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 |
|---|---|---|---|---|
| Doppler intravascular pressure flow initial vessel CPT 93571 | $804.32 | $5,027.00 | $6,183.21 – $10,870.00 | 3 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $285.76 | $1,786.00 | $171.77 – $2,030.00 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $267.84 | $1,674.00 | $50.00 – $2,030.00 | 18 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $26.86 | $167.89 | $0.28 – $206.50 | 3 |
| Dpyd gene common variants CPT 81232 | $27.97 | $174.81 | $172.02 – $1,409.93 | 16 |
| Drainage of kidney lesion CPT 50390 | $313.60 | $1,960.00 | $87.01 – $10,870.00 | 11 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,296.16 | $8,101.00 | $731.78 – $4,779.52 | 9 |
| Drain cath image guided visceral pq CPT 49405 | $486.72 | $3,042.00 | $226.22 – $10,870.00 | 11 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $170.88 | $1,068.00 | $101.20 – $2,042.73 | 9 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $107.20 | $670.00 | $258.05 – $580.61 | 8 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $96.96 | $606.00 | $258.05 – $580.61 | 8 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $100.32 | $627.00 | $522.85 – $1,176.40 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $332.80 | $2,080.00 | $1,640.82 – $1,640.82 | 1 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,247.52 | $45,297.00 | $32.33 – $338.45 | 11 |
| Drug admin & hemodynmic meas CPT 93463 | $133.12 | $832.00 | $85.27 – $10,870.00 | 11 |
| Drug assay posaconazole CPT 80187 | $3.47 | $21.69 | $21.69 – $103.67 | 14 |
| Drug assay rufinamide CPT 80210 | $2.42 | $15.14 | $15.14 – $103.67 | 14 |
| Drug assay vedolizumab CPT 80280 | $32.00 | $200.00 | $38.57 – $147.47 | 14 |
| Drug assay voriconazole CPT 80285 | $3.47 | $21.69 | $21.69 – $103.67 | 14 |
| Drug of abuse screen urine CPT 80305 | $90.88 | $568.00 | $12.60 – $124.66 | 16 |
| Drug screening tapentadol CPT 80372 | $3.44 | $21.51 | $7.38 – $209.51 | 4 |
| Drug screen quant tiagabine CPT 80199 | $11.04 | $69.00 | $27.11 – $117.18 | 16 |
| Drug test prsmv instrmnt CPT 80306 | $48.16 | $301.00 | $17.14 – $166.22 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $133.12 | $832.00 | $1.25 – $664.94 | 16 |
| Drvvt confirm - quest CPT 85597 | $2.56 | $15.98 | $15.98 – $164.76 | 16 |
| Ductogram sgl duct CPT 77053 | $250.08 | $1,563.00 | $92.47 – $1,094.96 | 16 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $412.48 | $2,578.00 | $126.59 – $2,030.00 | 18 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $613.44 | $3,834.00 | $164.10 – $2,030.00 | 18 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,643.68 | $10,273.00 | $262.40 – $10,870.00 | 11 |
| Ecg 12 lead tracing only CPT 93005 | $160.64 | $1,004.00 | $28.93 – $625.00 | 17 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $118.08 | $738.00 | $28.35 – $625.00 | 17 |
| Ecg external < 48 hours recording CPT 93225 | $162.24 | $1,014.00 | $52.61 – $1,736.00 | 17 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $251.36 | $1,571.00 | $75.87 – $1,736.00 | 17 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,005.76 | $6,286.00 | $298.00 – $2,451.91 | 15 |
| Echocardiography doppler color flow mapping CPT 93325 | $224.96 | $1,406.00 | $27.67 – $970.49 | 16 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $246.88 | $1,543.00 | $132.41 – $747.47 | 15 |
| Echo exam of eye thickness CPT 76514 | $11.52 | $72.00 | $15.31 – $100.00 | 17 |
| Echo exam uterus 76831- CPT 76831 | $146.72 | $917.00 | $100.00 – $1,094.96 | 17 |
| Echo guide for amniocentesis CPT 76946 | $89.44 | $559.00 | $37.81 – $469.66 | 13 |
| Echo guide for artery repair CPT 76936 | $187.84 | $1,174.00 | $100.00 – $1,444.02 | 17 |
| Echo guide for transfusion CPT 76941 | $114.72 | $717.00 | $100.00 – $881.91 | 5 |
| Echo stress CPT 93350 | $917.44 | $5,734.00 | $169.59 – $1,581.26 | 16 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,292.48 | $8,078.00 | $274.77 – $1,581.26 | 15 |
| Echo transesophageal CPT 93315 | $645.44 | $4,034.00 | $340.92 – $1,581.26 | 15 |
| Echo transesophageal intraop CPT 93318 | $648.96 | $4,056.00 | $357.00 – $2,344.54 | 15 |
| Echo transthoracic CPT 93303 | $425.28 | $2,658.00 | $269.32 – $1,581.26 | 15 |
| Echo transthoracic CPT 93304 | $513.60 | $3,210.00 | $147.28 – $1,581.26 | 15 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $924.48 | $5,778.00 | $264.82 – $1,480.91 | 15 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $369.92 | $2,312.00 | $144.36 – $1,227.23 | 16 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $508.64 | $3,179.00 | $72.02 – $4,271.50 | 16 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $370.56 | $2,316.00 | $133.35 – $659.78 | 16 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $292.96 | $1,831.00 | $196.44 – $649.00 | 16 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $264.64 | $1,654.00 | $114.70 – $1,486.58 | 16 |
| Eeg recording awake and asleep CPT 95819 | $448.16 | $2,801.00 | $114.70 – $649.00 | 16 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $233.12 | $1,457.00 | $277.71 – $4,760.12 | 16 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $233.12 | $1,457.00 | $277.71 – $4,760.12 | 16 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $563.84 | $3,524.00 | $316.00 – $1,842.91 | 16 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $435.84 | $2,724.00 | $316.00 – $4,760.12 | 16 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $216.96 | $1,356.00 | $277.71 – $4,760.12 | 16 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $279.84 | $1,749.00 | $316.00 – $4,760.12 | 16 |
| E equine encephalitis igg CPT 86652 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Egfr gene com variants CPT 81235 | $28.80 | $180.00 | $70.23 – $852.36 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $4.82 | $30.15 | $35.09 – $179.31 | 12 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $99.36 | $621.00 | $42.13 – $888.82 | 9 |
| Electrd sq emblem s-icd HCPCS C1896 | $76.64 | $479.00 | $589.17 – $589.17 | 1 |
| Electrolyte panel CPT 80051 | $84.64 | $529.00 | $7.01 – $75.70 | 16 |
| Electron microscopy diagnostic CPT 88348 | $207.52 | $1,297.00 | $268.94 – $2,331.54 | 17 |
| Electrophysiologic study CPT 93624 | $3,057.99 | $19,112.46 | $503.92 – $22,571.33 | 14 |
| Electrophysiology evaluation CPT 93619 | $4,104.96 | $25,656.00 | $1,052.34 – $22,571.33 | 14 |
| Electrophysiology evaluation CPT 93620 | $4,510.24 | $28,189.00 | $1,233.85 – $22,571.33 | 14 |
| Electrophysiology evaluation CPT 93621 | $4,383.68 | $27,398.00 | $3,047.00 – $33,699.54 | 4 |
| Electrophysiology evaluation CPT 93622 | $4,468.00 | $27,925.00 | $3,047.00 – $34,347.75 | 4 |
| Electrophysiology evaluation CPT 93641 | $1,054.24 | $6,589.00 | $3,047.00 – $8,104.47 | 4 |
| Electrophys map 3d add-on CPT 93613 | $2,405.60 | $15,035.00 | $244.12 – $3,450.00 | 12 |
| Embolization s&i CPT 75894 | $2,404.80 | $15,030.00 | $353.48 – $7,409.85 | 11 |
| Embo or occlude vascular arterial s&i CPT 37242 | $5,636.00 | $35,225.00 | $526.62 – $53,049.38 | 11 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $6,535.36 | $40,846.00 | $732.23 – $33,407.55 | 11 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $6,122.08 | $38,263.00 | $627.36 – $33,407.55 | 11 |
| Embo or occlude vascular venous s&i CPT 37241 | $5,636.00 | $35,225.00 | $5,389.37 – $33,407.55 | 11 |
| Encephalitis, california igg/igm CPT 86651 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | $1.88 | $11.72 | $11.72 – $142.32 | 16 |
| Endo cath bile duct s&i CPT 74328 | $508.48 | $3,178.00 | $725.30 – $3,908.94 | 4 |
| Endo cath panc duct s&i CPT 74329 | $403.20 | $2,520.00 | $725.30 – $3,099.60 | 4 |
| Endo cholangiopancreatograph CPT 43261 | $995.52 | $6,222.00 | $419.47 – $11,157.26 | 11 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,499.84 | $9,374.00 | $9,449.00 – $11,530.02 | 3 |
| Endoluminl ivus oct c ea CPT 92979 | $1,262.56 | $7,891.00 | $9,449.00 – $10,870.00 | 3 |
| Endoscopic pancreatoscopy CPT 43273 | $155.84 | $974.00 | $104.91 – $236.05 | 9 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $4,028.64 | $25,179.00 | $1,341.84 – $3,019.14 | 9 |
| Endovasc tempory vessel occl CPT 61623 | $2,881.92 | $18,012.00 | $369.09 – $33,407.55 | 9 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $20.10 | $125.64 | $1.44 – $62.07 | 6 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $1.62 | $10.10 | $10.10 – $100.18 | 16 |
| Enzyme cell activity ra CPT 82658 | $59.36 | $371.00 | $34.69 – $194.04 | 16 |
| Enzyme histochemistry CPT 88319 | $26.56 | $166.00 | $33.00 – $2,331.54 | 17 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $131.68 | $823.00 | $102.58 – $343.33 | 9 |
| Ep & ablate supravent arrhyt CPT 93653 | $10,819.36 | $67,621.00 | $1,163.49 – $75,639.83 | 11 |
| Ep & ablate ventric tachy CPT 93654 | $11,535.20 | $72,095.00 | $1,552.98 – $75,639.83 | 11 |
| Epidural lysis mult sessions CPT 62263 | $713.92 | $4,462.00 | $349.86 – $2,559.56 | 9 |
| Ep induct arrhy by elect pacing CPT 93618 | $508.80 | $3,180.00 | $312.14 – $15,431.00 | 14 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $19.79 | $123.66 | $8.17 – $152.10 | 3 |
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.