregabalin - sendout CPT 80366 | $11.00 | $68.75 | $4.92 – $4.92 | 1 |
| Pregnancy associated plasma protein-a CPT 84163 | $2.14 | $13.38 | $13.38 – $159.10 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $321.12 | $2,007.00 | $100.00 – $632.90 | 17 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $249.76 | $1,561.00 | $100.00 – $539.49 | 17 |
| Pressure max expiratory/inspiratory CPT 94799 | $59.84 | $374.00 | $165.50 – $402.00 | 12 |
| Pressure velocity wire add ves CPT 93572 | $110.56 | $691.00 | $849.93 – $10,870.00 | 3 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $72.00 | $450.00 | $29.38 – $493.03 | 16 |
| Pretreat rbc absorption reference CPT 86978 | $30.40 | $190.00 | $19.97 – $689.00 | 18 |
| Pretreat rbc density gradient separation reference CPT 86972 | $35.20 | $220.00 | $29.38 – $689.00 | 18 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $27.90 | $174.35 | $4.52 – $170.72 | 16 |
| Pretreat rbc w enzyme reference CPT 86971 | $67.04 | $419.00 | $20.00 – $689.00 | 18 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $238.56 | $1,491.00 | $48.00 – $3,450.00 | 15 |
| Prgrmg eval implantable dfb CPT 93282 | $333.44 | $2,084.00 | $48.00 – $3,450.00 | 15 |
| Prgrmg eval implantable dfb CPT 93283 | $382.24 | $2,389.00 | $48.00 – $3,450.00 | 15 |
| Prgrmg eval implantable dfb CPT 93284 | $430.08 | $2,688.00 | $48.00 – $3,450.00 | 15 |
| Prgr stim/pace a/iv drug CPT 93623 | $1,054.56 | $6,591.00 | $3,047.00 – $8,106.93 | 4 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,563.20 | $28,520.00 | $3,241.22 – $53,049.38 | 11 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $313.92 | $1,962.00 | $139.52 – $10,870.00 | 11 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $89.76 | $561.00 | $11.18 – $82.31 | 9 |
| Procalcitonin CPT 84145 | $66.40 | $415.00 | $27.22 – $184.74 | 16 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $10.25 | $64.04 | $6.86 – $78.77 | 6 |
| Progesterone CPT 84144 | $59.20 | $370.00 | $18.30 – $225.13 | 16 |
| Prolactin CPT 84146 | $54.56 | $341.00 | $17.11 – $209.08 | 16 |
| Promethazine hcl injection HCPCS J2550 | $6.80 | $42.53 | $2.35 – $52.31 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $43.16 | $269.73 | $0.25 – $80.51 | 6 |
| _propoxygc/msur CPT 80367 | $24.16 | $151.00 | $151.03 – $201.38 | 4 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $16.53 | $103.32 | $22.95 – $127.08 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $76.19 | $476.19 | $4.27 – $171.36 | 6 |
| Protein c activity CPT 85303 | $1.97 | $12.30 | $12.30 – $149.36 | 16 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $36.64 | $229.00 | $7.00 – $116.02 | 16 |
| Protein s total CPT 85305 | $1.65 | $10.32 | $10.32 – $125.46 | 16 |
| Protein total 24 hour urine CPT 84156 | $46.72 | $292.00 | $3.26 – $39.67 | 16 |
| Protein total body fluid CPT 84157 | $14.72 | $92.00 | $2.99 – $39.67 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $33.12 | $207.00 | $2.96 – $39.52 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $2.34 | $14.64 | $2.05 – $9.38 | 14 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $59.84 | $374.00 | $3.51 – $42.50 | 16 |
| Prq card revasc mi 1 vsl CPT 92941 | $5,775.20 | $36,095.00 | $578.89 – $10,870.00 | 13 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $7,031.84 | $43,949.00 | $2,506.00 – $54,057.27 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $5,661.28 | $35,383.00 | $851.21 – $33,407.55 | 13 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $5,661.28 | $35,383.00 | $852.25 – $33,407.55 | 13 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $14,982.88 | $93,643.00 | $9,449.00 – $53,049.38 | 10 |
| Prq trluml c angiop 1art&/br CPT 92920 | $3,637.28 | $22,733.00 | $767.69 – $16,470.68 | 11 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $7,313.28 | $45,708.00 | $912.61 – $33,407.55 | 11 |
| Prq trluml revsc ch occ ant CPT 92943 | $5,661.28 | $35,383.00 | $954.81 – $33,407.55 | 13 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $156.80 | $980.00 | $123.48 – $580.61 | 9 |
| PSA (Prostate) Test CPT 84153 | $59.84 | $374.00 | $16.35 – $198.47 | 16 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $43.68 | $273.00 | $15.28 – $536.00 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $14.88 | $93.00 | $114.39 – $536.00 | 12 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $48.32 | $302.00 | $13.11 – $536.00 | 20 |
| Pt application of modality traction mechanical CPT 97012 | $52.00 | $325.00 | $15.56 – $536.00 | 20 |
| Pten gene dup/delet variant CPT 81323 | $29.16 | $182.26 | $89.52 – $787.80 | 16 |
| Pten gene full sequence CPT 81321 | $58.72 | $367.00 | $110.17 – $1,575.60 | 16 |
| Pten gene known fam variant CPT 81322 | $6.09 | $38.05 | $38.05 – $138.77 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $140.64 | $879.00 | $107.57 – $536.00 | 20 |
| Pt evaluation low complexity patient/family CPT 97161 | $131.04 | $819.00 | $107.57 – $1,007.37 | 20 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $135.84 | $849.00 | $107.57 – $1,044.27 | 20 |
| Pt prgrm for implt neurostim HCPCS L8681 | $1,194.08 | $7,463.00 | $1,294.82 – $2,913.35 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $123.52 | $772.00 | $74.62 – $536.00 | 20 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $48.96 | $306.00 | $19.90 – $536.00 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $36.80 | $230.00 | $18.15 – $536.00 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | $34.88 | $218.00 | $34.06 – $536.00 | 20 |
| Pul art balloon repr percut CPT 92997 | $2,381.76 | $14,886.00 | $961.21 – $33,407.55 | 11 |
| Pul art balloon repr percut CPT 92998 | $1,609.76 | $10,061.00 | $270.42 – $10,870.00 | 11 |
| Pulmonary vent imaging CPT 78579 | $514.72 | $3,217.00 | $278.66 – $1,647.04 | 18 |
| Pulse ox continuous overnight monitoring CPT 94762 | $151.20 | $945.00 | $165.50 – $402.00 | 15 |
| Pulse ox multiple CPT 94761 | $71.04 | $444.00 | $4.95 – $402.00 | 15 |
| Pulse ox single CPT 94760 | $34.40 | $215.00 | $4.55 – $402.00 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $36.80 | $230.00 | $15.57 – $464.00 | 15 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $177.76 | $1,111.00 | $82.76 – $1,176.40 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $320.00 | $2,000.00 | $100.75 – $2,042.73 | 9 |
| Pyruvate CPT 84210 | $1.85 | $11.58 | $11.58 – $117.18 | 16 |
| Pyruvate kinase CPT 84220 | $1.34 | $8.39 | $8.39 – $101.78 | 16 |
| Quest t3 uptake CPT 84479 | $44.00 | $275.00 | $6.47 – $69.81 | 16 |
| Rabies ig ht&sol human im/sc CPT 90377 | $489.13 | $3,057.04 | $242.18 – $1,253.41 | 14 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $491.62 | $3,072.62 | $189.33 – $762.17 | 14 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $861.76 | $5,386.00 | $273.29 – $5,668.70 | 18 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,023.84 | $6,399.00 | $334.69 – $5,668.70 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $593.60 | $3,710.00 | $535.00 – $4,563.30 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $477.12 | $2,982.00 | $157.24 – $1,647.04 | 18 |
| Rapid Strep Test CPT 87880 | $63.36 | $396.00 | $12.33 – $96.98 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $871.43 | $5,446.41 | $267.55 – $1,043.72 | 13 |
| Rbc count only automated CPT 85041 | $0.43 | $2.67 | $2.67 – $32.47 | 16 |
| Rbc deglycerolized each unit HCPCS P9039 | $171.49 | $1,071.84 | $313.00 – $704.25 | 13 |
| Rbc osmotic fragility CPT 85555 | $11.64 | $72.73 | $7.47 – $72.14 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $22.08 | $137.98 | $29.38 – $1,292.76 | 16 |
| Red blood cells each unit HCPCS P9021 | $54.48 | $340.48 | $150.57 – $689.00 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $66.48 | $415.52 | $184.91 – $689.00 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $73.47 | $459.20 | $265.41 – $689.00 | 13 |
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.