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 |
|---|---|---|---|---|
| Cath segmntl pulm art CPT 36015 | $463.52 | $2,897.00 | $139.67 – $10,870.00 | 11 |
| Cath steerable flex adv 12f HCPCS C1766 | $325.92 | $2,037.00 | $1,985.22 – $1,985.22 | 1 |
| Cath stripping venous s&i CPT 75901 | $198.88 | $1,243.00 | $175.30 – $597.74 | 12 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $442.56 | $2,766.00 | $749.07 – $749.07 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $145.76 | $911.00 | $118.08 – $118.08 | 1 |
| #cbg+cort-cbg CPT 84449 | $16.80 | $105.00 | $18.00 – $167.60 | 16 |
| Cdna analysis for variants CPT 81403 | $37.40 | $233.75 | $185.20 – $1,614.87 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $11.74 | $73.40 | $2.26 – $45.56 | 6 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $27.73 | $173.29 | $2.38 – $129.95 | 6 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $17.08 | $106.73 | $12.90 – $80.89 | 6 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $8.68 | $54.27 | $4.01 – $66.75 | 6 |
| Ceftazidime and avibactam HCPCS J0714 | $442.61 | $2,766.33 | $104.75 – $285.07 | 14 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $8.13 | $50.79 | $1.25 – $61.50 | 6 |
| #celiac hla-dq8 CPT 81383 | $15.52 | $97.01 | $97.01 – $565.34 | 16 |
| Cell count body fluid CPT 89050 | $8.96 | $56.00 | $4.72 – $51.07 | 17 |
| Cell count w differential body fluid CPT 89051 | $73.76 | $461.00 | $4.86 – $59.50 | 17 |
| Cell enumeration & id CPT 86152 | $45.66 | $285.39 | $250.78 – $920.44 | 16 |
| Cell function assay w/stim CPT 86352 | $23.84 | $149.00 | $135.86 – $764.39 | 16 |
| Cell marker study CPT 88182 | $24.48 | $153.00 | $67.02 – $244.86 | 17 |
| Cerebrospinal fld flw imag CPT 78645 | $291.84 | $1,824.00 | $263.52 – $2,135.54 | 18 |
| Cervical collar molded to pt HCPCS L0170 | $154.56 | $966.00 | $631.15 – $2,161.19 | 9 |
| #cf-97variants CPT 81220 | $89.06 | $556.60 | $165.00 – $4,574.44 | 16 |
| Cftr gene dup/delet variants CPT 81222 | $69.61 | $435.07 | $435.07 – $1,142.51 | 16 |
| Change cystostomy tube; complex 51710 CPT 51710 | $874.24 | $5,464.00 | $129.14 – $2,017.89 | 9 |
| Change cystostomy tube simple CPT 51705 | $384.64 | $2,404.00 | $103.78 – $723.03 | 9 |
| Change g-tube to g-j perc CPT 49446 | $631.52 | $3,947.00 | $1,122.39 – $10,870.00 | 11 |
| Change nephroureteral cath CPT 50387 | $905.92 | $5,662.00 | $815.11 – $6,049.31 | 9 |
| Change of ureter tube/stent CPT 50688 | $1,101.76 | $6,886.00 | $55.41 – $6,049.31 | 9 |
| Change ureter stent percut CPT 50382 | $1,694.08 | $10,588.00 | $1,676.48 – $6,049.31 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $238.88 | $1,493.00 | $230.49 – $955.86 | 16 |
| Chemo ia infuse each addl hr CPT 96423 | $41.12 | $257.00 | $29.50 – $788.00 | 17 |
| Chemo ia infusion up to 1 hr CPT 96422 | $161.28 | $1,008.00 | $65.54 – $955.86 | 17 |
| Chest 2 vws w oblique CPT 71048 | $180.80 | $1,130.00 | $66.81 – $539.49 | 16 |
| Chest apical lordotic proj CPT 71047 | $173.28 | $1,083.00 | $62.23 – $320.81 | 16 |
| Chest CT scan (with and without contrast) CPT 71270 | $966.40 | $6,040.00 | $225.60 – $1,877.53 | 18 |
| Chest CT scan (with contrast) CPT 71260 | $898.72 | $5,617.00 | $225.60 – $1,506.29 | 18 |
| Chest CT scan (without contrast) CPT 71250 | $755.84 | $4,724.00 | $134.46 – $1,259.45 | 18 |
| Chest X-ray CPT 71046 | $169.12 | $1,057.00 | $48.48 – $292.79 | 16 |
| Chest X-ray (single view) CPT 71045 | $143.36 | $896.00 | $31.18 – $292.79 | 16 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $280.00 | $1,750.00 | $175.36 – $610.67 | 14 |
| Chimerism anal no cell selec CPT 81267 | $33.19 | $207.46 | $207.46 – $5,913.03 | 16 |
| Chimerism anal w/cell select CPT 81268 | $41.73 | $260.79 | $211.33 – $2,778.17 | 16 |
| Chlamydia culture CPT 87110 | $2.70 | $16.87 | $16.87 – $211.48 | 16 |
| Chlamydia type CPT 87140 | $1.92 | $12.00 | $4.95 – $60.22 | 16 |
| Chlnggrphy intraop addl s&i CPT 74301 | $131.84 | $824.00 | $158.44 – $1,013.52 | 4 |
| Chloride CPT 82435 | $48.64 | $304.00 | $3.01 – $50.05 | 16 |
| Chloride 24 hour urine CPT 82436 | $46.08 | $288.00 | $4.39 – $54.19 | 16 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $186.56 | $1,166.02 | $23.79 – $1,434.21 | 6 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $47.67 | $297.92 | $22.11 – $366.44 | 6 |
| Cholangiogram percutaneous compl CPT 47532 | $1,652.73 | $10,329.55 | $921.36 – $10,361.23 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $359.84 | $2,249.00 | $2,766.27 – $2,766.27 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,908.64 | $11,929.00 | $767.86 – $10,361.23 | 9 |
| Cholesterol CPT 82465 | $32.00 | $200.00 | $4.35 – $46.93 | 16 |
| Cholesterol body fluid CPT 84999 | $49.60 | $310.00 | $12.34 – $50.98 | 3 |
| Cholesterol (Lipid) Test CPT 80061 | $88.96 | $556.00 | $11.54 – $144.49 | 16 |
| Cholinesterase CPT 82480 | $22.24 | $139.00 | $7.00 – $85.00 | 16 |
| Chrom analysis CPT 88273 | $25.62 | $160.13 | $34.81 – $2,050.39 | 17 |
| Chromatography CPT 83021 | $26.24 | $164.00 | $15.40 – $194.04 | 16 |
| Chromogenic substrate assay CPT 85130 | $22.56 | $141.00 | $11.89 – $127.35 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | $9.13 | $57.04 | $45.63 – $528.07 | 16 |
| Chromosome analys amniotic CPT 88269 | $31.72 | $198.25 | $173.66 – $1,794.60 | 17 |
| Chromosome analysis 100 CPT 88249 | $70.56 | $441.00 | $173.17 – $1,860.27 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $92.27 | $576.68 | $98.25 – $1,344.91 | 17 |
| Chromosome analysis 45 CPT 88263 | $42.14 | $263.36 | $150.29 – $1,569.03 | 17 |
| Chromosome analysis 5 CPT 88261 | $51.89 | $324.30 | $110.13 – $1,618.94 | 17 |
| Chromosome karyotype study CPT 88280 | $18.58 | $116.14 | $33.47 – $270.83 | 17 |
| Chromosome study additional CPT 88289 | $76.83 | $480.18 | $21.31 – $111.63 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | $12.00 | $75.00 | $34.15 – $314.71 | 16 |
| Cine/video x-rays CPT 76120 | $146.24 | $914.00 | $93.01 – $539.49 | 16 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $13.48 | $84.25 | $5.45 – $103.63 | 6 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $8,800.00 | $55,000.00 | $4,612.50 – $4,612.50 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $19.87 | $124.17 | $3.02 – $61.50 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $235.68 | $1,473.00 | $1,735.53 – $1,735.53 | 1 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $399.52 | $2,497.00 | $95.94 – $95.94 | 1 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $63.36 | $396.00 | $46.91 – $487.08 | 6 |
| Clot factor fletcher fact CPT 85292 | $18.42 | $115.13 | $18.93 – $197.75 | 16 |
| Clot factor viii reltd antgn CPT 85244 | $34.20 | $213.73 | $20.42 – $213.22 | 16 |
| Clot factor wght kininogen CPT 85293 | $28.56 | $178.50 | $18.93 – $197.75 | 16 |
| Clot factor xii hageman CPT 85280 | $2.75 | $17.20 | $17.20 – $208.79 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | $1.27 | $7.91 | $7.91 – $95.89 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $2.32 | $14.52 | $14.52 – $176.31 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | $3.89 | $24.34 | $9.54 – $63.43 | 16 |
| Cmv pcr-sendout CPT 87496 | $10.48 | $65.51 | $31.19 – $366.43 | 16 |
| Co2 monitor per day CPT 94681 | $137.12 | $857.00 | $144.67 – $1,079.87 | 16 |
| Coagulation time activated teg CPT 85347 | $38.56 | $241.00 | $4.28 – $45.91 | 16 |
| Cold agglutinin titer CPT 86157 | $22.72 | $142.00 | $7.17 – $87.03 | 16 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $430.72 | $2,692.00 | $496.35 – $1,184.11 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $25.28 | $158.00 | $37.58 – $89.71 | 9 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $41.44 | $259.00 | $68.01 – $162.27 | 9 |
| Collar cerv ascend 172 reg HCPCS L0172 | $34.40 | $215.00 | $160.22 – $403.47 | 9 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $93.44 | $584.00 | $171.12 – $691.26 | 12 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $50.24 | $314.00 | $171.12 – $385.02 | 12 |
| Collection of venous blood by venipuncture CPT 36415 | $13.92 | $87.00 | $4.32 – $43.05 | 16 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $114.08 | $713.00 | $103.99 – $493.03 | 15 |
| Compatibility test each unit immediate spin technique CPT 86920 | $86.40 | $540.00 | $97.36 – $493.03 | 15 |
| Complement antigen each component c3 CPT 86160 | $33.76 | $211.00 | $10.51 – $129.53 | 16 |
| Complement fixation each CPT 86171 | $13.07 | $81.69 | $10.01 – $108.10 | 16 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,271.04 | $7,944.00 | $448.71 – $1,009.60 | 10 |
| Concentration infection agents any type CPT 87015 | $29.60 | $185.00 | $6.68 – $72.07 | 16 |
| Connect omega .5mm HCPCS L8613 | $464.96 | $2,906.00 | $354.45 – $1,339.47 | 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.