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 |
|---|---|---|---|---|
| Consultation pathology during surgery CPT 88329 | $59.52 | $372.00 | $48.14 – $312.31 | 17 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $177.12 | $1,107.00 | $66.18 – $2,331.54 | 17 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $24.64 | $154.00 | $33.26 – $134.57 | 17 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $62.08 | $388.00 | $78.55 – $493.03 | 17 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $37.76 | $236.00 | $67.02 – $155.98 | 17 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $50.72 | $317.00 | $48.04 – $421.72 | 17 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,485.44 | $9,284.00 | $216.08 – $11,749.25 | 16 |
| Contrast exam thoracic aorta CPT 75600 | $994.88 | $6,218.00 | $320.68 – $11,749.25 | 16 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $1,360.48 | $8,503.00 | $217.96 – $20,102.41 | 16 |
| Contrast x-ray gallbladder CPT 74290 | $57.44 | $359.00 | $67.80 – $1,191.26 | 16 |
| Contrast x-ray of ankle CPT 73615 | $286.08 | $1,788.00 | $132.84 – $2,151.04 | 16 |
| Contrast x-ray of elbow CPT 73085 | $405.12 | $2,532.00 | $126.71 – $2,151.04 | 16 |
| Contrast x-ray of hip CPT 73525 | $250.56 | $1,566.00 | $132.84 – $2,151.04 | 16 |
| Contrast x-ray of knee joint CPT 73580 | $491.52 | $3,072.00 | $122.13 – $2,151.04 | 16 |
| Contrast x-ray of wrist CPT 73115 | $204.32 | $1,277.00 | $72.58 – $1,191.26 | 16 |
| Conversion ext bil drg cath CPT 47535 | $2,447.68 | $15,298.00 | $1,247.86 – $10,361.23 | 9 |
| Convert nephrostomy catheter CPT 50434 | $1,708.48 | $10,678.00 | $1,016.14 – $10,870.00 | 11 |
| Coombs direct CPT 86880 | $28.16 | $176.00 | $5.39 – $57.97 | 16 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $1.60 | $10.00 | $5.72 – $61.75 | 16 |
| Coombs indirect titer reference CPT 86886 | $24.00 | $150.00 | $4.22 – $55.79 | 16 |
| Core ndl bx lng/med perq CPT 32408 | $575.04 | $3,594.00 | $1,080.71 – $4,779.52 | 9 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $5,471.36 | $34,196.00 | $1,850.00 – $10,870.00 | 11 |
| Coronary angio/lv gram/lt heart CPT 93458 | $3,838.56 | $23,991.00 | $1,676.11 – $10,870.00 | 11 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $5,408.32 | $33,802.00 | $1,976.54 – $10,870.00 | 11 |
| Coronary art/grft angio s&i CPT 93455 | $5,260.48 | $32,878.00 | $1,622.27 – $10,870.00 | 11 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $4,089.28 | $25,558.00 | $1,389.66 – $10,870.00 | 11 |
| Cortisol total am CPT 82533 | $55.20 | $345.00 | $14.49 – $176.10 | 16 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $120.80 | $755.00 | $56.22 – $928.65 | 6 |
| Co-treatment - group 15 mins, st CPT 92508 | $68.96 | $431.00 | $26.54 – $536.00 | 20 |
| Counseling smoke cess interm >10mins CPT 99407 | $41.28 | $258.00 | $35.16 – $108.43 | 13 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $348.80 | $2,180.00 | $892.98 – $892.98 | 1 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $2.07 | $12.95 | $11.58 – $142.32 | 16 |
| C-peptide CPT 84681 | $28.32 | $177.00 | $11.88 – $183.00 | 16 |
| Crbrospnl fld flw imag cistern CPT 78630 | $498.08 | $3,113.00 | $298.50 – $2,135.54 | 18 |
| C-reactive protein CPT 86140 | $45.60 | $285.00 | $4.60 – $55.79 | 16 |
| C-reactive protein high sensitivity CPT 86141 | $58.24 | $364.00 | $11.19 – $139.63 | 16 |
| C-reactive protein, quantitative CPT 86406 | $42.88 | $268.00 | $10.64 – $174.79 | 16 |
| Creatine kinase CPT 82550 | $67.52 | $422.00 | $5.79 – $70.76 | 16 |
| Creatine kinase isoenzymes CPT 82552 | $90.08 | $563.00 | $11.90 – $144.49 | 16 |
| Creatine kinase mb CPT 82553 | $73.92 | $462.00 | $10.13 – $124.59 | 16 |
| Creatine - sendout CPT 82540 | $21.12 | $132.00 | $4.64 – $49.55 | 16 |
| Creatinine CPT 82565 | $48.96 | $306.00 | $4.31 – $55.21 | 16 |
| Creatinine 24 hour urine CPT 82570 | $44.00 | $275.00 | $4.60 – $55.79 | 16 |
| Creatinine clearance urine CPT 82575 | $102.40 | $640.00 | $8.40 – $101.78 | 16 |
| #creutz-prot.,western blot CPT 84182 | $25.60 | $160.00 | $19.59 – $194.19 | 16 |
| Critical care 30-74 minutes CPT 99291 | $1,438.56 | $8,991.00 | $214.54 – $2,390.42 | 9 |
| Critical care each additional 30 minutes CPT 99292 | $80.00 | $500.00 | $102.57 – $230.78 | 9 |
| Crotalidae poly immune fab HCPCS J0840 | $2,067.19 | $12,919.92 | $1,841.02 – $4,972.70 | 10 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $1.49 | $9.34 | $9.34 – $92.55 | 16 |
| Cryoprecipitate each unit HCPCS P9012 | $62.72 | $392.00 | $71.95 – $689.00 | 13 |
| Cryptosporidium antigen CPT 87272 | $53.44 | $334.00 | $11.98 – $96.98 | 16 |
| Crystal identification light microscopy CPT 89060 | $47.52 | $297.00 | $7.33 – $77.08 | 17 |
| Csf leakage imaging CPT 78650 | $284.00 | $1,775.00 | $261.03 – $5,668.70 | 18 |
| CT 3d report other modality w/workstation CPT 76377 | $237.76 | $1,486.00 | $87.90 – $1,827.78 | 14 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,045.76 | $6,536.00 | $225.60 – $1,843.91 | 18 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,063.52 | $6,647.00 | $225.60 – $1,843.91 | 18 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,297.28 | $8,108.00 | $225.60 – $1,618.61 | 18 |
| Cta neck without &/or w/contrast CPT 70498 | $1,264.64 | $7,904.00 | $225.60 – $1,568.36 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,687.36 | $10,546.00 | $448.71 – $2,842.53 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,152.16 | $7,201.00 | $225.60 – $1,918.27 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,271.04 | $7,944.00 | $225.60 – $1,568.36 | 18 |
| CT angio hrt w/3d image CPT 75574 | $1,077.12 | $6,732.00 | $284.73 – $1,556.23 | 18 |
| CT angio pelvis CPT 72191 | $876.48 | $5,478.00 | $225.60 – $1,843.91 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,552.32 | $9,702.00 | $225.60 – $1,618.61 | 18 |
| CT bone density axial CPT 77078 | $200.16 | $1,251.00 | $111.93 – $1,538.73 | 18 |
| CT cerebral perf w cont & prcssng CPT 70473 | $691.36 | $4,321.00 | $225.60 – $747.00 | 10 |
| CT colonography screening CPT 74263 | $933.76 | $5,836.00 | $306.88 – $3,412.48 | 17 |
| CT guidance for needle placement CPT 77012 | $691.20 | $4,320.00 | $135.91 – $1,763.74 | 14 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $413.44 | $2,584.00 | $125.40 – $967.08 | 12 |
| CT guid parench tis ablat CPT 77013 | $673.76 | $4,211.00 | $580.00 – $5,179.53 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $135.84 | $849.00 | $111.93 – $747.00 | 18 |
| CT limited or localized follow-up study CPT 76380 | $303.52 | $1,897.00 | $111.93 – $984.22 | 18 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,058.88 | $6,618.00 | $225.60 – $1,259.45 | 18 |
| CT lower extremity without contrast (both sides) CPT 73700 | $942.24 | $5,889.00 | $134.46 – $1,059.12 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,200.00 | $7,500.00 | $225.60 – $1,580.45 | 18 |
| CT neck soft tissue w/contrast CPT 70491 | $964.80 | $6,030.00 | $225.60 – $1,210.37 | 18 |
| CT neck soft tissue without contrast CPT 70490 | $773.76 | $4,836.00 | $134.46 – $1,011.35 | 18 |
| CT neck soft tissue without & w/contrast CPT 70492 | $880.00 | $5,500.00 | $225.60 – $1,508.77 | 18 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $820.80 | $5,130.00 | $225.60 – $1,508.77 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $833.76 | $5,211.00 | $225.60 – $1,210.37 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $791.84 | $4,949.00 | $134.46 – $1,011.35 | 18 |
| CT scan for localization CPT 77011 | $485.44 | $3,034.00 | $254.19 – $1,773.60 | 14 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,605.12 | $10,032.00 | $448.71 – $1,991.92 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,445.60 | $9,035.00 | $448.71 – $1,506.69 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,355.52 | $8,472.00 | $306.88 – $1,094.96 | 18 |
| CT thoracic spine w/contrast CPT 72129 | $960.00 | $6,000.00 | $225.60 – $1,505.73 | 18 |
| CT thoracic spine without contrast CPT 72128 | $933.76 | $5,836.00 | $134.46 – $1,259.45 | 18 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $120.48 | $753.00 | $126.41 – $747.00 | 16 |
| CT t-spine w /wo contrast CPT 72130 | $1,034.88 | $6,468.00 | $225.60 – $1,876.26 | 18 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $943.68 | $5,898.00 | $355.53 – $1,259.45 | 18 |
| CT upper extremity without contrast (both sides) CPT 73200 | $865.92 | $5,412.00 | $134.46 – $1,059.12 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $689.92 | $4,312.00 | $225.60 – $1,580.45 | 18 |
| Culture aerobic additional method definitive id each CPT 87077 | $43.84 | $274.00 | $7.08 – $87.10 | 16 |
| Culture afb any source CPT 87116 | $52.28 | $326.74 | $9.12 – $116.38 | 16 |
| Culture anaerobic additional method definitive id each CPT 87076 | $35.36 | $221.00 | $8.08 – $135.92 | 16 |
| Culture anaerobic except blood CPT 87075 | $110.40 | $690.00 | $8.42 – $102.07 | 16 |
| Culture bact stool aero addl path ea CPT 87046 | $24.64 | $154.00 | $4.60 – $30.62 | 16 |
| Culture body fluid CPT 87070 | $96.80 | $605.00 | $7.51 – $92.84 | 16 |
| Culture fungi definitive id mold CPT 87107 | $44.64 | $279.00 | $10.32 – $111.37 | 16 |
| Culture fungi definitive id yeast CPT 87106 | $49.44 | $309.00 | $8.12 – $111.37 | 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.