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 |
|---|---|---|---|---|
| Brcassure comprehensive panel-sendout CPT 81162 | $259.54 | $1,622.11 | $1,622.11 – $27,255.12 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $498.08 | $3,113.00 | $755.12 – $4,779.52 | 9 |
| Breast punct aspir cyst, bil CPT 19000 | $730.08 | $4,563.00 | $43.05 – $2,049.25 | 9 |
| Breath recording infant CPT 94772 | $495.04 | $3,094.00 | $77.28 – $1,079.87 | 16 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $985.92 | $6,162.00 | $259.19 – $10,870.00 | 11 |
| Br punct aspir ea add, l CPT 19001 | $158.88 | $993.00 | $18.28 – $41.13 | 9 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $6.50 | $40.63 | $0.97 – $37.36 | 4 |
| Bundled special stain group 1 microorganisms CPT 88312 | $58.24 | $364.00 | $24.08 – $187.17 | 17 |
| Bundled special stain group 2 CPT 88313 | $51.52 | $322.00 | $23.54 – $385.02 | 17 |
| Bundle his recording CPT 93600 | $2,603.68 | $16,273.00 | $288.38 – $22,571.33 | 14 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $15.24 | $95.28 | $0.03 – $61.50 | 4 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $2.78 | $17.39 | $9.05 – $21.39 | 4 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.72 | $23.27 | $18.26 – $28.62 | 6 |
| Buprenorphine and metabolite - sendout CPT 80348 | $4.24 | $26.48 | $4.92 – $202.90 | 4 |
| Buprenorphine oral 1mg HCPCS J0571 | $7.44 | $46.53 | $3.43 – $27.22 | 6 |
| Bur rotalink 2.15mm HCPCS C1724 | $3,120.00 | $19,500.00 | $2,234.91 – $2,234.91 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $745.28 | $4,658.00 | $262.74 – $10,870.00 | 11 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,091.68 | $6,823.00 | $204.70 – $4,779.52 | 9 |
| Bx breast 1st lesion strtctc CPT 19081 | $400.48 | $2,503.00 | $777.57 – $4,779.52 | 9 |
| Bx breast add lesion mr imag CPT 19086 | $222.40 | $1,390.00 | $76.95 – $173.14 | 9 |
| Bx breast add lesion strtctc CPT 19082 | $175.84 | $1,099.00 | $70.66 – $647.96 | 9 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $373.60 | $2,335.00 | $66.23 – $623.24 | 9 |
| Bx breast perq without image 19100 CPT 19100 | $411.68 | $2,573.00 | $93.42 – $4,779.52 | 9 |
| Bx liver with other CPT 47001 | $753.92 | $4,712.00 | $86.05 – $10,870.00 | 11 |
| Bx pancreas pq ndl CPT 48102 | $338.40 | $2,115.00 | $465.71 – $4,779.52 | 9 |
| Bx pleura pq ndl CPT 32400 | $456.96 | $2,856.00 | $164.86 – $4,779.52 | 9 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $1,334.24 | $8,339.00 | $331.08 – $4,779.52 | 9 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $401.44 | $2,509.00 | $65.49 – $2,049.25 | 9 |
| Bypass temp external fem-fem CPT 37799 | $557.76 | $3,486.00 | $806.82 – $10,870.00 | 10 |
| C1 esterase inhibitor func - sendout CPT 86161 | $1.71 | $10.67 | $10.67 – $129.53 | 16 |
| Cable cath 22-pin diag HCPCS C1730 | $1,303.04 | $8,144.00 | $8,405.82 – $8,405.82 | 1 |
| Cad breast MRI w/r&i HCPCS C8937 | $341.28 | $2,133.00 | $2,623.59 – $2,623.59 | 1 |
| Cadd pump refill CPT 96521 | $157.76 | $986.00 | $29.16 – $895.00 | 13 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $888.75 | $5,554.67 | $111.58 – $3,901.89 | 5 |
| Calcium 24 hour urine CPT 82340 | $31.36 | $196.00 | $5.36 – $65.09 | 16 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $29.12 | $181.98 | $0.08 – $121.83 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.17 | $94.82 | $0.08 – $112.40 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $21.98 | $137.37 | $0.25 – $168.97 | 4 |
| Calcium ionized CPT 82330 | $34.08 | $213.00 | $12.16 – $147.47 | 16 |
| Calcium total CPT 82310 | $35.68 | $223.00 | $4.10 – $55.50 | 16 |
| Calprotectin fecal CPT 83993 | $3.88 | $24.22 | $18.31 – $211.77 | 16 |
| Campylobacter antibody CPT 86625 | $1.87 | $11.66 | $11.66 – $141.88 | 16 |
| Candida dna CPT 87480 | $23.36 | $146.00 | $17.83 – $209.37 | 16 |
| Cannabinoid synthetic 7/more CPT 80352 | $9.12 | $57.00 | $70.11 – $364.18 | 4 |
| Cannula declotting 36861 CPT 36861 | $1,131.52 | $7,072.00 | $7,156.86 – $16,102.94 | 10 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $1,200.00 | $7,500.00 | $446.49 – $446.49 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $473.76 | $2,961.00 | $1,157.43 – $1,157.43 | 1 |
| Cap trach decann 15mm HCPCS C1750 | $697.28 | $4,358.00 | $798.27 – $798.27 | 1 |
| Carbamazepine free CPT 80157 | $1.76 | $10.99 | $10.99 – $107.23 | 16 |
| Carbamazepine free -sendout CPT 80161 | $2.98 | $18.64 | $18.34 – $71.19 | 14 |
| Carbamazepine total therapeutic drug level CPT 80156 | $89.12 | $557.00 | $12.61 – $157.14 | 16 |
| Carbohydrate deficient transf - sendout CPT 82373 | $39.01 | $243.84 | $16.44 – $77.66 | 16 |
| Carbon dioxide CPT 82374 | $20.96 | $131.00 | $2.40 – $51.22 | 16 |
| Carboxyhemoglobin quantitative CPT 82375 | $29.28 | $183.00 | $10.95 – $133.02 | 16 |
| Carcinoembryonic ag (cea) CPT 82378 | $64.32 | $402.00 | $16.85 – $204.36 | 16 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $465.92 | $2,912.00 | $296.95 – $5,668.70 | 18 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $554.24 | $3,464.00 | $311.58 – $5,668.70 | 18 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,010.24 | $6,314.00 | $356.27 – $5,668.70 | 18 |
| Cardiac Stress Test CPT 93015 | $478.08 | $2,988.00 | $82.35 – $1,740.00 | 16 |
| Cardioassist external CPT 92971 | $289.92 | $1,812.00 | $86.88 – $3,450.00 | 12 |
| Cardioassist internal CPT 92970 | $289.92 | $1,812.00 | $159.76 – $3,450.00 | 12 |
| Cardiolipin antibody iga CPT 86147 | $1.85 | $11.55 | $11.55 – $155.83 | 16 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $567.52 | $3,547.00 | $216.06 – $3,450.00 | 12 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $38.14 | $238.40 | $41.65 – $536.00 | 20 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $205.20 | $1,282.50 | $584.90 – $5,284.12 | 16 |
| Carotene CPT 82380 | $1.31 | $8.20 | $8.20 – $99.60 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $559.84 | $3,499.00 | $276.36 – $2,030.00 | 18 |
| Car seat/bed test 60 minutes CPT 94780 | $44.64 | $279.00 | $48.04 – $368.25 | 16 |
| Car seat/bed test additional 30 minutes CPT 94781 | $22.40 | $140.00 | $7.23 – $332.00 | 16 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $419.04 | $2,619.00 | $1,196.79 – $1,196.79 | 1 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,404.48 | $8,778.00 | $5,768.70 – $5,768.70 | 1 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $436.00 | $2,725.00 | $3,351.75 – $3,351.75 | 1 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,100.32 | $13,127.00 | $16,146.21 – $16,146.21 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $3,374.08 | $21,088.00 | $354.24 – $354.24 | 1 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $1,784.80 | $11,155.00 | $13,651.77 – $13,651.77 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $6,000.00 | $37,500.00 | $317.34 – $317.34 | 1 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,747.20 | $10,920.00 | $1,579.32 – $1,579.32 | 1 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,017.76 | $25,111.00 | $22,770.99 – $22,770.99 | 1 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $4,905.44 | $30,659.00 | $1,761.56 – $10,870.00 | 11 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $726.08 | $4,538.00 | $205.41 – $205.41 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $840.00 | $5,250.00 | $1,107.00 – $1,107.00 | 1 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,032.80 | $6,455.00 | $5,073.75 – $5,073.75 | 1 |
| Catheter declot mechanical CPT 36596 | $748.80 | $4,680.00 | $205.77 – $10,870.00 | 11 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $12.32 | $77.00 | $4.32 – $94.71 | 11 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $232.64 | $1,454.00 | $1,788.42 – $1,788.42 | 1 |
| Cath hawkone s directional HCPCS C1714 | $4,148.16 | $25,926.00 | $25,830.00 – $25,830.00 | 1 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $340.16 | $2,126.00 | $2,387.43 – $2,387.43 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $731.04 | $4,569.00 | $4,703.52 – $4,703.52 | 1 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $1,401.28 | $8,758.00 | $10,772.34 – $10,772.34 | 1 |
| Cath left heart/lv gram CPT 93452 | $3,415.52 | $21,347.00 | $1,345.92 – $10,870.00 | 11 |
| Cath left heart transseptal punc CPT 93462 | $2,139.52 | $13,372.00 | $174.46 – $10,870.00 | 11 |
| Cath lt/rt pulm art CPT 36014 | $374.56 | $2,341.00 | $119.52 – $10,870.00 | 11 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $4,464.96 | $27,906.00 | $924.96 – $924.96 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $431.84 | $2,699.00 | $99.37 – $10,870.00 | 11 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $6,430.08 | $40,188.00 | $2,268.18 – $10,870.00 | 11 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $4,506.88 | $28,168.00 | $1,737.86 – $10,870.00 | 11 |
| Cath plc art/grft/angio right hrt CPT 93457 | $4,453.28 | $27,833.00 | $1,970.28 – $10,870.00 | 11 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $683.84 | $4,274.00 | $5,257.02 – $5,257.02 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | $2,684.00 | $16,775.00 | $1,232.60 – $10,870.00 | 11 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $112.16 | $701.00 | $54.55 – $228.10 | 9 |
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.