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 |
|---|---|---|---|---|
| Tc-99m medronate HCPCS A9503 | $51.20 | $320.00 | $175.49 – $466.33 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $188.32 | $1,177.00 | $1,066.24 – $2,159.69 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $57.92 | $362.00 | $38.89 – $445.26 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $52.96 | $331.00 | $57.29 – $407.13 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $52.96 | $331.00 | $4.14 – $407.13 | 6 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $83.84 | $524.02 | $59.11 – $644.54 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $168.80 | $1,055.00 | $275.92 – $1,297.65 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $38.24 | $239.00 | $127.32 – $2,045.69 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $142.24 | $889.00 | $271.40 – $1,093.47 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $300.64 | $1,879.00 | $585.23 – $2,311.17 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $6.65 | $41.55 | $20.00 – $425.78 | 16 |
| T cells absolute cd 4 count CPT 86361 | $3.81 | $23.80 | $23.80 – $290.59 | 16 |
| T cells total count CPT 86359 | $5.40 | $33.75 | $16.00 – $407.77 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $6,531.60 | $40,822.52 | $129.50 – $509.03 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $8.00 | $50.00 | $6.73 – $61.50 | 6 |
| Test for chlorohydrocarbons CPT 82441 | $18.72 | $117.00 | $6.01 – $64.80 | 16 |
| Testicular imaging w/vasc flow CPT 78761 | $291.36 | $1,821.00 | $152.65 – $1,647.04 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $577.12 | $3,607.00 | $92.63 – $1,740.00 | 16 |
| Theophylline therapeutic drug level CPT 80198 | $51.20 | $320.00 | $14.14 – $152.70 | 16 |
| Therapeutic procd strg endur HCPCS G0237 | $16.96 | $106.00 | $21.31 – $536.00 | 18 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $198.56 | $1,241.00 | $225.60 – $1,191.26 | 15 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $14.38 | $89.89 | $2.18 – $50.30 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $921.60 | $5,760.00 | $113.57 – $1,815.34 | 9 |
| Throat x-ray & fluoroscopy CPT 70370 | $121.28 | $758.00 | $67.20 – $402.25 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,934.40 | $12,090.00 | $80.07 – $10,870.00 | 11 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $1,637.92 | $10,237.00 | $1,991.07 – $16,470.68 | 11 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $2,881.92 | $18,012.00 | $2,548.83 – $33,407.55 | 11 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $7,675.20 | $47,970.00 | $7,699.62 – $53,049.38 | 11 |
| Thrombin time CPT 85670 | $1.54 | $9.63 | $5.77 – $62.40 | 16 |
| Thromboplastin inhibition CPT 85705 | $20.80 | $130.00 | $9.63 – $91.54 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $75.20 | $470.00 | $5.75 – $69.81 | 16 |
| Thyroglobulin antibody CPT 86800 | $44.96 | $281.00 | $14.11 – $171.59 | 16 |
| Thyroid imaging CPT 78013 | $285.92 | $1,787.00 | $318.69 – $1,647.04 | 18 |
| Thyroid mets imag whole body CPT 78018 | $567.36 | $3,546.00 | $229.01 – $2,135.54 | 18 |
| Thyroid (TSH) Test CPT 84443 | $68.32 | $427.00 | $14.76 – $181.33 | 16 |
| Thyroid Ultrasound CPT 76536 | $325.12 | $2,032.00 | $100.00 – $539.49 | 17 |
| Thyroid uptake measurement CPT 78012 | $192.96 | $1,206.00 | $494.40 – $1,647.04 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $2.10 | $13.14 | $13.14 – $149.07 | 16 |
| Tilt table study CPT 93660 | $615.68 | $3,848.00 | $357.00 – $1,079.87 | 11 |
| Tissue culture placenta CPT 88235 | $28.08 | $175.50 | $123.75 – $1,191.41 | 17 |
| Tissue culture skin/biopsy CPT 88233 | $104.19 | $651.16 | $97.50 – $1,289.12 | 17 |
| Tissue exam koh skin/hair/nails CPT 87220 | $25.28 | $158.00 | $4.27 – $46.06 | 16 |
| Tissue transglutaminase iga CPT 86364 | $1.92 | $12.00 | $11.53 – $26.21 | 12 |
| Tl-201 thallium diag per mci HCPCS A9505 | $133.28 | $833.00 | $70.55 – $1,024.59 | 6 |
| Tobramycin peak therapeutic drug level CPT 80200 | $68.00 | $425.00 | $14.33 – $173.92 | 16 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $52.48 | $328.00 | $39.48 – $318.48 | 16 |
| Tomosynthesis breast screen bilateral CPT 77063 | $54.24 | $339.00 | $39.48 – $329.09 | 18 |
| Total tau CPT 84394 | $48.00 | $300.00 | $128.92 – $290.07 | 11 |
| Toxoplasma antibody igg CPT 86777 | $33.60 | $210.00 | $14.39 – $154.81 | 16 |
| Toxoplasma antibody igm CPT 86778 | $2.05 | $12.80 | $12.80 – $160.70 | 16 |
| Tp53 gene full gene sequence CPT 81351 | $102.40 | $640.00 | $142.00 – $2,454.45 | 14 |
| Tp53 gene trgt sequence alys CPT 81352 | $52.80 | $330.00 | $324.24 – $1,260.06 | 14 |
| Tpmt gene com vrnts CPT 81335 | $29.60 | $185.00 | $139.85 – $1,409.93 | 16 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $9.51 | $59.42 | $73.09 – $73.09 | 1 |
| Transcath biopsy CPT 37200 | $1,357.76 | $8,486.00 | $243.03 – $16,102.94 | 11 |
| Transcath closure of asd CPT 93580 | $11,920.64 | $74,504.00 | $1,065.50 – $53,049.38 | 11 |
| Transcath closure of vsd CPT 93581 | $14,187.52 | $88,672.00 | $1,342.15 – $53,049.38 | 11 |
| Transcatheter bx s&i CPT 75970 | $674.88 | $4,218.00 | $2,658.16 – $5,188.14 | 4 |
| Transcath occlusion cns CPT 61624 | $8,989.92 | $56,187.00 | $1,472.67 – $53,049.38 | 9 |
| Transcath occlusion non-cns CPT 61626 | $5,661.28 | $35,383.00 | $834.35 – $33,407.55 | 9 |
| Transferrin CPT 84466 | $37.12 | $232.00 | $11.01 – $141.81 | 16 |
| Transfusion blood/blood component(s) CPT 36430 | $464.16 | $2,901.00 | $490.00 – $1,574.40 | 13 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $452.48 | $2,828.00 | $3,478.44 – $3,478.44 | 1 |
| Treat ankle fracture CPT 28445 | $416.00 | $2,600.00 | $744.22 – $20,998.58 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $100.00 | $625.00 | $29.99 – $536.00 | 18 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $100.00 | $625.00 | $19.55 – $536.00 | 18 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $64.48 | $403.00 | $20.64 – $633.69 | 18 |
| Treponema pallidum antibody CPT 86780 | $37.28 | $233.00 | $10.88 – $187.21 | 16 |
| Trg gene rearrangement anal CPT 81342 | $32.24 | $201.50 | $145.76 – $773.33 | 16 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $16.16 | $101.00 | $2.01 – $65.19 | 6 |
| Trichinella antibody CPT 86784 | $15.18 | $94.90 | $12.56 – $136.21 | 16 |
| #tricyclicantidprssnt CPT 80337 | $22.60 | $141.28 | $6.15 – $222.37 | 4 |
| Triglycerides CPT 84478 | $40.32 | $252.00 | $5.02 – $61.75 | 16 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $3,456.64 | $21,604.00 | $2,506.00 – $26,572.92 | 5 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $4,952.80 | $30,955.00 | $876.05 – $2,717.00 | 11 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $3,824.32 | $23,902.00 | $181.91 – $10,870.00 | 13 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $6,540.00 | $40,875.00 | $129.62 – $10,870.00 | 13 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $6,540.00 | $40,875.00 | $485.42 – $33,407.55 | 13 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,204.80 | $13,780.00 | $311.85 – $10,870.00 | 11 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,373.76 | $8,586.00 | $403.90 – $16,102.94 | 11 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $799.84 | $4,999.00 | $247.73 – $10,870.00 | 11 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $799.84 | $4,999.00 | $147.00 – $10,870.00 | 11 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $799.84 | $4,999.00 | $355.35 – $9,137.36 | 9 |
| Troponin quantitative CPT 84484 | $84.64 | $529.00 | $8.47 – $205.88 | 16 |
| Tx atrial fib pulm vein isol CPT 93656 | $10,258.40 | $64,115.00 | $1,553.42 – $75,639.83 | 11 |
| Tx l/r atrial fib addl CPT 93657 | $4,040.00 | $25,250.00 | $257.05 – $10,870.00 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $206.40 | $1,290.00 | $100.00 – $782.99 | 17 |
| Ultrasound breast complete CPT 76641 | $328.80 | $2,055.00 | $100.00 – $765.41 | 17 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $234.56 | $1,466.00 | $100.00 – $585.97 | 17 |
| Ultrasound chest CPT 76604 | $282.08 | $1,763.00 | $100.00 – $539.49 | 17 |
| Ultrasound dx ophth b-scan CPT 76512 | $22.08 | $138.00 | $100.00 – $539.49 | 17 |
| Ultrasound encephalogram CPT 76506 | $165.28 | $1,033.00 | $100.00 – $539.49 | 17 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $313.92 | $1,962.00 | $100.00 – $578.34 | 17 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $222.08 | $1,388.00 | $100.00 – $539.49 | 17 |
| Ultrasound guidance for vascular access CPT 76937 | $141.44 | $884.00 | $45.53 – $138.32 | 13 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $396.16 | $2,476.00 | $71.71 – $469.66 | 13 |
| Ultrasound guide intraoperative CPT 76998 | $349.60 | $2,185.00 | $100.00 – $2,687.55 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | $91.52 | $572.00 | $100.00 – $438.42 | 17 |
| Ultrasound joint complete left CPT 76881 | $279.04 | $1,744.00 | $100.00 – $741.73 | 17 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $22.72 | $142.00 | $46.31 – $539.49 | 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.