Hospital · CCN 050236
Adventist Health Simi Valley
2975 N Sycamore Dr, Simi Valley, CA 93065 · Ventura County
Part of Adventist Health · 144 beds · 1
Secondary flow 30% to <50% to a larger urbanized area of 50,000 and greater
55 admission types 42 outpatient services 6 Medicare-file findings
Billed per dollar paid, all admissions
8.01×
$192.8M billed against $24.1M paid across 1,680 Medicare discharges; the national figure is 5.03×.
—
of adults in Ventura County have medical debt in collections — state bars medical debt from credit reports; the credit-bureau panel cannot see it
8.5%
uninsured in the county · state 7.5%
$107K
median household income
8.4×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (5 in the inpatient or outpatient file)ⓘ
25.7%
obesity in the countyⓘ
11.4%
diagnosed diabetes (PLACES)
5.8%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions
What it billed Medicare, by admission type
Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
270
$139,998
$18,497
7.6× st 6.2×
291
Heart failure and shock with mcc
112
$105,743
$12,341
8.6× st 6.5×
177
Respiratory infections and inflammations with mcc
65
$132,137
$16,024
8.2× st 6.6×
193
Simple pneumonia and pleurisy with mcc
63
$92,389
$12,172
7.6× st 6.9×
689
Kidney and urinary tract infections with mcc
52
$93,869
$10,371
9.1× st 6.3×
280
Acute myocardial infarction, discharged alive with mcc
52
$125,206
$14,845
8.4× st 6.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
52
$75,657
$9,418
8.0× st 6.1×
190
Chronic obstructive pulmonary disease with mcc
48
$104,267
$10,388
10.0× st 7.1×
552
Medical back problems without mcc
46
$98,524
$10,178
9.7× st 7.5×
189
Pulmonary edema and respiratory failure
41
$104,543
$11,677
9.0× st 6.7×
690
Kidney and urinary tract infections without mcc
38
$61,347
$7,223
8.5× st 6.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
38
$354,931
$50,199
7.1× st 6.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
37
$129,283
$17,737
7.3× st 6.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
36
$101,647
$9,268
11.0× st 7.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
36
$87,900
$12,088
7.3× st 5.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
32
$66,106
$8,041
8.2× st 6.8×
377
Gastrointestinal hemorrhage with mcc
32
$144,004
$18,142
7.9× st 6.4×
682
Renal failure with mcc
31
$116,200
$13,424
8.7× st 6.1×
683
Renal failure with cc
30
$69,151
$8,451
8.2× st 6.7×
603
Cellulitis without mcc
25
$56,758
$8,194
6.9× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
24
$61,232
$7,547
8.1× st 6.3×
378
Gastrointestinal hemorrhage with cc
23
$74,120
$9,228
8.0× st 6.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$121,625
$17,022
7.1× st 7.4×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$102,506
$11,397
9.0× st 6.9×
312
Syncope and collapse
22
$76,381
$8,260
9.2× st 7.2×
309
Cardiac arrhythmia and conduction disorders with cc
20
$68,778
$7,130
9.6× st 7.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$232,541
$26,866
8.7× st 7.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
19
$154,771
$17,115
9.0× st 7.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
19
$42,587
$5,604
7.6× st 7.6×
389
Gastrointestinal obstruction with cc
18
$57,524
$7,356
7.8× st 6.9×
069
Transient ischemia without thrombolytic
18
$97,190
$7,643
12.7× st 9.5×
698
Other kidney and urinary tract diagnoses with mcc
17
$116,912
$15,376
7.6× st 6.2×
394
Other digestive system diagnoses with cc
16
$62,276
$8,937
7.0× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
16
$159,708
$22,778
7.0× st 6.9×
917
Poisoning and toxic effects of drugs with mcc
15
$88,930
$15,738
5.7× st 6.2×
481
Hip and femur procedures except major joint with cc
15
$141,825
$19,019
7.5× st 6.7×
100
Seizures with mcc
15
$102,288
$17,595
5.8× st 6.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$84,442
$12,094
7.0× st 6.5×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
14
$86,193
$6,608
13.0× st 8.8×
393
Other digestive system diagnoses with mcc
14
$93,858
$14,882
6.3× st 5.8×
811
Red blood cell disorders with mcc
13
$121,664
$13,270
9.2× st 6.4×
202
Bronchitis and asthma with cc/mcc
13
$88,031
$9,140
9.6× st 7.4×
281
Acute myocardial infarction, discharged alive with cc
13
$73,272
$8,511
8.6× st 7.8×
812
Red blood cell disorders without mcc
13
$52,498
$8,640
6.1× st 6.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$106,866
$10,258
10.4× st 7.7×
638
Diabetes with cc
12
$59,870
$8,614
7.0× st 6.3×
194
Simple pneumonia and pleurisy with cc
12
$93,096
$7,859
11.8× st 7.5×
480
Hip and femur procedures except major joint with mcc
12
$221,402
$27,045
8.2× st 6.8×
602
Cellulitis with mcc
12
$110,890
$13,610
8.1× st 5.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$135,102
$18,554
7.3× st 6.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$189,720
$25,349
7.5× st 7.4×
536
Fractures of hip and pelvis without mcc
11
$57,859
$7,190
8.0× st 7.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
11
$159,320
$20,826
7.7× st 6.6×
329
Major small and large bowel procedures with mcc
11
$270,011
$37,861
7.1× st 6.5×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$95,090
$12,353
7.7× st 7.1×
02 · Outpatient
Outpatient services
Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.
APC
Service
Services
Charge
Allowed
Billed ÷ allowed
8011
Comprehensive Observation Services
469
$29,963
$3,325
9.0×
5115
Level 5 Musculoskeletal Procedures
95
$102,617
$15,997
6.4×
5361
Level 1 Laparoscopy and Related Services
73
$47,855
$7,016
6.8×
5191
Level 1 Endovascular Procedures
69
$30,087
$3,972
7.6×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
61
$5,426
$1,961
2.8×
5374
Level 4 Urology and Related Services
42
$28,384
$4,286
6.6×
5302
Level 2 Upper GI Procedures
31
$12,443
$2,275
5.5×
5375
Level 5 Urology and Related Services
30
$33,237
$6,362
5.2×
5213
Level 3 Electrophysiologic Procedures
24
$152,100
$28,063
5.4×
5362
Level 2 Laparoscopy and Related Services
20
$68,736
$12,637
5.4×
5114
Level 4 Musculoskeletal Procedures
16
$71,625
$8,792
8.1×
5193
Level 3 Endovascular Procedures
16
$93,008
$13,503
6.9×
5182
Level 2 Vascular Procedures
15
$29,103
$1,799
16.2×
5112
Level 2 Musculoskeletal Procedures
15
$14,773
$1,871
7.9×
5153
Level 3 Airway Endoscopy
14
$10,373
$2,012
5.2×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
13
$23,912
$4,686
5.1×
5223
Level 3 Pacemaker and Similar Procedures
12
$75,544
$13,108
5.8×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
11
$45,864
$8,017
5.7×
5303
Level 3 Upper GI Procedures
—
—
—
—
5331
Complex GI Procedures
—
—
—
—
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5376
Level 6 Urology and Related Services
—
—
—
—
5462
Level 2 Neurostimulator and Related Procedures
—
—
—
—
5373
Level 3 Urology and Related Services
—
—
—
—
5431
Level 1 Nerve Procedures
—
—
—
—
5415
Level 5 Gynecologic Procedures
—
—
—
—
5113
Level 3 Musculoskeletal Procedures
—
—
—
—
5232
Level 2 ICD and Similar Procedures
—
—
—
—
5116
Level 6 Musculoskeletal Procedures
—
—
—
—
5154
Level 4 Airway Endoscopy
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5183
Level 3 Vascular Procedures
—
—
—
—
5184
Level 4 Vascular Procedures
—
—
—
—
5192
Level 2 Endovascular Procedures
—
—
—
—
5194
Level 4 Endovascular Procedures
—
—
—
—
5200
Implantation Wireless PA Pressure Monitor
—
—
—
—
5222
Level 2 Pacemaker and Similar Procedures
—
—
—
—
5224
Level 4 Pacemaker and Similar Procedures
—
—
—
—
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
—
—
—
—
03 · Checks
Where the Medicare rows do not agree with themselves
Service
Severity
Rule
Detail
MS-DRG 065
info
inp_charge_10x_payment
average charge $101,647 is 11.0× the total payment
MS-DRG 066
info
inp_charge_10x_payment
average charge $86,193 is 13.0× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $97,190 is 12.7× the total payment
MS-DRG 190
info
inp_charge_10x_payment
average charge $104,267 is 10.0× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $93,096 is 11.8× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $106,866 is 10.4× the total payment
Sources for this hospital
the files read, as fetched — not our copy of them- MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
- MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
- chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
- 2020 ZCTA to County relationship file · US Census Bureau · 2020tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.
Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.