CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Adventist Health Simi Valley

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,564

about 1.8× the $12,807 Medicare rate · typically $17,983–$31,103

modeled estimate · not a bill or quote

What this hospital charges insurers

$23,343

About the fair price

about $779 over the fair price · 1.8× Medicare

Medicare pays $12,807 Fair price $22,564 This hospital $23,343 Cash price $26,792 Hospital's list price $167,452

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 $11,647 Priciest $23,343

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

A fair price for a Heart stent placement (inpatient stay) is about $22,564 (about 1.8× the $12,807 Medicare rate). Adventist Health Simi Valley charges insurers about $23,343, or about $26,792 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	$11,829 - $31,714	92%
Blue Cross Blue Shieldmajor	$16,820 - $20,609	131%
Aetnamajor	$15,493	121%
Cignamajor	$28,008 - $29,556	219%
Kaiser Permanentemajor	$83,726	654%
Health Net	$11,776	92%
+ 13 smaller / regional plans	$15,102 - $50,361

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.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 26,792), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 322.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Simi Valley is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 322.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Simi Valley

Compare: Heart stent placement (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $11,647
Salinas Valley Memorial Hospital · Salinas $15,804
Good Samaritan Hospital, LP · Bakersfield $16,639
San Dimas Community Hospital · San Dimas $16,758
Saint John's Health Center · Santa Monica $17,013
French Hospital Medical Center · San Luis Obispo $17,018
Adventist Health and Rideout · Marysville $17,022
Garden Grove Hospital & Medical Center · Garden Grove $17,064

Insurance negotiated median for the same procedure, sorted lowest first.