Adventist Health Simi Valley
ADVENTIST HEALTH SIMI VALLEY charges 9.1x the Medicare reimbursement rate across 52 analyzed procedures, with 35% showing significant price variations in this Simi Valley nonprofit hospital.
Simi Valley, CA 93065 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
No credit card required. Results in 60 seconds.
Pricing grade
F
Very high
Avg markup vs Medicare
9.1x
Charge / Medicare rate
Max markup
15.77x
Worst procedure
Procedures analyzed
52
With pricing data
Outlier procedures
34.6%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $68,563 | $34,282 | — | 15.8x |
| DIABETES WITH CC | 638 | $88,796 | $44,398 | — | 14.9x |
| HYPERTENSION WITHOUT MCC | 305 | $75,073 | $37,536 | — | 13.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $45,167 | $22,583 | — | 12.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $96,545 | $48,273 | — | 12.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $84,606 | $42,303 | — | 11.8x |
| CHEST PAIN | 313 | $58,007 | $29,004 | — | 11.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $88,911 | $44,456 | — | 11.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $78,000 | $39,000 | — | 11.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $69,898 | $34,949 | — | 11.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $130,965 | $65,482 | — | 10.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $69,775 | $34,888 | — | 10.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $62,647 | $31,324 | — | 10.4x |
| RENAL FAILURE WITH CC | 683 | $73,779 | $36,890 | — | 10.3x |
| DIABETES WITH MCC | 637 | $111,094 | $55,547 | — | 10.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $79,766 | $39,883 | — | 10.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $112,359 | $56,180 | — | 10.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $156,964 | $78,482 | — | 10x |
| SEIZURES WITHOUT MCC | 101 | $69,615 | $34,807 | — | 9.7x |
| RENAL FAILURE WITH MCC | 682 | $107,387 | $53,693 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $95,422 | $47,711 | — | 9.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $73,922 | $36,961 | — | 9.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $87,361 | $43,681 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $82,712 | $41,356 | — | 9.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $51,437 | $25,718 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $132,156 | $66,078 | — | 8.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $232,711 | $116,355 | — | 8.7x |
| SYNCOPE AND COLLAPSE | 312 | $58,313 | $29,156 | — | 8.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $130,087 | $65,044 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $115,507 | $57,754 | — | 8.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $95,120 | $47,560 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $133,870 | $66,935 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $102,752 | $51,376 | — | 8.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $45,431 | $22,715 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $78,812 | $39,406 | — | 7.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $138,853 | $69,427 | — | 7.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $124,107 | $62,054 | — | 7.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $88,936 | $44,468 | — | 7.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $130,091 | $65,046 | — | 7.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $92,383 | $46,191 | — | 7.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $42,816 | $21,408 | — | 7.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $325,888 | $162,944 | — | 7.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $52,563 | $26,281 | — | 7.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $79,558 | $39,779 | — | 6.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $70,734 | $35,367 | — | 6.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $87,813 | $43,906 | — | 6.9x |
| SEIZURES WITH MCC | 100 | $105,110 | $52,555 | — | 6.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $166,396 | $83,198 | — | 6.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $60,139 | $30,070 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $395,749 | $197,875 | — | 6.4x |
Showing 50 of 52 procedures
Got a bill from ADVENTIST HEALTH SIMI VALLEY?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
Related pricing data
Got a bill from Adventist Health Simi Valley?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use