CMS Price Transparency Data

CT scan, sinuses

Facility: Adventist Health Simi Valley

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$258
about 2.4× the $107 Medicare rate · typically $160–$450
modeled estimate · not a bill or quote
What this hospital charges insurers
$280
About the fair price
about $22 over the fair price · 2.6× Medicare
Medicare pays $107 Fair price $258 This hospital $280 Cash price $818 Hospital's list price $5,111

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $280

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, sinuses is about $258 (about 2.4× the $107 Medicare rate). Adventist Health Simi Valley charges insurers about $280, or about $818 in cash — about the fair price. Located in Simi Valley, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $134 - $2,122 125%
Blue Cross Blue Shieldmajor $134 - $2,346 125%
Aetnamajor $2,811 2632%
Cignamajor $539 505%
Kaiser Permanentemajor $2,556 2393%
Health Net $1,810 1695%
+ 15 smaller / regional plans $134 - $4,344
Government programs also on file: Medicare, Military & VA.
Excludes 10 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 2975 N Sycamore Dr, Simi Valley, CA 93065
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals