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 |
|---|---|---|---|---|
| Serpina1 gene CPT 81332 | $6.98 | $43.65 | $43.65 – $595.27 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | $32.00 | $200.00 | $18.62 – $185.25 | 4 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $28.96 | $181.00 | $140.22 – $140.22 | 1 |
| Shoe post-op mens m HCPCS L3260 | $97.60 | $610.00 | $134.07 – $134.07 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,468.64 | $9,179.00 | $448.71 – $4,642.89 | 16 |
| Shoulder MRI (with contrast) CPT 73222 | $951.84 | $5,949.00 | $607.79 – $3,213.97 | 16 |
| Shoulder MRI (without contrast) CPT 73221 | $726.56 | $4,541.00 | $306.88 – $2,050.09 | 16 |
| Shoulder X-ray CPT 73030 | $277.44 | $1,734.00 | $40.00 – $292.79 | 16 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $185.28 | $1,158.00 | $43.81 – $539.49 | 16 |
| Sialography s&i CPT 70390 | $195.84 | $1,224.00 | $72.92 – $1,094.96 | 16 |
| Sickling rbc CPT 85660 | $15.52 | $97.00 | $4.52 – $59.72 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,064.00 | $6,650.00 | $225.60 – $1,508.16 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $939.52 | $5,872.00 | $225.60 – $1,209.81 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $817.76 | $5,111.00 | $134.46 – $1,009.48 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $694.56 | $4,341.00 | $2,917.62 – $11,749.25 | 15 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $28.48 | $178.00 | $52.42 – $182.42 | 4 |
| Skel musc relaxant 3 or more CPT 80370 | $0.96 | $6.00 | $7.38 – $200.65 | 4 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $4.32 | $27.00 | $10.76 – $33.21 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $159.20 | $995.00 | $238.00 – $1,223.85 | 5 |
| Slp ther svc non-spch gen CPT 92606 | $74.56 | $466.00 | $125.00 – $573.18 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $30.08 | $188.00 | $4.79 – $57.97 | 16 |
| Smear gram stain CPT 87205 | $33.12 | $207.00 | $3.46 – $46.06 | 16 |
| Smear nasal eosinophil CPT 89190 | $31.52 | $197.00 | $4.63 – $51.22 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $42.40 | $265.00 | $5.33 – $64.66 | 16 |
| Smear wet mount CPT 87210 | $30.40 | $190.00 | $5.82 – $46.06 | 16 |
| Smpd1 gene common variants CPT 81330 | $7.52 | $47.00 | $47.00 – $835.15 | 16 |
| Snrpn/ube3a gene CPT 81331 | $53.60 | $335.00 | $51.07 – $434.79 | 16 |
| Sodium 24 hour urine CPT 84300 | $40.00 | $250.00 | $4.32 – $52.45 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $19.05 | $119.08 | $5.41 – $146.46 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $7.90 | $49.39 | $3.51 – $60.74 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $19.52 | $122.00 | $1.80 – $61.31 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $12.86 | $80.36 | $0.17 – $66.00 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $33.92 | $212.00 | $3.51 – $51.72 | 16 |
| Special supplies phys/qhp CPT 99070 | $539.36 | $3,371.00 | $2.67 – $2.67 | 1 |
| Specific gravity body fluid CPT 84315 | $12.48 | $78.00 | $2.62 – $27.10 | 16 |
| Specimen fat stain CPT 89125 | $12.16 | $76.00 | $5.88 – $46.57 | 17 |
| Speech evaluation complex CPT 70371 | $127.04 | $794.00 | $306.88 – $1,094.96 | 16 |
| Sperm antibody test CPT 89325 | $7.72 | $48.25 | $10.67 – $115.15 | 17 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $195.52 | $1,222.00 | $292.90 – $10,870.00 | 11 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $309.12 | $1,932.00 | $79.45 – $1,079.87 | 16 |
| Splint finger 4 prong foam sm HCPCS A4570 | $44.64 | $279.00 | $27.06 – $27.06 | 1 |
| Splint func pos polyflex ii med HCPCS L3999 | $71.68 | $448.00 | $551.04 – $551.04 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $150.88 | $943.00 | $109.53 – $536.00 | 20 |
| Staph a dna amp probe CPT 87640 | $58.40 | $365.00 | $35.09 – $370.50 | 16 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $72.00 | $450.00 | $112.11 – $536.00 | 20 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $23,250.08 | $145,313.00 | $2,506.00 – $2,717.00 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $435.36 | $2,721.00 | $642.06 – $642.06 | 1 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $23,250.08 | $145,313.00 | $1,239.84 – $2,717.00 | 3 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $3,244.16 | $20,276.00 | $2,506.00 – $2,717.00 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $10.37 | $64.83 | $0.62 – $10.62 | 9 |
| Sterile water/saline, 500 ml HCPCS A4217 | $13.29 | $83.08 | $3.72 – $10.59 | 9 |
| St evaluate speech sound production CPT 92522 | $145.28 | $908.00 | $113.11 – $536.00 | 20 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $179.84 | $1,124.00 | $125.00 – $557.39 | 20 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $194.08 | $1,213.00 | $70.48 – $536.00 | 20 |
| St evaluation swallow function CPT 92610 | $159.20 | $995.00 | $61.43 – $536.00 | 20 |
| Stimulants synthetic CPT 80371 | $24.00 | $150.00 | $8.61 – $160.91 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $73.60 | $460.00 | $34.80 – $357.00 | 17 |
| Strapping of hand or finger CPT 29280 | $73.60 | $460.00 | $64.11 – $357.00 | 17 |
| Strep b dna amp probe CPT 87653 | $46.40 | $290.00 | $30.52 – $370.50 | 16 |
| Stress test pulmonary CPT 94618 | $183.20 | $1,145.00 | $53.14 – $402.00 | 16 |
| Stress tte complete CPT 93351 | $513.92 | $3,212.00 | $350.00 – $2,237.16 | 16 |
| Str markers specimen anal CPT 81265 | $40.40 | $252.50 | $191.15 – $2,573.88 | 16 |
| St treatment speech individual CPT 92507 | $93.44 | $584.00 | $83.14 – $536.00 | 20 |
| St treatment swallow dysfunction/oral CPT 92526 | $101.60 | $635.00 | $59.67 – $536.00 | 20 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $5.71 | $35.72 | $4.22 – $43.93 | 6 |
| Sugars single quant CPT 84378 | $1.64 | $10.24 | $10.24 – $123.72 | 16 |
| Sulfonylurea screen qn-sendout CPT 80377 | $20.09 | $125.59 | $4.92 – $223.83 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $16.16 | $101.00 | $63.66 – $515.92 | 6 |
| Support clav 29.6-40.5in med HCPCS L3650 | $91.36 | $571.00 | $63.48 – $196.16 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $34.88 | $218.00 | $14.77 – $83.70 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $43.68 | $273.00 | $33.11 – $108.09 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $52.16 | $326.00 | $53.78 – $150.80 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $104.32 | $652.00 | $46.25 – $150.80 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $142.88 | $893.00 | $154.62 – $1,037.30 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $207.52 | $1,297.00 | $221.43 – $2,331.54 | 17 |
| Susceptibility agar dilution per agent CPT 87181 | $15.68 | $98.00 | $2.05 – $24.34 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $16.32 | $102.00 | $2.13 – $31.09 | 16 |
| Susceptibility mic per plate CPT 87186 | $80.64 | $504.00 | $6.92 – $93.28 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | $0.94 | $5.90 | $5.90 – $71.56 | 16 |
| Svc venogram s&i CPT 75827 | $736.64 | $4,604.00 | $217.56 – $4,555.42 | 16 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $15.04 | $94.00 | $4.40 – $47.51 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $48.00 | $300.00 | $14.97 – $182.85 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $47.84 | $299.00 | $12.59 – $152.92 | 16 |
| T4 (thyroxine) free CPT 84439 | $64.32 | $402.00 | $7.91 – $97.27 | 16 |
| T4 (thyroxine) total CPT 84436 | $44.00 | $275.00 | $6.87 – $74.17 | 16 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.75 | $17.21 | $0.54 – $13.18 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $1.95 | $12.21 | $12.21 – $160.11 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $416.00 | $2,600.00 | $759.53 – $23,234.98 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $467.14 | $2,919.60 | $1,964.13 – $23,234.98 | 16 |
| Target gsa panel organ neop CPT 81445 | $374.40 | $2,340.00 | $597.91 – $23,234.98 | 16 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $203.68 | $1,273.00 | $100.00 – $530.32 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $33.44 | $209.00 | $40.00 – $654.19 | 16 |
| Tc-99m diag per dose HCPCS A4641 | $197.92 | $1,237.00 | $1,521.51 – $1,521.51 | 1 |
| Tc-99m disofenin HCPCS A9510 | $46.08 | $288.00 | $129.24 – $354.24 | 6 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,068.32 | $6,677.00 | $934.13 – $3,572.45 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | $719.36 | $4,496.00 | $2,019.35 – $5,530.08 | 6 |
| Tc-99m gluceptate HCPCS A9550 | $35.36 | $221.00 | $271.83 – $271.83 | 1 |
| Tc-99m labeled rbc HCPCS A9560 | $129.76 | $811.00 | $272.84 – $997.53 | 6 |
| Tc-99m maa HCPCS A9540 | $41.76 | $261.00 | $51.53 – $321.03 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $50.88 | $318.00 | $142.50 – $354.24 | 6 |
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.