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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,501.55 | $9,265.00 | $14.75 – $590.71 | 24 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,127.60 | $7,880.00 | $13.33 – $521.44 | 24 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,536.30 | $5,690.00 | $12.70 – $331.29 | 24 |
| CT thoracic spine w/contrast CPT 72129 | $1,398.60 | $5,180.00 | $8.84 – $384.10 | 24 |
| CT thoracic spine without contrast CPT 72128 | $1,004.94 | $3,722.00 | $8.40 – $301.19 | 24 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $99.09 | $367.00 | $27.94 – $225.00 | 24 |
| CT t-spine w /wo contrast CPT 72130 | $1,794.42 | $6,646.00 | $9.26 – $454.79 | 24 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $921.24 | $3,412.00 | $8.40 – $372.87 | 24 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,087.56 | $4,028.00 | $7.93 – $299.35 | 24 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,460.43 | $5,409.00 | $8.84 – $467.29 | 24 |
| Culture aerobic additional method definitive id each CPT 87077 | $51.57 | $191.00 | $0.57 – $47.67 | 9 |
| Culture afb any source CPT 87116 | $14.04 | $52.00 | $0.99 – $58.04 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $52.65 | $195.00 | $1.66 – $47.67 | 9 |
| Culture anaerobic except blood CPT 87075 | $63.18 | $234.00 | $0.80 – $55.81 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | $15.39 | $57.00 | $0.89 – $55.72 | 9 |
| Culture body fluid CPT 87070 | $109.08 | $404.00 | $0.65 – $50.83 | 9 |
| Culture fungi definitive id mold CPT 87107 | $9.72 | $36.00 | $3.69 – $60.95 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $19.98 | $74.00 | $0.84 – $60.95 | 9 |
| Culture fungi other (except blood) CPT 87102 | $89.91 | $333.00 | $2.19 – $49.65 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $6.21 | $23.00 | $1.77 – $45.55 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $21.33 | $79.00 | $11.54 – $64.60 | 9 |
| Culture mycoplasma any source CPT 87109 | $11.85 | $43.88 | $4.62 – $90.80 | 9 |
| Culture screening strep group a CPT 87081 | $50.76 | $188.00 | $0.38 – $39.13 | 9 |
| Culture typing added method CPT 87158 | $6.33 | $23.44 | $0.44 – $30.89 | 9 |
| Culture typing immunologic CPT 87147 | $34.56 | $128.00 | $0.20 – $28.97 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $282.42 | $1,046.00 | $218.06 – $2,280.91 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $73.17 | $271.00 | $8.09 – $207.17 | 9 |
| Culture urine each isolate CPT 87088 | $20.25 | $75.00 | $0.49 – $38.69 | 9 |
| Curette/treat cornea CPT 65435 | $65.88 | $244.00 | $60.80 – $147.70 | 20 |
| Curette/treat cornea CPT 65436 | $369.36 | $1,368.00 | $163.44 – $691.03 | 20 |
| Cv line/pic reposition CPT 36597 | $54.00 | $200.00 | $40.00 – $235.68 | 20 |
| Cv stress test i&r only 93018 CPT 93018 | $15.12 | $56.00 | $14.10 – $34.32 | 20 |
| Cv stress test/supervision only 93016 CPT 93016 | $22.14 | $82.00 | $21.40 – $52.72 | 20 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $3.44 | $12.73 | $1.82 – $84.54 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $8.91 | $33.00 | $0.67 – $42.57 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $5.40 | $20.00 | $0.78 – $76.44 | 9 |
| Cyclosporine 2 hour CPT 80158 | $4.33 | $16.04 | $2.90 – $106.55 | 9 |
| Cyp2c19 gene com variants CPT 81225 | $35.10 | $130.00 | $90.00 – $466.18 | 9 |
| Cyp2c9 gene com variants CPT 81227 | $27.00 | $100.00 | $70.00 – $457.62 | 9 |
| Cyp2d6 gene com variants CPT 81226 | $48.60 | $180.00 | $150.00 – $721.46 | 9 |
| Cyp3a4 gene common variants CPT 81230 | $18.90 | $70.00 | $70.00 – $733.29 | 9 |
| Cyp3a5 gene common variants CPT 81231 | $18.90 | $70.00 | $70.00 – $733.29 | 9 |
| Cystatin c CPT 82610 | $4.00 | $14.80 | $1.94 – $80.24 | 9 |
| Cystic fibrosis cftr CPT 81223 | $335.76 | $1,243.57 | $525.00 – $3,270.47 | 9 |
| Cystine urine quantitative CPT 82131 | $4.96 | $18.36 | $4.22 – $99.59 | 9 |
| Cysto cgen post urtl valves CPT 52400 | $439.83 | $1,629.00 | $429.79 – $970.13 | 20 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $15.93 | $59.00 | $2.35 – $51.48 | 20 |
| Cystometrogram w/up 51727 CPT 51727 | $332.10 | $1,230.00 | $262.10 – $1,139.84 | 14 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $824.31 | $3,053.00 | $149.29 – $1,562.98 | 20 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $686.61 | $2,543.00 | $611.32 – $1,280.03 | 20 |
| Cysto rx balo cath urtl strx CPT 52284 | $150.12 | $556.00 | $65.00 – $4,320.08 | 19 |
| Cystoscopy and biopsy CPT 52007 | $152.01 | $563.00 | $148.10 – $1,185.71 | 20 |
| Cystoscopy and treatment CPT 52214 | $158.22 | $586.00 | $150.80 – $2,438.79 | 20 |
| Cystoscopy and treatment CPT 52224 | $182.79 | $677.00 | $30.00 – $2,304.05 | 20 |
| Cystoscopy and treatment CPT 52234 | $223.56 | $828.00 | $50.63 – $441.95 | 20 |
| Cystoscopy and treatment CPT 52235 | $261.90 | $970.00 | $65.00 – $517.40 | 20 |
| Cystoscopy and treatment CPT 52240 | $355.05 | $1,315.00 | $343.17 – $910.84 | 20 |
| Cystoscopy and treatment CPT 52260 | $191.43 | $709.00 | $30.00 – $374.58 | 20 |
| Cystoscopy and treatment CPT 52265 | $147.96 | $548.00 | $109.83 – $980.91 | 20 |
| Cystoscopy and treatment CPT 52276 | $240.57 | $891.00 | $233.28 – $474.28 | 20 |
| Cystoscopy and treatment CPT 52277 | $293.22 | $1,086.00 | $60.00 – $584.77 | 20 |
| Cystoscopy and treatment CPT 52283 | $184.41 | $683.00 | $65.00 – $517.40 | 20 |
| Cystoscopy and treatment CPT 52285 | $315.90 | $1,170.00 | $35.00 – $523.31 | 26 |
| Cystoscopy and treatment CPT 52290 | $221.94 | $822.00 | $168.65 – $436.56 | 20 |
| Cystoscopy and treatment CPT 52300 | $254.34 | $942.00 | $35.00 – $506.62 | 20 |
| Cystoscopy and treatment CPT 52310 | $289.44 | $1,072.00 | $30.00 – $523.31 | 26 |
| Cystoscopy and treatment CPT 52315 | $249.21 | $923.00 | $65.00 – $891.98 | 20 |
| Cystoscopy and treatment CPT 52320 | $223.83 | $829.00 | $65.00 – $441.95 | 20 |
| Cystoscopy and treatment CPT 52330 | $238.95 | $885.00 | $35.00 – $2,576.23 | 20 |
| Cystoscopy (Bladder Scope) CPT 52000 | $213.57 | $791.00 | $43.00 – $523.31 | 26 |
| Cystoscopy chemodenervation CPT 52287 | $351.81 | $1,303.00 | $30.00 – $765.32 | 26 |
| Cystoscopy inject material CPT 52327 | $233.55 | $865.00 | $65.00 – $2,201.65 | 20 |
| Cystoscopy removal of clots CPT 52001 | $396.90 | $1,470.00 | $60.00 – $708.73 | 26 |
| Cystoscopy & revise urethra CPT 52275 | $226.26 | $838.00 | $60.00 – $1,236.91 | 20 |
| Cystoscopy stone removal CPT 52325 | $289.71 | $1,073.00 | $65.00 – $579.38 | 20 |
| Cystoscopy & ureter catheter CPT 52005 | $122.58 | $454.00 | $60.00 – $530.88 | 20 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $276.21 | $1,023.00 | $89.35 – $503.93 | 20 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $441.99 | $1,637.00 | $30.00 – $797.66 | 20 |
| Cystouretero & or pyeloscope CPT 52351 | $274.86 | $1,018.00 | $260.61 – $560.52 | 20 |
| Cysto/uretero stricture tx CPT 52344 | $335.07 | $1,241.00 | $35.00 – $743.76 | 20 |
| Cystouretero w/biopsy CPT 52354 | $378.00 | $1,400.00 | $60.00 – $700.65 | 20 |
| Cystouretero w/excise tumor CPT 52355 | $423.36 | $1,568.00 | $65.00 – $838.08 | 20 |
| Cysto/uretero w/lithotripsy CPT 52356 | $376.38 | $1,394.00 | $35.00 – $1,026.72 | 20 |
| Cystouretero w/lithotripsy CPT 52353 | $355.05 | $1,315.00 | $35.00 – $757.24 | 20 |
| Cystouretero w/stone remove CPT 52352 | $321.57 | $1,191.00 | $60.00 – $657.53 | 20 |
| Cysto/uretero w/up stricture CPT 52345 | $357.21 | $1,323.00 | $60.00 – $789.58 | 20 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $294.57 | $1,091.00 | $126.58 – $627.89 | 26 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $129.60 | $480.00 | $127.07 – $1,021.33 | 20 |
| Cystourethro w/addl implant 52442 CPT 52442 | $45.90 | $170.00 | $30.00 – $3,621.81 | 20 |
| Cystourethro w/implant CPT 52441 | $190.62 | $706.00 | $30.00 – $4,648.53 | 20 |
| Cysto w/up stricture tx CPT 52342 | $280.80 | $1,040.00 | $60.00 – $627.89 | 20 |
| Cysto w/ureter stricture tx CPT 52341 | $257.85 | $955.00 | $35.00 – $584.77 | 20 |
| Cytogenomic neo microra alys CPT 81277 | $414.45 | $1,535.00 | $1,331.12 – $17,806.00 | 9 |
| Cytogenom microarray copy nmbr var CPT 81228 | $324.00 | $1,200.00 | $516.91 – $10,800.00 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $8.10 | $30.00 | $1.78 – $84.93 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $3.88 | $14.36 | $2.42 – $99.44 | 9 |
| Cyto/molecular report CPT 88291 | $37.26 | $138.00 | $13.62 – $51.90 | 20 |
| Cytopath fl nongyn filter CPT 88106 | $7.83 | $29.00 | $29.00 – $268.81 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $28.89 | $107.00 | $15.05 – $113.26 | 24 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $9.55 | $35.38 | $6.76 – $119.58 | 9 |
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.