Visits & medical services prices at Adventist Health Simi Valley
Simi Valley, CA · every code in this section with a posted price and a Medicare benchmark.
206 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) unusually low: confirm this is the full procedure |
$3,987.04 | $24,919 | 0.4× |
| Airway Inhalation Treatment (94640) | $64.48 | $403 | 0.2× |
| Analyze neurostim complex (95972) | $151.36 | $946 | 1.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $48.32 | $302 | 3.4× |
| Arrhythmia Induction (93618) | $508.80 | $3,180 | 0.3× |
| Assessment of aphasia per hr (96105) | $152.48 | $953 | 1.6× |
| Behavral qualit analys voice (92524) | $150.88 | $943 | 1.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $309.12 | $1,932 | 0.6× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,603.68 | $16,273 | 0.3× |
| Car seat/bed test 60 min (94780) | $44.64 | $279 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $577.12 | $3,607 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $287.20 | $1,795 | 1.0× |
| Cardioversion (92960) | $567.52 | $3,547 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $5,408.32 | $33,802 | 1.3× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $3,838.56 | $23,991 | 0.9× |
| Cbt 1st hour (94644) | $100 | $625 | 0.6× |
| Chemo Anti-Neopl Sq/Im (96401) | $161.28 | $1,008 | 1.7× |
| Chemo Hormon Antineopl Sq/Im (96402) | $161.28 | $1,008 | 1.7× |
| Chemo IV infusion addl hr (96415) | $142.08 | $888 | 1.5× |
| Chemo IV push addl drug (96411) | $105.28 | $658 | 1.1× |
| Chemother Prolong Infuse W/Pump (96416) | $246.24 | $1,539 | 0.6× |
| Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) | $161.28 | $1,008 | 0.4× |
| Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) | $41.12 | $257 | 0.7× |
| Chemotherapy Into Cns (96450) | $238.88 | $1,493 | 0.6× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $117.60 | $735 | 1.3× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $228.80 | $1,430 | 0.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $123.84 | $774 | 0.3× |
| Chest Wall Manipulation (94668) | $42.56 | $266 | 0.2× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $495.04 | $3,094 | 1.0× |
| Color/duplex Doppler, complete (93975) | $398.40 | $2,490 | 1.3× |
| Color/duplex Doppler, limited (93976) | $328.16 | $2,051 | 2.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $22.72 | $142 | 0.7× |
| Continuous Pulse Ox (94762) | $151.20 | $945 | 0.9× |
| Coronary Art/Grft Angio S&I (93455) | $5,260.48 | $32,878 | 1.3× |
| Coronary Artery Angio S&I (93454) | $4,089.28 | $25,558 | 1.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $287.20 | $1,795 | 1.0× |
| Cpt initial (94667) | $61.12 | $382 | 0.4× |
| Critical care first hour (99291) | $1,438.56 | $8,991 | 1.4× |
| Debridement Open Wound 20 Sq Cm< (97597) | $116.32 | $727 | 0.5× |
| Developmental tst admin phys/qhp 1st hour (96112) | $157.60 | $985 | 1.0× |
| Dialysis One Evaluation (90945) range across 2 matching MRF lines |
$300.64–$341.12 | $1,879–$2,132 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$15.84–$293.60 | $99–$1,835 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $409.12 | $2,557 | 1.3× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $345.76 | $2,161 | 2.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $658.72 | $4,117 | 2.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $383.04 | $2,394 | 2.8× |
| Duplex Scan Hemodialysis Access (93990) | $412.48 | $2,578 | 3.1× |
| Duplex up extrem art bilat (93930) | $613.44 | $3,834 | 2.0× |
| Duplex up extrem art unilat/ltd (93931) | $308.64 | $1,929 | 2.3× |
| Echo Congenital Complete (93303) | $425.28 | $2,658 | 0.6× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$234.40–$246.88 | $1,465–$1,543 | varies |
| Echo transesophag montr cardiac pump functj (93318) | $648.96 | $4,056 | 0.9× |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$234.40–$1,292.48 | $1,465–$8,078 | varies |
| Echo Transesophageal - Congenital Tee Complete (93315) | $645.44 | $4,034 | 0.9× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $513.92 | $3,212 | 0.7× |
| Eeg 41-60 Minutes (95812) | $369.92 | $2,312 | 1.3× |
| EEG awake and asleep (95819) | $448.16 | $2,801 | 1.6× |
| EEG awake drowsy (95816) | $370.56 | $2,316 | 1.3× |
| EEG cerebral death evaluation (95824) | $508.64 | $3,179 | 1.1× |
| EEG cont rec w/video by tech min 8 channels (95700) | $632.48 | $3,953 | 2.3× |
| EEG extended monitoring 61-119 minutes (95813) | $292.96 | $1,831 | 1.1× |
| Eeg Sleep Only (95822) | $264.64 | $1,654 | 1.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $233.12 | $1,457 | 0.8× |
| EEG w/o vid 2-12hr cont mntr (95707) | $233.12 | $1,457 | 0.8× |
| EEG w/o vid ea 12-26hr intmt (95709) | $435.84 | $2,724 | 0.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $563.84 | $3,524 | 1.2× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $216.96 | $1,356 | 0.8× |
| EEG wo vid ea 12-26hr unmntr (95708) | $279.84 | $1,749 | 0.6× |
| Electrical Stimulation Ea 15 Min (97032) | $43.68 | $273 | 3.0× |
| Electrocardiogram Tracing (93005) | $160.64 | $1,004 | 2.1× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) unusually low: confirm this is the full procedure |
$3,057.99 | $19,112.46 | 0.3× |
| Emergency Dept Visit Level 2 (99282) | $223.20 | $1,395 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $373.12 | $2,332 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $607.68 | $3,798 | 1.1× |
| Endomyocardial Biopsy (93505) | $1,086.88 | $6,793 | 0.3× |
| Ep & ablate supravent arrhyt (93653) unusually low: confirm this is the full procedure |
$10,819.36 | $67,621 | 0.3× |
| Ep & ablate ventric tachy (93654) unusually low: confirm this is the full procedure |
$11,535.20 | $72,095 | 0.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) unusually low: confirm this is the full procedure |
$4,510.24 | $28,189 | 0.4× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) unusually low: confirm this is the full procedure |
$4,104.96 | $25,656 | 0.4× |
| Er level 1 (99281) | $111.36 | $696 | 1.0× |
| Er level v (99285) | $1,037.76 | $6,486 | 1.4× |
| Evaluate pt use of inhaler (94664) | $43.84 | $274 | 0.2× |
| Evaluate Speech Production (92522) | $145.28 | $908 | 1.3× |
| Evaluate Swallowing Function (92610) | $159.20 | $995 | 1.9× |
| Evaluation of speech fluency (92521) | $145.28 | $908 | 1.1× |
| Evoked Auditory Test,Limited (92587) | $64.64 | $404 | 0.2× |
| External Ecg Scanning Analysis Report (93226) | $251.36 | $1,571 | 3.3× |
| Extracranial Bilat Study (93880) | $559.84 | $3,499 | 1.8× |
| Extracranial Uni/Ltd Study (93882) | $322.40 | $2,015 | 2.4× |
| F-up/limited tthrc echo congenital car anomaly (93304) | $513.60 | $3,210 | 0.7× |
| Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) | $499.52 | $3,122 | 1.0× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$72.64–$95.84 | $454–$599 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $6,430.08 | $40,188 | 1.5× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$566.56–$651.52 | $3,541–$4,072 | varies |
| Holter monitor recording (93225) | $162.24 | $1,014 | 0.9× |
| Icd device progr eval dual (93283) | $382.24 | $2,389 | 8.0× |
| Icd Device Progr Eval Mult (93284) | $430.08 | $2,688 | 9.0× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $16.16 | $101 | 0.2× |
| Immunization administration (90471) | $23.36 | $146 | 0.3× |
| Insert/Place Heart Catheter (93503) | $702.08 | $4,388 | 0.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,530.72 | $15,817 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,530.72 | $15,817 | 0.3× |
| Intracranial Complete Study (93886) | $321.44 | $2,009 | 1.0× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$1,928.32 | $12,052 | 0.2× |
| Irrig Drug Delivery Device (96523) | $51.84 | $324 | 0.7× |
| IV infusion hydration each additional hour (96361) | $131.04 | $819 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $162.56 | $1,016 | 0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $123.68 | $773 | 1.3× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $76.80 | $480 | 1.3× |
| IV push initial (96374) | $112.48 | $703 | 0.4× |
| L Hrt Art/Grft Angio (93459) | $5,471.36 | $34,196 | 1.3× |
| Motion Fluoroscopy/Swallow (92611) | $194.08 | $1,213 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $104.16 | $651 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $144.64 | $904 | 0.3× |
| Neuromuscular Reeducation (97112) | $41.12 | $257 | 1.3× |
| Newborn resuscitation (99465) | $166.24 | $1,039 | 0.2× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $137.12 | $857 | 0.3× |
| Oral Function Therapy (92526) | $101.60 | $635 | 1.2× |
| Oral Speech Device Eval (92597) | $151.36 | $946 | 2.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $37.60 | $235 | 0.8× |
| Ot eval high complexity (97167) | $140.64 | $879 | 1.4× |
| Ot Eval Low Complex (97165) | $131.04 | $819 | 1.3× |
| Ot Eval Moderate Complexity (97166) | $135.84 | $849 | 1.4× |
| Ot manual therapy 15 min (97140) | $40 | $250 | 1.4× |
| Ot Prosthetic Training, Each 15 Min (97761) | $29.12 | $182 | 0.7× |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$86.08–$201.60 | $538–$1,260 | varies |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $14,982.88 | $93,643 | 0.6× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) unusually low: confirm this is the full procedure |
$3,637.28 | $22,733 | 0.5× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) range across 2 matching MRF lines |
$3,952.80–$5,661.28 | $24,705–$35,383 | varies |
| Phlebotomy therapeutic (99195) | $48.96 | $306 | 0.3× |
| Plethysmography (94726) | $90.88 | $568 | 0.2× |
| Pm device progr eval dual (93280) | $278.88 | $1,743 | 5.8× |
| Pm device progr eval multi (93281) | $333.44 | $2,084 | 6.9× |
| Pm Device Progr Eval Sngl (93279) | $238.56 | $1,491 | 5.0× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $333.44 | $2,084 | 6.9× |
| Prq Card Angio/Athrect 1 Art (92924) unusually low: confirm this is the full procedure |
$7,313.28 | $45,708 | 0.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) range across 2 matching MRF lines |
$5,071.20–$5,661.28 | $31,695–$35,383 | varies |
| Prq Revasc Byp Graft 1 Vsl (92937) range across 2 matching MRF lines |
$2,881.92–$5,661.28 | $18,012–$35,383 | varies |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $14,187.52 | $88,672 | 0.6× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) likely a partial charge, not the full procedure |
$2,381.76 | $14,886 | 0.2× |
| Pt Eval High Complex (97163) | $140.64 | $879 | 1.4× |
| Pt eval low complex 20 min (97161) | $131.04 | $819 | 1.3× |
| Pt Eval Mod Complex (97162) | $135.84 | $849 | 1.4× |
| Pt gait training 15 min (97116) | $48.96 | $306 | 1.7× |
| Pt mechanical traction (97012) | $52 | $325 | 3.6× |
| Pt Re-Eval Est Plan Care (97164) range across 5 matching MRF lines |
$72.16–$123.52 | $451–$772 | varies |
| Pulmonary service/procedure (94799) | $59.84 | $374 | 0.4× |
| Pulmonary Stress Testing (94618) | $183.20 | $1,145 | 1.1× |
| R Hrt Art/Grft Angio (93457) | $4,453.28 | $27,833 | 1.1× |
| R hrt coronary artery angio (93456) | $4,506.88 | $28,168 | 1.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $4,905.44 | $30,659 | 1.2× |
| Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) | $114.24 | $714 | 0.3× |
| Refill/Maint Portable Pump (96521) | $157.76 | $986 | 0.6× |
| Refill/Maint Pump/Resvr Syst (96522) | $101.76 | $636 | 0.4× |
| Respiratory flow volume loop (94375) | $104.32 | $652 | 0.4× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $118.08 | $738 | 1.6× |
| Right Heart Cath (93451) | $2,684 | $16,775 | 0.6× |
| Right ventricular recording (93603) | $2,357.76 | $14,736 | 1.5× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $99.52 | $622 | 0.4× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $225.44 | $1,409 | 1.8× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $79.68 | $498 | 1.7× |
| Self Care Mngment Training (97535) | $47.68 | $298 | 1.5× |
| Sensory Integration Ea 15 Min (97533) | $44.80 | $280 | 0.7× |
| Slp caregiver training 1st 30 min (97550) | $38.14 | $238.40 | 0.7× |
| Speech sound lang comprehen (92523) | $179.84 | $1,124 | 0.8× |
| Spirometry (94010) | $88 | $550 | 0.3× |
| Standardized Cognitive Performance Testing (96125) | $72 | $450 | 0.7× |
| Stress Tte Only (93350) | $917.44 | $5,734 | 1.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $22.72 | $142 | 0.4× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $87.04 | $544 | 0.3× |
| Temp transcutaneous pacing (92953) | $390.88 | $2,443 | 0.5× |
| Testing Autonomic Nervous System Function (95923) | $57.28 | $358 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $66.08 | $413 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $55.04 | $344 | 2.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $40.64 | $254 | 1.1× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $36.80 | $230 | 1.2× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $146.08 | $913 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $52.96 | $331 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) | $185.44 | $1,159 | 0.7× |
| Therapeutic Activities (97530) | $48.48 | $303 | 1.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $615.68 | $3,848 | 1.3× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $41.28 | $258 | 0.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $19.20 | $120 | 0.4× |
| Transcath Closure of Asd (93580) | $11,920.64 | $74,504 | 0.5× |
| Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) | $57.28 | $358 | 0.3× |
| Tstg ans funcj vasomotor adrenergic innervaj (95922) | $57.28 | $358 | 0.3× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$47.68–$1,005.76 | $298–$6,286 | varies |
| Tte W/O Doppler Complete (93307) | $924.48 | $5,778 | 3.0× |
| Tx atrial fib pulm vein isol (93656) unusually low: confirm this is the full procedure |
$10,258.40 | $64,115 | 0.3× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $93.44 | $584 | 1.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $68.96 | $431 | 2.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $59.20 | $370 | 1.0× |
| Unlisted cardiovascular service/procedure (93799) | $165.92 | $1,037 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$8–$267.84 | $50–$1,674 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $285.76 | $1,786 | 1.0× |
| Veeg 2-12 Hr Cont Mntr (95713) | $620.16 | $3,876 | 1.3× |
| Veeg 2-12 hr intmt mntr (95712) | $440.80 | $2,755 | 0.9× |
| Veeg 2-12 hr unmonitored (95711) | $456.64 | $2,854 | 1.6× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $469.76 | $2,936 | 1.0× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $798.40 | $4,990 | 1.7× |
| Veeg ea 12-26hr cont mntr (95716) | $579.36 | $3,621 | 0.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,005.44 | $6,284 | 1.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $742.88 | $4,643 | 0.9× |
| Vital capacity, total (94150) | $55.68 | $348 | 0.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $34.88 | $218 | 1.1× |
| Whirlpool Therapy (97022) | $94.24 | $589 | 6.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.