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 |
|---|---|---|---|---|
| Red blood cells washed each unit HCPCS P9022 | $96.77 | $604.80 | $368.58 – $829.31 | 13 |
| Redo endovas vena cava filtr CPT 37192 | $2,684.64 | $16,779.00 | $373.27 – $10,870.00 | 13 |
| Refill/maint pump/resvr syst CPT 96522 | $101.76 | $636.00 | $49.52 – $895.00 | 13 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $171.52 | $1,072.00 | $7.29 – $1,043.99 | 6 |
| Relocation skin pocket aicd CPT 33223 | $1,248.32 | $7,802.00 | $454.26 – $5,970.87 | 9 |
| Relocation skin pocket pm CPT 33222 | $1,392.32 | $8,702.00 | $542.56 – $5,970.87 | 9 |
| Rem endovas vena cava filter CPT 37193 | $2,458.24 | $15,364.00 | $372.87 – $10,870.00 | 13 |
| Removal biliary drg cath CPT 47537 | $706.40 | $4,415.00 | $453.81 – $2,624.69 | 9 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $839.84 | $5,249.00 | $167.14 – $10,870.00 | 11 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $973.28 | $6,083.00 | $196.91 – $10,870.00 | 11 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $99.52 | $622.00 | $125.00 – $765.06 | 20 |
| Removal duct glbldr calculi CPT 47544 | $731.20 | $4,570.00 | $135.74 – $915.86 | 9 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $5,643.04 | $35,269.00 | $356.44 – $30,246.75 | 9 |
| Removal tunnled intprtnl cath CPT 49422 | $787.52 | $4,922.00 | $555.03 – $10,870.00 | 11 |
| Remove cva lumen obstruct CPT 75902 | $130.72 | $817.00 | $98.97 – $564.54 | 12 |
| Remove renal tube w/fluoro CPT 50389 | $551.52 | $3,447.00 | $559.13 – $2,017.89 | 9 |
| Remove ureter stent percut CPT 50384 | $1,012.80 | $6,330.00 | $1,620.61 – $10,870.00 | 11 |
| Renal cyst study s&i CPT 74470 | $264.96 | $1,656.00 | $76.36 – $1,581.26 | 16 |
| Renal function panel CPT 80069 | $117.92 | $737.00 | $8.68 – $93.64 | 16 |
| Renal venogram bil s&i CPT 75833 | $1,015.52 | $6,347.00 | $2,917.62 – $11,749.25 | 15 |
| Repair pm/icd lead dual CPT 33220 | $1,308.80 | $8,180.00 | $363.13 – $10,814.29 | 9 |
| Repair pm/icd lead sgl CPT 33218 | $1,186.88 | $7,418.00 | $259.19 – $10,814.29 | 9 |
| Replace g/c tube perc CPT 49450 | $497.28 | $3,108.00 | $787.64 – $2,624.69 | 9 |
| Reposition pm/icd lead CPT 33215 | $799.84 | $4,999.00 | $185.95 – $9,137.36 | 9 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $1,960.16 | $12,251.00 | $141.82 – $10,870.00 | 11 |
| Repos lv lead pm/icd CPT 33226 | $1,583.68 | $9,898.00 | $330.65 – $9,137.36 | 9 |
| Repos sq defib eltrd CPT 33273 | $924.80 | $5,780.00 | $424.04 – $10,814.29 | 9 |
| Reptilase test CPT 85635 | $1.40 | $8.75 | $8.75 – $106.28 | 16 |
| #resp virpnl dfa-adenovirus CPT 87260 | $1.62 | $10.10 | $10.10 – $96.98 | 16 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $1.62 | $10.10 | $10.10 – $100.18 | 16 |
| Resp virus 6-11 targets CPT 87632 | $24.73 | $154.59 | $154.59 – $1,823.08 | 16 |
| Resuscitation cardiopulmonary CPT 92950 | $287.20 | $1,795.00 | $202.90 – $3,450.00 | 12 |
| Resuscitation delivery/birthing room CPT 99465 | $166.24 | $1,039.00 | $120.00 – $1,912.69 | 13 |
| Reticulated platelet assay CPT 85055 | $4.57 | $28.59 | $28.59 – $290.01 | 16 |
| Reticulocyte automated CPT 85045 | $22.88 | $143.00 | $3.55 – $43.15 | 16 |
| Reticulocyte direct measurement automated CPT 85046 | $0.74 | $4.61 | $4.61 – $60.01 | 16 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $5,061.12 | $31,632.00 | $7,320.30 – $38,907.36 | 11 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $16,288.00 | $101,800.00 | $9,449.00 – $125,214.00 | 11 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $16,300.80 | $101,880.00 | $9,449.00 – $125,312.40 | 11 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $14,982.88 | $93,643.00 | $9,449.00 – $115,180.89 | 11 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $9,435.36 | $58,971.00 | $9,449.00 – $72,534.33 | 11 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $7,817.28 | $48,858.00 | $9,449.00 – $60,095.34 | 11 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $5,061.12 | $31,632.00 | $7,320.30 – $38,907.36 | 11 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $10,265.28 | $64,158.00 | $9,449.00 – $78,914.34 | 11 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $9,833.28 | $61,458.00 | $9,449.00 – $75,593.34 | 11 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $16,300.80 | $101,880.00 | $9,449.00 – $125,312.40 | 11 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $16,300.86 | $101,880.35 | $9,449.00 – $125,312.83 | 11 |
| Revasc intravasc lithotripsy HCPCS C9764 | $4,938.56 | $30,866.00 | $14,847.80 – $33,407.55 | 8 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $10,993.66 | $68,710.40 | $9,449.00 – $53,049.38 | 10 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $9,772.48 | $61,078.00 | $9,449.00 – $53,049.38 | 10 |
| Revision tips CPT 37183 | $3,210.40 | $20,065.00 | $440.83 – $16,470.68 | 11 |
| Rheumatoid factor qualitative CPT 86430 | $24.96 | $156.00 | $6.14 – $60.30 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $15.84 | $99.00 | $5.02 – $60.30 | 16 |
| Rho d immune globulin inj HCPCS J2790 | $120.80 | $755.00 | $192.52 – $344.68 | 6 |
| Right ventric recording CPT 93603 | $2,357.76 | $14,736.00 | $281.07 – $15,431.00 | 14 |
| Rmvl icd by tv extr CPT 33244 | $1,725.92 | $10,787.00 | $671.78 – $10,814.29 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $11,158.08 | $69,738.00 | $385.58 – $64,370.25 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $11,106.40 | $69,415.00 | $399.91 – $90,835.43 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $10,987.52 | $68,672.00 | $371.14 – $64,370.25 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $1,258.56 | $7,866.00 | $184.55 – $10,814.29 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $298.24 | $1,864.00 | $187.75 – $1,815.34 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $2,103.04 | $13,144.00 | $191.41 – $23,947.88 | 12 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $6,413.44 | $40,084.00 | $370.92 – $55,741.05 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,001.44 | $31,259.00 | $342.08 – $23,947.88 | 9 |
| Rmvl pq iabp CPT 33968 | $52.64 | $329.00 | $29.33 – $10,870.00 | 11 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $3,480.64 | $21,754.00 | $161.92 – $10,870.00 | 11 |
| Rmvl subq card rhythm mntr CPT 33286 | $640.48 | $4,003.00 | $142.38 – $10,870.00 | 11 |
| Rmvl tv pm lead dual CPT 33235 | $2,370.72 | $14,817.00 | $397.94 – $10,814.29 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $2,551.36 | $15,946.00 | $469.64 – $10,814.29 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $2,167.18 | $13,544.86 | $11.11 – $30.08 | 11 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $13.88 | $86.74 | $0.13 – $106.70 | 6 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,019.84 | $6,374.00 | $88.40 – $10,870.00 | 11 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $932.16 | $5,826.00 | $233.60 – $1,647.04 | 18 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $935.04 | $5,844.00 | $77.86 – $10,870.00 | 11 |
| Rpl tun-cvad w subq port CPT 36582 | $3,152.64 | $19,704.00 | $406.24 – $10,870.00 | 11 |
| Rpl tun cvc wo subq port CPT 36581 | $1,199.36 | $7,496.00 | $215.23 – $10,870.00 | 11 |
| Rsv assay w/optic CPT 87807 | $43.52 | $272.00 | $13.10 – $98.22 | 16 |
| Rubella antibody igg CPT 86762 | $40.48 | $253.00 | $10.88 – $154.81 | 16 |
| Rubeola antibody igg CPT 86765 | $36.32 | $227.00 | $11.45 – $139.05 | 16 |
| Russell viper venom diluted CPT 85613 | $5.60 | $35.00 | $8.45 – $103.23 | 16 |
| Salmonella antibody CPT 86768 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Sars-cov-2 antb quantitative CPT 86413 | $32.32 | $202.00 | $51.43 – $151.03 | 14 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $398.40 | $2,490.00 | $306.88 – $2,030.00 | 18 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $328.16 | $2,051.00 | $134.46 – $2,030.00 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $293.60 | $1,835.00 | $99.00 – $2,030.00 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $322.40 | $2,015.00 | $134.46 – $2,030.00 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $383.04 | $2,394.00 | $134.46 – $2,030.00 | 18 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $409.12 | $2,557.00 | $170.91 – $2,030.00 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $345.76 | $2,161.00 | $134.46 – $2,030.00 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $308.64 | $1,929.00 | $134.46 – $2,030.00 | 18 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,160.00 | $13,500.00 | $7,841.25 – $7,841.25 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $52.00 | $325.00 | $18.05 – $333.33 | 14 |
| Screening Mammogram CPT 77067 | $158.24 | $989.00 | $90.00 – $875.83 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $52.00 | $325.00 | $15.62 – $198.47 | 14 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $29.76 | $186.00 | $228.78 – $228.78 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $1,104.00 | $6,900.00 | $81.18 – $81.18 | 1 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,755.84 | $10,974.00 | $212.93 – $10,870.00 | 11 |
| Sedimentation rate erythrocyte automated CPT 85652 | $39.84 | $249.00 | $2.70 – $28.19 | 16 |
| Semen analysis presence/motility CPT 89321 | $39.36 | $246.00 | $12.05 – $129.97 | 17 |
| Semen analysis w/count CPT 89310 | $1.38 | $8.61 | $8.61 – $92.77 | 17 |
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.