All published prices at Adventist Health Simi Valley
73 procedures, each showing what the hospital billed, what that care was actually paid for, and how the charge compares with the national middle for the same coded work.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
469 | $29,963 | $3,325 | +54% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
270 | $139,998 | $18,497 | +115% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
112 | $105,743 | $12,341 | +144% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
95 | $102,617 | $15,997 | +64% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
73 | $47,855 | $7,016 | +36% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
69 | $30,087 | $3,972 | +19% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
65 | $132,137 | $16,024 | +140% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
63 | $92,389 | $12,172 | +98% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
61 | $5,426 | $1,961 | -46% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
52 | $125,206 | $14,845 | +104% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
52 | $93,869 | $10,371 | +130% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
52 | $75,657 | $9,418 | +93% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
48 | $104,267 | $10,388 | +149% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
46 | $98,524 | $10,178 | +152% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
42 | $28,384 | $4,286 | +37% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
41 | $104,543 | $11,677 | +116% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
38 | $61,347 | $7,223 | +106% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
38 | $354,931 | $50,199 | +99% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
37 | $129,283 | $17,737 | +62% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
36 | $101,647 | $9,268 | +123% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
36 | $87,900 | $12,088 | +81% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
32 | $144,004 | $18,142 | +103% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
32 | $66,106 | $8,041 | +105% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
31 | $116,200 | $13,424 | +119% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
31 | $12,443 | $2,275 | +6% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
30 | $69,151 | $8,451 | +110% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
30 | $33,237 | $6,362 | +21% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
25 | $56,758 | $8,194 | +86% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
24 | $61,232 | $7,547 | +100% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
24 | $152,100 | $28,063 | +15% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
23 | $121,625 | $17,022 | +59% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
23 | $102,506 | $11,397 | +116% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
23 | $74,120 | $9,228 | +79% |
|
Fainting
MS-DRG 312 · Inpatient stay |
22 | $76,381 | $8,260 | +109% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
20 | $68,778 | $7,130 | +125% |
|
Heart Catheter Procedure (severe)
MS-DRG 321 · Inpatient stay |
20 | $232,541 | $26,866 | +62% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
20 | $68,736 | $12,637 | +15% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
19 | $42,587 | $5,604 | +69% |
|
Heart Catheter Procedure (without major complications)
MS-DRG 322 · Inpatient stay |
19 | $154,771 | $17,115 | +52% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
18 | $97,190 | $7,643 | +135% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
18 | $57,524 | $7,356 | +84% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
17 | $116,912 | $15,376 | +106% |
|
Other Digestive System Diagnoses with Complications
MS-DRG 394 · Inpatient stay |
16 | $62,276 | $8,937 | +60% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
16 | $159,708 | $22,778 | +86% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
16 | $71,625 | $8,792 | +80% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
16 | $93,008 | $13,503 | +37% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
15 | $102,288 | $17,595 | +27% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
15 | $84,442 | $12,094 | +65% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
15 | $141,825 | $19,019 | +70% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
15 | $88,930 | $15,738 | +31% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
15 | $29,103 | $1,799 | +239% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
15 | $14,773 | $1,871 | +32% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
14 | $86,193 | $6,608 | +141% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
14 | $93,858 | $14,882 | +46% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
14 | $10,373 | $2,012 | -9% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
13 | $73,272 | $8,511 | +67% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
13 | $121,664 | $13,270 | +116% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
13 | $52,498 | $8,640 | +41% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
13 | $88,031 | $9,140 | +124% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
13 | $23,912 | $4,686 | about average |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
12 | $93,096 | $7,859 | +193% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
12 | $106,866 | $10,258 | +96% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
12 | $221,402 | $27,045 | +88% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
12 | $59,870 | $8,614 | +73% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
12 | $110,890 | $13,610 | +116% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
12 | $75,544 | $13,108 | +47% |
|
Respiratory System Diagnosis with Ventilator Support <=96 Hours
MS-DRG 208 · Inpatient stay |
11 | $189,720 | $25,349 | +67% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
11 | $159,320 | $20,826 | +81% |
|
Major Small and Large Bowel Procedures with Major Complications
MS-DRG 329 · Inpatient stay |
11 | $270,011 | $37,861 | +50% |
|
Fractures of Hip and Pelvis without Major Complications
MS-DRG 536 · Inpatient stay |
11 | $57,859 | $7,190 | +76% |
|
Kidney and Ureter Procedures for Non-neoplasm with Complications
MS-DRG 660 · Inpatient stay |
11 | $95,090 | $12,353 | +71% |
|
Infection Needing Surgery (with complications)
MS-DRG 854 · Inpatient stay |
11 | $135,102 | $18,554 | +63% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
11 | $45,864 | $8,017 | +16% |
These figures are averages across this hospital's Medicare patients in the most recent federal data year. They are not a quote and not your bill. For your own case, ask the hospital for a written good-faith estimate and check its published machine-readable price file.