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 |
|---|---|---|---|---|
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $175.04 | $1,094.00 | $98.56 – $838.06 | 13 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $222.08 | $1,388.00 | $66.55 – $239.30 | 13 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $268.94 | $1,680.88 | $100.00 – $1,148.99 | 17 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $238.72 | $1,492.00 | $91.46 – $539.49 | 17 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $154.24 | $964.00 | $100.00 – $539.49 | 17 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $237.12 | $1,482.00 | $100.00 – $539.49 | 17 |
| Ultrasound prostate/transrectal CPT 76872 | $298.24 | $1,864.00 | $100.00 – $539.49 | 17 |
| Ultrasound retroperitoneal limited CPT 76775 | $229.92 | $1,437.00 | $90.65 – $539.49 | 17 |
| Ultrasound scrotum and contents CPT 76870 | $380.80 | $2,380.00 | $100.00 – $539.49 | 17 |
| Ultrasound spinal canal and contents CPT 76800 | $137.28 | $858.00 | $100.00 – $539.49 | 17 |
| Ultrasound transabd ea addl gest CPT 76812 | $116.96 | $731.00 | $100.00 – $492.66 | 13 |
| Ultrasound transvaginal non obstetric CPT 76830 | $286.56 | $1,791.00 | $100.00 – $539.49 | 17 |
| Unlisted CT procedure CPT 76497 | $555.52 | $3,472.00 | $111.93 – $747.00 | 14 |
| Unlisted dialysis procedure CPT 90999 | $238.72 | $1,492.00 | $1,835.16 – $1,835.16 | 1 |
| Unlisted maaa CPT 81599 | $39.52 | $247.03 | $303.85 – $942.79 | 3 |
| Unlisted misc path test CPT 89240 | $1.50 | $9.35 | $67.02 – $180.59 | 13 |
| Unlisted mr procedure CPT 76498 | $329.28 | $2,058.00 | $111.93 – $292.79 | 12 |
| Unlisted procedure microbiology CPT 87999 | $70.88 | $443.00 | $50.98 – $544.89 | 3 |
| Unlisted surgical path px CPT 88399 | $100.48 | $628.00 | $67.02 – $180.59 | 13 |
| Unlisted transfusion med px CPT 86999 | $12.80 | $80.00 | $37.20 – $689.00 | 14 |
| Unlisted ultrasound procedure CPT 76999 | $64.00 | $400.00 | $100.00 – $292.79 | 13 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $377.12 | $2,357.00 | $350.00 – $2,899.11 | 13 |
| Upgrade pm system CPT 33214 | $6,632.80 | $41,455.00 | $700.20 – $30,246.75 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,281.12 | $8,007.00 | $448.71 – $4,050.49 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,133.28 | $7,083.00 | $448.71 – $2,470.47 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $801.60 | $5,010.00 | $306.88 – $2,283.31 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $73.28 | $458.00 | $275.67 – $2,624.69 | 9 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $88.32 | $552.00 | $517.51 – $1,234.67 | 9 |
| Urea nitrogen CPT 84520 | $30.40 | $190.00 | $3.15 – $42.57 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $23.36 | $146.00 | $5.56 – $51.22 | 16 |
| Urea nitrogen clearance CPT 84545 | $0.94 | $5.88 | $5.88 – $71.19 | 16 |
| Ureteral reflux study CPT 78740 | $347.04 | $2,169.00 | $119.09 – $1,647.04 | 18 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $236.48 | $1,478.00 | $73.25 – $1,094.96 | 16 |
| Urethrocystography void s&i CPT 74455 | $297.60 | $1,860.00 | $106.90 – $1,094.96 | 16 |
| Uric acid blood CPT 84550 | $50.24 | $314.00 | $4.52 – $48.82 | 16 |
| Uric acid urine CPT 84560 | $49.76 | $311.00 | $4.22 – $51.22 | 16 |
| Urinalysis microscopic only CPT 81015 | $8.00 | $50.00 | $3.05 – $32.76 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $69.92 | $437.00 | $2.77 – $32.98 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $29.60 | $185.00 | $1.96 – $24.26 | 16 |
| Urine Culture Test CPT 87086 | $92.16 | $576.00 | $8.07 – $85.87 | 16 |
| Urine pregnancy test CPT 81025 | $57.44 | $359.00 | $4.94 – $55.07 | 16 |
| Urography, antegrade CPT 74425 | $323.36 | $2,021.00 | $88.55 – $1,191.26 | 16 |
| Urography inf drip &/or bolus CPT 74410 | $114.40 | $715.00 | $152.65 – $1,191.26 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $59.95 | $374.67 | $134.98 – $460.84 | 6 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $14.97 | $93.56 | $37.43 – $115.08 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $134.08 | $837.98 | $613.98 – $1,030.72 | 6 |
| Vaccine rabies im CPT 90675 | $212.78 | $1,329.90 | $315.22 – $870.52 | 14 |
| Vaccine tdap >=7 years im CPT 90715 | $36.97 | $231.06 | $106.29 – $284.20 | 6 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $11.61 | $72.58 | $89.27 – $89.27 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $69.60 | $435.00 | $12.04 – $146.17 | 16 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $43.20 | $270.01 | $0.08 – $1.76 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $91.84 | $574.00 | $12.04 – $146.17 | 16 |
| Varicella zoster antibody igg CPT 86787 | $36.32 | $227.00 | $11.38 – $139.05 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $56.64 | $354.00 | $1.44 – $435.42 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $620.16 | $3,876.00 | $316.00 – $4,760.12 | 16 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $579.36 | $3,621.00 | $316.00 – $10,934.68 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $440.80 | $2,755.00 | $316.00 – $4,760.12 | 16 |
| Veeg unmon 12-26 hrs CPT 95714 | $798.40 | $4,990.00 | $316.00 – $2,409.85 | 16 |
| Veeg unmon 2-12 hrs CPT 95711 | $456.64 | $2,854.00 | $277.71 – $4,760.12 | 16 |
| Vein x-ray adrenal gland CPT 75840 | $934.88 | $5,843.00 | $2,917.62 – $11,749.25 | 15 |
| Vein x-ray kidney CPT 75831 | $813.28 | $5,083.00 | $2,916.26 – $11,749.25 | 15 |
| Vein x-ray liver CPT 75891 | $819.84 | $5,124.00 | $2,917.62 – $11,749.25 | 15 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,036.80 | $6,480.00 | $247.07 – $11,749.25 | 16 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,325.76 | $8,286.00 | $2,917.62 – $11,749.25 | 15 |
| Vein x-ray liver without hemodyn CPT 75887 | $829.60 | $5,185.00 | $2,548.64 – $9,137.36 | 17 |
| Vein x-ray spleen/liver CPT 75810 | $1,253.28 | $7,833.00 | $691.96 – $9,137.36 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $140.96 | $881.00 | $8.18 – $25.53 | 11 |
| Venogram ext bil s&i CPT 75822 | $530.08 | $3,313.00 | $165.53 – $4,633.11 | 18 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $656.80 | $4,105.00 | $107.83 – $4,555.42 | 16 |
| Venous mech thrombectomy CPT 37187 | $2,881.92 | $18,012.00 | $4,526.38 – $33,407.55 | 11 |
| Venous m-thrombectomy add-on CPT 37188 | $2,518.08 | $15,738.00 | $2,733.38 – $10,870.00 | 11 |
| Venous sampling s&i CPT 75893 | $1,373.76 | $8,586.00 | $2,901.49 – $20,102.41 | 15 |
| Venous thrombosis imaging CPT 78457 | $391.68 | $2,448.00 | $122.13 – $5,668.70 | 18 |
| Ven thrombosis images bilat CPT 78458 | $637.12 | $3,982.00 | $166.41 – $1,647.04 | 18 |
| Ventilator each subsequent day CPT 94003 | $742.88 | $4,643.00 | $62.28 – $1,787.81 | 18 |
| Ventilator initial day CPT 94002 | $1,005.44 | $6,284.00 | $79.04 – $1,787.81 | 18 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $204.48 | $1,278.00 | $103.95 – $10,870.00 | 11 |
| Version cephalic external CPT 59412 | $192.00 | $1,200.00 | $120.00 – $9,367.83 | 12 |
| Very long chain fatty acids CPT 82726 | $2.57 | $16.05 | $16.05 – $194.04 | 16 |
| Virus isolation addl studies ea CPT 87253 | $8.64 | $54.00 | $16.00 – $91.61 | 16 |
| Vital capacity test CPT 94150 | $55.68 | $348.00 | $9.83 – $402.00 | 16 |
| Vitamin b-12 CPT 82607 | $52.80 | $330.00 | $12.05 – $162.66 | 16 |
| Vitamin D Test CPT 82306 | $96.80 | $605.00 | $24.79 – $319.43 | 16 |
| Vkorc1 gene CPT 81355 | $8.00 | $50.00 | $61.50 – $590.98 | 16 |
| Volume measurement urine timed CPT 81050 | $9.12 | $57.00 | $2.49 – $27.46 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $84.01 | $525.06 | $2.05 – $645.83 | 6 |
| Warde 1003990 aldosterone CPT 82088 | $5.80 | $36.22 | $36.22 – $439.80 | 16 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $22.88 | $143.00 | $24.71 – $299.96 | 16 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $34.05 | $212.80 | $11.46 – $139.19 | 16 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $3.59 | $22.45 | $22.45 – $272.50 | 16 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $2.70 | $16.87 | $13.78 – $167.31 | 16 |
| Warde 1015200 kappa light chain free CPT 83521 | $2.76 | $17.27 | $17.27 – $39.34 | 12 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $1.14 | $7.13 | $7.13 – $359.46 | 16 |
| Warde 3008005 oligoclonal bands CPT 83916 | $3.50 | $21.90 | $21.90 – $216.92 | 16 |
| Warde 3016000 west nile virus antibody CPT 86788 | $2.40 | $14.98 | $14.98 – $177.84 | 16 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $2.05 | $12.79 | $12.79 – $151.90 | 16 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $26.24 | $164.00 | $10.89 – $139.05 | 16 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $56.32 | $352.00 | $5.81 – $95.53 | 16 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $49.60 | $310.00 | $15.98 – $189.68 | 16 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $22.82 | $142.63 | $70.00 – $545.51 | 15 |
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.