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 |
|---|---|---|---|---|
| Culture fungi other (except blood) CPT 87102 | $77.44 | $484.00 | $8.41 – $90.66 | 16 |
| Culture fungi skin/hair/nail CPT 87101 | $41.44 | $259.00 | $7.71 – $83.18 | 16 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $31.04 | $194.00 | $14.61 – $118.12 | 16 |
| Culture mycoplasma any source CPT 87109 | $7.02 | $43.88 | $15.39 – $166.00 | 16 |
| Culture screening strep group a CPT 87081 | $48.96 | $306.00 | $5.68 – $70.98 | 16 |
| Culture typing added method CPT 87158 | $3.29 | $20.56 | $5.70 – $56.45 | 16 |
| Culture typing immunologic CPT 87147 | $22.08 | $138.00 | $3.91 – $50.49 | 16 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $3.69 | $23.05 | $23.05 – $464.94 | 16 |
| Culture urine each isolate CPT 87088 | $51.52 | $322.00 | $6.08 – $77.66 | 16 |
| Cutter lead HCPCS C1773 | $401.12 | $2,507.00 | $2,569.47 – $2,569.47 | 1 |
| Cv line/pic reposition CPT 36597 | $652.16 | $4,076.00 | $54.96 – $10,870.00 | 11 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $2.04 | $12.73 | $12.73 – $154.59 | 16 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $8.00 | $50.00 | $1.75 – $61.50 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $3.20 | $20.00 | $6.00 – $136.65 | 17 |
| Cyclosporine 2 hour CPT 80158 | $2.57 | $16.04 | $16.04 – $194.84 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $3.40 | $21.27 | $1.44 – $26.16 | 6 |
| Cyclosporine oral 100 mg HCPCS J7502 | $12.97 | $81.08 | $4.93 – $99.73 | 6 |
| Cyp2c19 gene com variants CPT 81225 | $20.80 | $130.00 | $90.00 – $1,167.44 | 16 |
| Cyp2c9 gene com variants CPT 81227 | $16.00 | $100.00 | $70.00 – $586.70 | 16 |
| Cyp2d6 gene com variants CPT 81226 | $28.80 | $180.00 | $150.00 – $1,619.88 | 16 |
| Cyp3a4 gene common variants CPT 81230 | $11.20 | $70.00 | $86.10 – $1,409.93 | 16 |
| Cyp3a5 gene common variants CPT 81231 | $11.20 | $70.00 | $86.10 – $1,409.93 | 16 |
| Cystatin c CPT 82610 | $38.56 | $241.00 | $10.49 – $146.75 | 16 |
| Cystic fibrosis cftr CPT 81223 | $198.97 | $1,243.57 | $499.00 – $8,276.09 | 16 |
| Cystine urine quantitative CPT 82131 | $2.94 | $18.36 | $18.36 – $181.04 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $284.48 | $1,778.00 | $58.50 – $1,191.26 | 16 |
| Cytogenetics 3-5 CPT 88272 | $3.00 | $18.76 | $18.76 – $1,924.85 | 17 |
| Cytogenomic neo microra alys CPT 81277 | $245.60 | $1,535.00 | $1,160.00 – $4,435.97 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $19.95 | $124.71 | $12.38 – $154.81 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $2.30 | $14.36 | $14.36 – $174.06 | 16 |
| Cytopath c/v manual CPT 88150 | $10.56 | $66.00 | $18.54 – $55.79 | 17 |
| Cytopath fl nongyn filter CPT 88106 | $23.20 | $145.00 | $33.11 – $119.10 | 17 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $90.72 | $567.00 | $67.02 – $477.07 | 17 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $5.41 | $33.81 | $26.61 – $218.45 | 17 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $28.96 | $181.00 | $20.26 – $152.56 | 17 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $56.00 | $350.00 | $38.94 – $108.09 | 17 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $46.56 | $291.00 | $45.55 – $116.27 | 17 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $24.00 | $150.00 | $10.39 – $350.00 | 18 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $85.60 | $535.00 | $49.91 – $493.03 | 18 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $53.76 | $336.00 | $67.02 – $218.36 | 17 |
| Cytopath smear other source CPT 88160 | $51.36 | $321.00 | $33.11 – $122.90 | 17 |
| Cytopath smear other source CPT 88162 | $56.64 | $354.00 | $67.02 – $153.16 | 17 |
| Cytopath smear oth prep screen & interp CPT 88161 | $35.20 | $220.00 | $33.11 – $107.79 | 17 |
| Cytopath tbs c/v manual CPT 88164 | $12.32 | $77.00 | $17.03 – $55.79 | 17 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $71.52 | $447.00 | $219.12 – $2,625.24 | 17 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $73.56 | $459.77 | $0.08 – $265.24 | 6 |
| Dark field exam without collj CPT 87166 | $1.67 | $10.42 | $10.42 – $121.83 | 16 |
| Dch glucoscan CPT 82948 | $23.52 | $147.00 | $4.78 – $34.07 | 16 |
| Dch validity tests CPT 81002 | $14.88 | $93.00 | $2.15 – $25.64 | 16 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $1,020.96 | $6,381.00 | $915.86 – $10,870.00 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $85.44 | $534.00 | $11.03 – $27.11 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $102.08 | $638.00 | $22.02 – $536.00 | 20 |
| Decalcification CPT 88311 | $23.04 | $144.00 | $12.98 – $48.92 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $368.48 | $2,303.00 | $41.22 – $10,870.00 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $14.20 | $88.77 | $23.07 – $109.19 | 6 |
| Delivery of placenta 59414 CPT 59414 | $192.00 | $1,200.00 | $109.36 – $9,367.83 | 13 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $43.84 | $274.00 | $15.17 – $633.69 | 18 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $45.73 | $285.84 | $9.29 – $351.58 | 6 |
| Desoxycorticosterone CPT 82633 | $5.08 | $31.75 | $30.98 – $323.42 | 16 |
| Devel tst phys/qhp 1st hr CPT 96112 | $157.60 | $985.00 | $125.00 – $536.00 | 20 |
| Device ablt adv novasure HCPCS C1886 | $360.00 | $2,250.00 | $2,685.09 – $2,685.09 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,400.00 | $15,000.00 | $18,450.00 – $18,450.00 | 1 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $55.84 | $349.00 | $46.77 – $536.00 | 20 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $170.40 | $1,065.00 | $44.28 – $468.43 | 16 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $1.28 | $8.00 | $0.03 – $7.74 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $14.33 | $89.56 | $0.30 – $50.12 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $20.36 | $127.27 | $3.56 – $147.60 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $20.53 | $128.34 | $2.51 – $157.86 | 6 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $18.93 | $118.31 | $4.77 – $145.52 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $19.20 | $119.99 | $8.00 – $147.59 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $3.14 | $19.62 | $19.62 – $239.88 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $54.08 | $338.00 | $8.54 – $104.76 | 16 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $39.84 | $249.00 | $27.02 – $385.02 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $174.72 | $1,092.00 | $125.00 – $1,060.50 | 18 |
| Diagnostic Mammogram (one breast) CPT 77065 | $136.48 | $853.00 | $125.00 – $828.39 | 18 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $1,598.40 | $9,990.00 | $174.48 – $10,870.00 | 11 |
| Dialysis one evaluation CPT 90945 | $341.12 | $2,132.00 | $127.31 – $1,207.51 | 13 |
| Dialysis repeated eval CPT 90947 | $238.72 | $1,492.00 | $109.72 – $306.00 | 13 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.51 | $3.20 | $0.20 – $3.94 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $40.31 | $251.97 | $8.54 – $309.92 | 6 |
| Dicyclomine injection HCPCS J0500 | $92.34 | $577.13 | $30.84 – $709.87 | 6 |
| Diffusing capacity CPT 94729 | $170.88 | $1,068.00 | $73.66 – $402.00 | 16 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $10.61 | $66.33 | $4.52 – $81.59 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $63.52 | $397.00 | $11.80 – $143.26 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $100.11 | $625.71 | $71.70 – $769.62 | 6 |
| Dilation of salivary duct CPT 42660 | $120.16 | $751.00 | $48.08 – $1,560.75 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $508.48 | $3,178.00 | $618.69 – $618.69 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $16.16 | $101.00 | $0.08 – $58.01 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $8.00 | $50.00 | $1.93 – $36.90 | 6 |
| Disaccharidases CPT 82657 | $53.89 | $336.80 | $17.74 – $194.04 | 16 |
| Discography cerv/thor spine CPT 72285 | $732.16 | $4,576.00 | $177.26 – $7,590.90 | 16 |
| Dmd dup/delet analysis CPT 81161 | $44.64 | $279.00 | $199.19 – $1,901.03 | 16 |
| Dmpk gene detc abnor allele CPT 81234 | $17.54 | $109.60 | $109.60 – $918.98 | 14 |
| Dna antibody native/double stranded CPT 86225 | $8.48 | $53.00 | $8.00 – $148.27 | 16 |
| Dna gardnerella CPT 87510 | $23.36 | $146.00 | $17.83 – $209.37 | 16 |
| Dna probe chlamydia CPT 87490 | $54.88 | $343.00 | $22.75 – $209.37 | 16 |
| Dna trichomonas CPT 87660 | $23.36 | $146.00 | $17.83 – $217.14 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $33.11 | $206.91 | $21.83 – $254.50 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $16.09 | $100.57 | $0.84 – $123.70 | 6 |
| Doppler echo complete CPT 93320 | $276.00 | $1,725.00 | $58.52 – $659.78 | 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.