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 |
|---|---|---|---|---|
| Audit/dast over 30 min CPT 99409 | $20.64 | $129.00 | $158.67 – $612.00 | 5 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $2,857.44 | $17,859.00 | $188.65 – $424.46 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,715.04 | $35,719.00 | $823.69 – $20,998.58 | 9 |
| Autologous blood process CPT 86890 | $62.59 | $391.18 | $206.64 – $493.03 | 16 |
| Autonomic nrv adrenrg inervj CPT 95922 | $57.28 | $358.00 | $99.60 – $440.34 | 16 |
| Autonomic nrv parasym inervj CPT 95921 | $57.28 | $358.00 | $97.64 – $440.34 | 16 |
| Autonomic nrv syst funj test CPT 95923 | $57.28 | $358.00 | $97.64 – $440.34 | 16 |
| Autopsy (necropsy) complete CPT 88025 | $228.32 | $1,427.00 | $497.35 – $1,755.21 | 6 |
| Autopsy (necropsy) complete CPT 88027 | $77.60 | $485.00 | $530.59 – $1,040.83 | 6 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $19.79 | $123.70 | $5.56 – $152.15 | 6 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $76.85 | $480.30 | $6.07 – $399.41 | 4 |
| Bacterial meningitis antigen CPT 86403 | $49.44 | $309.00 | $11.54 – $106.79 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $57.76 | $361.00 | $38.80 – $378.49 | 16 |
| Bactericidal level serum CPT 87197 | $2.14 | $13.36 | $13.36 – $126.26 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $44.00 | $275.00 | $16.45 – $366.43 | 16 |
| Balloon dilate urtrl strix CPT 50706 | $1,184.00 | $7,400.00 | $156.84 – $10,870.00 | 11 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $5,495.04 | $34,344.00 | $118.08 – $118.08 | 1 |
| Bartonella dna pcr-sendout CPT 87471 | $4.99 | $31.19 | $31.19 – $366.43 | 16 |
| B cells total count CPT 86355 | $6.55 | $40.95 | $15.20 – $398.18 | 16 |
| #_benzodiazconfur CPT 80346 | $29.92 | $187.00 | $25.15 – $191.42 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $1.60 | $10.00 | $10.00 – $274.39 | 16 |
| Beta-2 microglobulin CPT 82232 | $45.76 | $286.00 | $14.38 – $174.64 | 16 |
| Beta-amyloid 1-42 CPT 82234 | $51.20 | $320.00 | $128.92 – $290.07 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $24.96 | $156.00 | $11.39 – $191.88 | 6 |
| B-hexosaminidase ea assay CPT 83080 | $2.40 | $14.99 | $14.99 – $181.18 | 16 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $234.08 | $1,463.00 | $69.61 – $888.28 | 9 |
| Bilicheck CPT 88720 | $12.16 | $76.00 | $5.02 – $54.05 | 16 |
| Bilirubin direct CPT 82248 | $40.80 | $255.00 | $5.02 – $53.98 | 16 |
| Bilirubin total CPT 82247 | $40.80 | $255.00 | $4.09 – $53.98 | 16 |
| Biopsy abdominal mass CPT 49180 | $848.00 | $5,299.98 | $307.27 – $4,779.52 | 9 |
| Biopsy bone trocar/needle superficial CPT 20220 | $464.64 | $2,904.00 | $104.87 – $4,779.52 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $718.24 | $4,489.00 | $272.06 – $8,405.89 | 9 |
| Biopsy muscle percutaneous needle CPT 20206 | $416.80 | $2,605.00 | $81.06 – $4,779.52 | 9 |
| Biopsy needle liver percutaneous CPT 47000 | $509.28 | $3,183.00 | $206.98 – $4,779.52 | 9 |
| Biopsy needle lymph node superficial CPT 38505 | $416.80 | $2,605.00 | $87.01 – $4,779.52 | 9 |
| Biopsy of heart lining CPT 93505 | $1,086.88 | $6,793.00 | $419.48 – $10,870.00 | 13 |
| Biopsy of salivary gland 42400 CPT 42400 | $416.80 | $2,605.00 | $61.82 – $2,049.25 | 9 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $575.04 | $3,594.00 | $87.01 – $4,779.52 | 9 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,152.32 | $7,202.00 | $91.59 – $4,779.52 | 9 |
| Biopsy thigh soft tissues CPT 27324 | $1,158.72 | $7,242.00 | $340.90 – $8,405.89 | 9 |
| Bivalirudin HCPCS J0583 | $110.26 | $689.15 | $0.43 – $847.66 | 6 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $181.44 | $1,134.00 | $96.63 – $723.03 | 9 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $3,941.28 | $24,633.00 | $707.25 – $707.25 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $3,288.00 | $20,550.00 | $1,532.58 – $1,532.58 | 1 |
| Bln dil 900ml preperitnl HCPCS C1727 | $345.44 | $2,159.00 | $2,164.80 – $2,164.80 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,777.92 | $11,112.00 | $9,225.00 – $9,225.00 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,662.40 | $10,390.00 | $2,506.00 – $2,717.00 | 2 |
| Blood Clotting (PT/INR) Test CPT 85610 | $57.28 | $358.00 | $3.49 – $42.50 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $72.64 | $454.00 | $5.34 – $64.80 | 16 |
| Blood Count (CBC) Test CPT 85025 | $58.24 | $364.00 | $6.75 – $83.91 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $38.56 | $241.00 | $5.71 – $69.81 | 16 |
| Blood count spun microhematocrit CPT 85013 | $6.72 | $42.00 | $3.58 – $25.50 | 16 |
| Blood Culture Test CPT 87040 | $115.84 | $724.00 | $10.32 – $111.37 | 16 |
| Blood draw capillary 36416 CPT 36416 | $27.84 | $174.00 | $4.16 – $12.30 | 5 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $52.00 | $325.00 | $14.14 – $51.59 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $15.04 | $94.00 | $4.23 – $34.29 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $15.84 | $99.00 | $4.38 – $27.10 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $19.84 | $124.00 | $3.49 – $34.29 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $30.08 | $188.00 | $3.80 – $37.12 | 16 |
| Blood split unit HCPCS P9011 | $113.43 | $708.96 | $155.84 – $689.00 | 13 |
| Blood typing abo CPT 86900 | $38.72 | $242.00 | $2.38 – $32.18 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $22.72 | $142.00 | $5.79 – $32.69 | 16 |
| Blood typing patient serum CPT 86904 | $8.80 | $55.00 | $12.07 – $102.58 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $22.72 | $142.00 | $3.35 – $41.26 | 16 |
| Blood typing rh (d) CPT 86901 | $36.64 | $229.00 | $2.46 – $68.00 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $12.00 | $75.00 | $7.75 – $83.62 | 16 |
| Bls-emergency HCPCS A0429 | $123.16 | $769.78 | $411.96 – $946.83 | 12 |
| Bone Density Scan (DEXA) CPT 77080 | $215.20 | $1,345.00 | $65.91 – $881.21 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $229.12 | $1,432.00 | $142.75 – $1,647.04 | 18 |
| Bone marrow;aspiration only 38220 CPT 38220 | $400.48 | $2,503.00 | $225.75 – $4,779.52 | 9 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $400.48 | $2,503.00 | $240.87 – $4,779.52 | 9 |
| Bone marrow imaging ltd CPT 78102 | $462.08 | $2,888.00 | $164.52 – $1,647.04 | 18 |
| Bone marrow imaging mult CPT 78103 | $253.60 | $1,585.00 | $514.17 – $1,647.04 | 17 |
| Bone marrow interpretation CPT 85097 | $207.52 | $1,297.00 | $62.19 – $2,331.54 | 17 |
| Bone survey-lead poisoning CPT 77074 | $174.56 | $1,091.00 | $99.54 – $539.49 | 16 |
| Boot j walker l HCPCS L4386 | $138.08 | $863.00 | $175.83 – $419.47 | 9 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $58.56 | $366.00 | $296.40 – $818.89 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $8.82 | $55.13 | $10.35 – $173.84 | 16 |
| Bowel imaging CPT 78290 | $443.20 | $2,770.00 | $190.79 – $1,647.04 | 18 |
| Brace afo lg left 6607 HCPCS L1930 | $257.92 | $1,612.00 | $233.65 – $799.52 | 9 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $73.12 | $457.00 | $428.55 – $1,022.42 | 9 |
| Brace knee extender plus 22-30in HCPCS L1832 | $131.68 | $823.00 | $677.73 – $1,840.23 | 9 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $281.12 | $1,757.00 | $267.62 – $602.15 | 8 |
| Brace wrist classic lft sm HCPCS L3908 | $78.08 | $488.00 | $83.06 – $198.14 | 9 |
| Brach/thor cath 1st CPT 36215 | $135.68 | $848.00 | $189.76 – $10,870.00 | 11 |
| Brach/thor cath 2nd CPT 36216 | $94.24 | $589.00 | $240.27 – $10,870.00 | 11 |
| Brach/thor cath 3rd CPT 36217 | $905.92 | $5,662.00 | $296.41 – $10,870.00 | 11 |
| Brach/thor cath addl CPT 36218 | $552.16 | $3,451.00 | $45.92 – $10,870.00 | 11 |
| Brachytx, non-str, gold-198 HCPCS C1716 | $2,906.24 | $18,164.00 | $513.57 – $1,155.53 | 8 |
| Braf gene CPT 81210 | $12.00 | $75.00 | $75.00 – $523.86 | 16 |
| Brain flow imaging only CPT 78610 | $243.20 | $1,520.00 | $70.96 – $2,135.54 | 18 |
| Brain image w/flow 4 + views CPT 78606 | $286.88 | $1,793.00 | $280.84 – $2,135.54 | 18 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,443.68 | $9,023.00 | $448.71 – $4,160.76 | 16 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,004.00 | $6,275.00 | $448.71 – $2,116.01 | 16 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $802.88 | $5,018.00 | $306.88 – $2,116.01 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $1,281.60 | $8,010.00 | $448.71 – $4,052.07 | 18 |
| Brain MRI (with contrast) CPT 70552 | $963.04 | $6,019.00 | $448.71 – $2,464.65 | 18 |
| Brain MRI (without contrast) CPT 70551 | $817.28 | $5,108.00 | $306.88 – $2,057.57 | 18 |
| Brca1 dna gene analy known fam var CPT 81215 | $60.04 | $375.25 | $131.28 – $3,423.93 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | $60.04 | $375.25 | $131.28 – $3,423.93 | 16 |
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.