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 |
|---|---|---|---|---|
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $21.54 | $134.64 | $3.76 – $165.61 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $1.20 | $7.52 | $1.17 – $9.25 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $1.71 | $10.70 | $10.70 – $142.32 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $1.71 | $10.70 | $10.70 – $167.52 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $1.71 | $10.70 | $10.70 – $173.99 | 16 |
| Ercp biliary & pancreas CPT 74330 | $652.80 | $4,080.00 | $725.30 – $5,018.40 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $124.75 | $779.69 | $24.93 – $959.02 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $111.36 | $696.00 | $26.78 – $244.02 | 9 |
| ER Visit (level 2) CPT 99282 | $223.20 | $1,395.00 | $43.01 – $444.34 | 9 |
| ER Visit (level 3) CPT 99283 | $373.12 | $2,332.00 | $78.69 – $789.96 | 9 |
| ER Visit (level 4) CPT 99284 | $607.68 | $3,798.00 | $120.59 – $1,207.51 | 9 |
| ER Visit (level 5, high severity) CPT 99285 | $1,037.76 | $6,486.00 | $190.69 – $1,723.39 | 9 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $13.90 | $86.87 | $0.58 – $106.85 | 4 |
| Esophageal dilat s&i CPT 74360 | $281.92 | $1,762.00 | $142.68 – $967.00 | 4 |
| Establish access to aorta CPT 36160 | $203.52 | $1,272.00 | $106.96 – $10,870.00 | 11 |
| Established Patient Office Visit (level 1) CPT 99211 | $55.20 | $345.00 | $7.97 – $343.00 | 13 |
| Estradiol total CPT 82670 | $79.04 | $494.00 | $24.71 – $301.56 | 16 |
| Ethylene glycol -sendout CPT 82693 | $2.12 | $13.25 | $13.25 – $158.73 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $225.44 | $1,409.00 | $125.00 – $536.00 | 20 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $211.52 | $1,322.00 | $98.11 – $1,355.46 | 16 |
| Evaluation heart device CPT 93640 | $276.80 | $1,730.00 | $2,127.90 – $3,450.00 | 4 |
| Evaluation of speech fluency 92521 CPT 92521 | $145.28 | $908.00 | $125.00 – $536.00 | 20 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $528.00 | $3,300.00 | $508.94 – $10,870.00 | 11 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $4,028.48 | $25,178.00 | $1,092.18 – $10,870.00 | 11 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $3,458.40 | $21,615.00 | $1,208.93 – $10,870.00 | 11 |
| Evoked oa emissions ltd CPT 92587 | $64.64 | $404.00 | $72.34 – $624.85 | 13 |
| Exc abd les sc 3 cm/> CPT 22903 | $2,582.88 | $16,143.00 | $445.57 – $8,405.89 | 9 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $2,582.88 | $16,143.00 | $775.08 – $8,405.89 | 9 |
| Exchange biliary drg cath CPT 47536 | $2,160.00 | $13,500.00 | $925.02 – $10,361.23 | 9 |
| Exchange drainage catheter CPT 49423 | $1,216.32 | $7,602.00 | $84.26 – $5,553.09 | 9 |
| Exchange nephrostomy cath CPT 50435 | $1,337.28 | $8,358.00 | $534.40 – $6,049.31 | 9 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,906.24 | $18,164.00 | $816.88 – $3,409.56 | 9 |
| External chromosome analysis 20-25 cells CPT 88264 | $29.70 | $185.65 | $144.61 – $1,338.96 | 17 |
| External newborn metabolic screening panel HCPCS S3620 | $48.96 | $306.00 | $25.83 – $25.83 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $6.36 | $39.74 | $29.38 – $155.39 | 16 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $113.76 | $711.00 | $97.50 – $1,157.05 | 17 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $13.68 | $85.50 | $5.00 – $164.33 | 16 |
| F-18 fdg pet diag HCPCS A9552 | $450.88 | $2,818.00 | $1,076.99 – $3,466.14 | 6 |
| F-18 fluciclovine per mci HCPCS A9588 | $2,758.56 | $17,241.00 | $322.27 – $1,266.59 | 13 |
| F9 full gene sequence CPT 81238 | $76.80 | $480.00 | $480.00 – $4,839.38 | 16 |
| Facial bones <3 CPT 70140 | $125.28 | $783.00 | $45.84 – $292.79 | 16 |
| Factor ix CPT 85250 | $53.92 | $337.00 | $16.93 – $205.45 | 16 |
| Factor viii CPT 85240 | $50.72 | $317.00 | $17.90 – $193.24 | 16 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $7.75 | $48.46 | $0.03 – $59.61 | 3 |
| Fancc gene CPT 81242 | $5.86 | $36.62 | $36.62 – $521.82 | 16 |
| Fat/lipids feces qualitative CPT 82705 | $6.88 | $43.00 | $4.53 – $54.99 | 16 |
| Fatty acids nonesterified CPT 82725 | $2.32 | $14.50 | $14.50 – $143.70 | 16 |
| #fecal-sodium CPT 84302 | $45.44 | $284.00 | $4.32 – $52.23 | 16 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $2.42 | $15.14 | $15.14 – $71.19 | 14 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $40.27 | $251.67 | $2.51 – $72.05 | 6 |
| Ferritin CPT 82728 | $52.16 | $326.00 | $10.03 – $147.04 | 16 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $271.52 | $1,697.00 | $100.00 – $1,565.79 | 17 |
| Fetal chrmoml microdeltj CPT 81422 | $44.00 | $275.00 | $55.35 – $5,284.12 | 16 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $72.00 | $450.00 | $450.00 – $3,372.20 | 16 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $134.56 | $841.00 | $62.32 – $585.06 | 13 |
| Fetal fibronectin CPT 82731 | $380.32 | $2,377.00 | $56.19 – $1,452.94 | 16 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $26.24 | $164.00 | $6.28 – $83.47 | 16 |
| Fetal hemoglobin rosette CPT 85461 | $39.36 | $246.00 | $7.36 – $165.05 | 16 |
| Fetal non stress test CPT 59025 | $140.96 | $881.00 | $28.04 – $585.06 | 13 |
| #_fet/norfentcnfrmur CPT 80354 | $3.44 | $21.51 | $7.38 – $201.38 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $85.76 | $536.00 | $9.05 – $109.77 | 16 |
| Fibrin degradation products CPT 85362 | $112.64 | $704.00 | $5.91 – $74.25 | 16 |
| Fibrin degrade semiquant CPT 85378 | $46.24 | $289.00 | $9.72 – $80.35 | 16 |
| Fibrinogen activity CPT 85384 | $82.56 | $516.00 | $7.63 – $91.10 | 16 |
| Fibrinolytic antiplasmin CPT 85410 | $1.10 | $6.85 | $6.85 – $80.57 | 16 |
| Fibrinolytic plasminogen CPT 85415 | $2.44 | $15.28 | $15.28 – $185.61 | 16 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $0.93 | $5.81 | $5.81 – $70.61 | 16 |
| Filter vena cava fem denali HCPCS C1880 | $320.64 | $2,004.00 | $2,464.92 – $2,464.92 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $178.72 | $1,117.00 | $457.82 – $10,870.00 | 13 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $80.80 | $505.00 | $46.95 – $10,870.00 | 13 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $292.48 | $1,828.00 | $43.83 – $10,870.00 | 13 |
| Fine needle asp without image guide 10021 CPT 10021 | $98.56 | $616.00 | $129.39 – $3,392.00 | 11 |
| Flecainide (tambocor)-sendout CPT 80181 | $2.98 | $18.64 | $18.34 – $71.19 | 14 |
| Fl exam g/colon tube w contrast CPT 49465 | $275.52 | $1,722.00 | $173.55 – $690.48 | 9 |
| Flow cytometry marker each additional CPT 88185 | $16.00 | $100.00 | $8.67 – $206.83 | 17 |
| Flow cytometry one marker technical component CPT 88184 | $48.00 | $300.00 | $37.00 – $1,037.30 | 17 |
| Flt3 gene CPT 81245 | $55.41 | $346.32 | $132.40 – $676.13 | 16 |
| Flt3 gene analysis CPT 81246 | $27.79 | $173.68 | $66.40 – $1,255.85 | 16 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $20.16 | $126.00 | $12.19 – $280.35 | 6 |
| Fluidotherapy charges pt CPT 97022 | $94.24 | $589.00 | $17.49 – $536.00 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $42.56 | $266.00 | $10.39 – $130.11 | 16 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $128.48 | $803.00 | $100.35 – $396.80 | 12 |
| Fluoroguide needle placement CPT 77002 | $167.84 | $1,049.00 | $117.34 – $519.43 | 12 |
| Fluoroscopy up to 1 hour CPT 76000 | $399.36 | $2,496.00 | $49.33 – $1,094.96 | 16 |
| Fna bx w/ct gdn 1st les CPT 10009 | $869.28 | $5,433.00 | $756.04 – $3,392.00 | 11 |
| Folic acid CPT 82746 | $51.36 | $321.00 | $13.07 – $158.66 | 16 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.80 | $5.00 | $0.13 – $6.15 | 3 |
| Follow-up angiography CPT 75898 | $840.32 | $5,252.00 | $183.31 – $9,137.36 | 18 |
| Fondaparinux sodium HCPCS J1652 | $110.96 | $693.50 | $2.39 – $853.01 | 6 |
| Foot plas heel stabi pre ots HCPCS L3170 | $64.32 | $402.00 | $59.84 – $494.46 | 9 |
| Foot X-ray CPT 73630 | $232.32 | $1,452.00 | $35.00 – $292.79 | 16 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $273.12 | $1,707.00 | $988.47 – $2,981.34 | 9 |
| Forearm/arm cuffs free motio HCPCS L3720 | $583.20 | $3,645.00 | $961.43 – $2,163.22 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $129.25 | $807.82 | $1.33 – $447.57 | 14 |
| Fracture assessment via dxa CPT 77086 | $160.00 | $1,000.00 | $56.69 – $416.78 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $15.23 | $95.20 | $73.77 – $689.00 | 13 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $13.92 | $87.00 | $85.98 – $689.00 | 13 |
| Fresh frozen plasma thawing ea un CPT 86927 | $43.52 | $272.00 | $54.82 – $493.03 | 15 |
| Frozen blood freeze/thaw CPT 86932 | $10.40 | $65.00 | $48.04 – $435.88 | 15 |
| Fructosamine glycated protein CPT 82985 | $2.15 | $13.41 | $13.41 – $162.66 | 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.