ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI
1100 Magellan Dr, Tehachapi, CA · Adventisthealth · · NPI 1275538530
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $7.03 | $26.02 | $7.62 – $172.82 | 9 |
| 17-hydroxypregnenolone CPT 84143 | $5.48 | $20.28 | $4.63 – $134.73 | 9 |
| 17-ketosteroids CPT 83586 | $8.03 | $29.73 | $3.81 – $75.60 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $60.48 | $224.00 | $47.20 – $523.31 | 26 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $582.93 | $2,159.00 | $299.00 – $1,623.45 | 26 |
| 1st/sbsq psyc collab care CPT 99494 | $39.42 | $146.00 | $57.88 – $684.56 | 14 |
| 2nd order venous cath CPT 36012 | $153.36 | $568.00 | $113.55 – $1,516.78 | 20 |
| 2vhpv vaccine 3 dose im CPT 90650 | $154.98 | $574.00 | $148.50 – $574.00 | 7 |
| 3-d radiotherapy plan CPT 77295 | $244.89 | $907.00 | $217.92 – $628.65 | 20 |
| 3d recon without postprocess indpndt CPT 76376 | $378.54 | $1,402.00 | $1.55 – $1,808.58 | 24 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $43.47 | $161.00 | $161.00 – $369.50 | 7 |
| 5' nucleotidase - sendout CPT 83915 | $2.68 | $9.91 | $1.11 – $65.88 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $7.83 | $29.00 | $17.43 – $112.32 | 9 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $54.00 | $200.00 | $58.55 – $684.56 | 20 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $61.83 | $229.00 | $66.97 – $684.56 | 20 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $61.83 | $229.00 | $66.97 – $684.56 | 20 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $46.44 | $172.00 | $50.31 – $684.56 | 20 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $54.00 | $200.00 | $58.55 – $684.56 | 20 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $54.00 | $200.00 | $58.55 – $684.56 | 20 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $61.83 | $229.00 | $66.97 – $684.56 | 20 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $77.76 | $288.00 | $84.30 – $684.56 | 20 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,611.44 | $9,672.00 | $71.55 – $22,197.24 | 9 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $2.88 | $10.67 | $1.28 – $70.92 | 9 |
| Abd aorta w/runoff s&i CPT 75630 | $96.39 | $357.00 | $13.52 – $219.12 | 20 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $1,087.83 | $4,029.00 | $70.00 – $1,646.13 | 20 |
| Abd/low ext cath 1st CPT 36245 | $206.82 | $766.00 | $65.00 – $2,403.51 | 20 |
| Abd/low ext cath 2nd CPT 36246 | $217.89 | $807.00 | $213.05 – $2,314.83 | 20 |
| Abd/low ext cath 3rd CPT 36247 | $260.28 | $964.00 | $40.00 – $3,654.26 | 20 |
| Abd/low ext cath addl CPT 36248 | $42.93 | $159.00 | $40.92 – $324.36 | 20 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,709.10 | $6,330.00 | $10.16 – $439.72 | 24 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,301.67 | $4,821.00 | $9.26 – $386.28 | 24 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,015.20 | $3,760.00 | $8.61 – $268.86 | 24 |
| Abdominal MRI (with and without contrast) CPT 74183 | $531.36 | $1,968.00 | $16.39 – $853.23 | 24 |
| Abdominal MRI (with contrast) CPT 74182 | $459.00 | $1,700.00 | $12.57 – $767.28 | 24 |
| Abdominal MRI (without contrast) CPT 74181 | $332.10 | $1,230.00 | $10.54 – $559.89 | 24 |
| Abdominal paracentesis w/image guidance CPT 49083 | $892.08 | $3,304.00 | $35.00 – $674.69 | 26 |
| Abdominal Ultrasound (complete) CPT 76700 | $509.76 | $1,888.00 | $5.90 – $158.07 | 24 |
| Abdominal Ultrasound (limited) CPT 76705 | $361.26 | $1,338.00 | $4.32 – $117.07 | 24 |
| Abdominoplasty 15830 CPT 15830 | $1,093.23 | $4,049.00 | $648.00 – $1,832.10 | 20 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $200.88 | $744.00 | $58.45 – $523.31 | 26 |
| Abl1 gene CPT 81170 | $200.11 | $741.13 | $344.26 – $2,223.39 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $191.97 | $711.00 | $81.91 – $423.59 | 20 |
| Ablate inf turbinate superf 30801 CPT 30801 | $212.76 | $788.00 | $32.00 – $523.31 | 26 |
| Ablation cryo abd perit om CPT 49999 | $686.07 | $2,541.00 | $35.00 – $75.60 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $265.41 | $983.00 | $41.00 – $75.60 | 4 |
| Ablation cryo thigh/knee CPT 27599 | $205.20 | $760.00 | $30.00 – $75.60 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $319.14 | $1,182.00 | $41.00 – $684.56 | 10 |
| Abrasion lesions add-on CPT 15787 | $15.66 | $58.00 | $14.59 – $85.28 | 18 |
| Abrasion lesion single CPT 15786 | $127.98 | $474.00 | $17.00 – $343.86 | 20 |
| Abscess drain retroperitoneal surg code CPT 49406 | $835.11 | $3,093.00 | $165.81 – $2,286.05 | 26 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $2.97 | $11.00 | $1.53 – $11.00 | 19 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $5.94 | $22.00 | $2.98 – $22.00 | 19 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $25.11 | $93.00 | $40.00 – $319.69 | 20 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $32.09 | $118.86 | $0.17 – $272.79 | 9 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $14.58 | $54.00 | $0.01 – $75.60 | 4 |
| Acetaminophen level CPT 80143 | $28.35 | $105.00 | $13.61 – $78.17 | 9 |
| Acetone qualitative CPT 82009 | $25.38 | $94.00 | $4.25 – $26.70 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $2.32 | $8.60 | $1.04 – $50.53 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $104.49 | $387.00 | $1.01 – $888.17 | 9 |
| Acid perfusion of esophagus CPT 91030 | $248.94 | $922.00 | $58.04 – $609.98 | 6 |
| Acne surgery 10040 CPT 10040 | $112.32 | $416.00 | $22.00 – $523.31 | 26 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $112.05 | $415.00 | $8.77 – $535.35 | 25 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $88.56 | $328.00 | $5.96 – $523.31 | 25 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $42.12 | $156.00 | $64.71 – $684.56 | 14 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $49.68 | $184.00 | $29.88 – $523.31 | 26 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $92.61 | $343.00 | $59.33 – $523.31 | 26 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $153.90 | $570.00 | $138.19 – $217.63 | 7 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $12.15 | $45.00 | $1.26 – $523.31 | 25 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $12.15 | $45.00 | $19.95 – $684.56 | 14 |
| Acoustic refl threshold tst CPT 92568 | $21.06 | $78.00 | $9.28 – $25.84 | 20 |
| Acromp/acromionectomy prtl CPT 23130 | $592.38 | $2,194.00 | $30.00 – $1,213.43 | 20 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $36.18 | $134.00 | $20.00 – $684.56 | 14 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $19.98 | $74.00 | $20.00 – $684.56 | 14 |
| Acup 1/> without estim ea add 15 CPT 97811 | $17.82 | $66.00 | $20.00 – $684.56 | 14 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $31.32 | $116.00 | $20.00 – $523.31 | 26 |
| Acute hepatitis panel CPT 80074 | $207.09 | $767.00 | $19.90 – $281.10 | 9 |
| Acyclovir 400 mg tablet HCPCS J8499 | $229.95 | $851.65 | $3.00 – $75.60 | 9 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $70.47 | $261.00 | $0.33 – $599.00 | 9 |
| Adding walker to prev cast CPT 29440 | $111.24 | $412.00 | $55.00 – $265.63 | 10 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $25.70 | $95.20 | $1.44 – $218.49 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | $21.33 | $79.00 | $10.17 – $75.95 | 9 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $830.79 | $3,077.00 | $60.00 – $1,885.32 | 20 |
| Adh-sendout CPT 84588 | $12.15 | $45.00 | $15.27 – $200.36 | 9 |
| Adj gastric band via subq port CPT 43999 | $459.00 | $1,700.00 | $41.00 – $75.60 | 2 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $430.11 | $1,593.00 | $35.00 – $935.46 | 20 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $722.25 | $2,675.00 | $56.00 – $1,513.00 | 20 |
| Adjustment gastric band HCPCS S2083 | $39.69 | $147.00 | $143.01 – $1,050.60 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $23.66 | $87.62 | $0.22 – $23.00 | 12 |
| Admin ecg contrast agent CPT 93352 | $39.15 | $145.00 | $34.77 – $86.71 | 20 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $18.90 | $70.00 | $21.49 – $75.77 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $42.66 | $158.00 | $28.59 – $164.49 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $86.94 | $322.00 | $28.59 – $334.29 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $67.23 | $249.00 | $17.96 – $241.00 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $64.80 | $240.00 | $10.66 – $364.80 | 24 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $48.06 | $178.00 | $10.66 – $118.22 | 20 |
| Administration immunization 1 vaccine CPT 90471 | $26.73 | $99.00 | $4.46 – $35.34 | 24 |
| Administration immunization each additional vaccine CPT 90472 | $46.44 | $172.00 | $10.99 – $25.53 | 24 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $11.61 | $43.00 | $3.30 – $37.41 | 24 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $8.10 | $30.00 | $3.30 – $30.00 | 20 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $15.93 | $59.00 | $25.69 – $133.10 | 19 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.