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 |
|---|---|---|---|---|
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $234.90 | $870.00 | $30.00 – $523.31 | 26 |
| Destruction benign lesions < 14 lesions CPT 17110 | $110.97 | $411.00 | $8.00 – $523.31 | 26 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $243.54 | $902.00 | $98.29 – $1,445.81 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $54.00 | $200.00 | $50.95 – $544.85 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $270.00 | $1,000.00 | $176.58 – $1,277.14 | 20 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $250.83 | $929.00 | $30.00 – $523.31 | 26 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $201.69 | $747.00 | $55.00 – $523.31 | 26 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $235.17 | $871.00 | $100.52 – $523.31 | 26 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $199.80 | $740.00 | $75.20 – $684.56 | 14 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $226.80 | $840.00 | $90.47 – $684.56 | 14 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $140.94 | $522.00 | $5.00 – $523.31 | 26 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $216.27 | $801.00 | $20.00 – $523.31 | 26 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $161.19 | $597.00 | $8.00 – $523.31 | 26 |
| Destruction rectal tumor 45190 CPT 45190 | $654.21 | $2,423.00 | $20.00 – $1,186.52 | 20 |
| Destruction vag lesions complex 57065 CPT 57065 | $232.74 | $862.00 | $40.00 – $523.31 | 26 |
| Destruction vag lesions simple 57061 CPT 57061 | $160.11 | $593.00 | $10.00 – $523.31 | 26 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $93.15 | $345.00 | $5.00 – $194.03 | 20 |
| Determine refractive state CPT 92015 | $17.82 | $66.00 | $19.75 – $684.56 | 20 |
| Developmental screen/score/document 96110 CPT 96110 | $72.36 | $268.00 | $8.70 – $37.00 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | $80.19 | $297.00 | $108.28 – $354.87 | 20 |
| Device ablt adv novasure HCPCS C1886 | $607.50 | $2,250.00 | $750.00 – $967.50 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,050.00 | $15,000.00 | $15,000.00 – $19,350.00 | 6 |
| Device intraute mirena HCPCS J7298 | $876.69 | $3,247.00 | $1,153.11 – $3,247.00 | 8 |
| Dev interrog remote 1/2/mlt CPT 93295 | $40.50 | $150.00 | $36.87 – $137.29 | 20 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $9.99 | $37.00 | $9.32 – $41.46 | 20 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $4.59 | $17.00 | $0.02 – $11.24 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $30.42 | $112.67 | $0.09 – $65.79 | 12 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $43.47 | $161.00 | $3.56 – $369.50 | 9 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $43.47 | $161.00 | $16.47 – $369.50 | 9 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $43.47 | $161.00 | $4.77 – $369.50 | 9 |
| Dextrose 5 % IV bolus HCPCS J7070 | $43.47 | $161.00 | $8.00 – $369.50 | 9 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $36.45 | $135.00 | $4.36 – $131.27 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $67.77 | $251.00 | $0.83 – $21.86 | 24 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $13.23 | $49.00 | $49.00 – $684.56 | 14 |
| Diab manage trn ind/group HCPCS G0109 | $10.80 | $40.00 | $17.59 – $684.56 | 14 |
| Diag laparo separate proc 49320 CPT 49320 | $302.67 | $1,121.00 | $46.91 – $678.70 | 20 |
| Diagnostic anoscopy CPT 46601 | $86.67 | $321.00 | $86.29 – $52,954.69 | 18 |
| Diagnostic anoscopy & biopsy CPT 46607 | $113.94 | $422.00 | $30.00 – $73,618.06 | 20 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $112.05 | $415.00 | $21.97 – $523.31 | 26 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $85.59 | $317.00 | $46.11 – $523.31 | 26 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $123.12 | $456.00 | $35.00 – $523.31 | 26 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $166.05 | $615.00 | $47.17 – $286.35 | 24 |
| Diagnostic Mammogram (one breast) CPT 77065 | $129.60 | $480.00 | $37.90 – $225.84 | 24 |
| Diagnostic radio unlisted proc CPT 76499 | $13.50 | $50.00 | $45.33 – $75.60 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $174.96 | $648.00 | $171.32 – $5,532.73 | 20 |
| Dialysis one evaluation CPT 90945 | $771.66 | $2,858.00 | $103.51 – $682.08 | 7 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.56 | $2.09 | $0.20 – $2.70 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $93.89 | $347.75 | $5.79 – $448.59 | 12 |
| Dicyclomine injection HCPCS J0500 | $69.54 | $257.56 | $30.84 – $591.10 | 9 |
| Diffusing capacity CPT 94729 | $5.67 | $21.00 | $8.42 – $72.43 | 20 |
| Digital analysis of eeg CPT 95957 | $209.25 | $775.00 | $166.89 – $532.74 | 7 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $31.05 | $115.00 | $26.05 – $263.93 | 9 |
| Digoxin total therapeutic drug level CPT 80162 | $72.90 | $270.00 | $1.57 – $78.42 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $32.67 | $121.00 | $60.00 – $135.53 | 8 |
| Dilate biliary duct/ampulla CPT 47542 | $120.69 | $447.00 | $35.00 – $1,828.84 | 20 |
| Dilate esophagus CPT 43453 | $80.19 | $297.00 | $30.00 – $480.94 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | $181.44 | $672.00 | $46.54 – $523.31 | 26 |
| Dilate tear duct opening CPT 68801 | $92.34 | $342.00 | $45.00 – $523.31 | 26 |
| Dilate urethra stricture CPT 53600 | $83.70 | $310.00 | $10.00 – $523.31 | 26 |
| Dilate urethra stricture CPT 53601 | $82.08 | $304.00 | $47.93 – $523.31 | 26 |
| Dilate urethra stricture CPT 53605 | $57.78 | $214.00 | $15.00 – $118.57 | 20 |
| Dilate urethra stricture CPT 53621 | $154.44 | $572.00 | $15.00 – $523.31 | 26 |
| Dilation/female urethra/initial 53660 CPT 53660 | $72.90 | $270.00 | $37.92 – $523.31 | 26 |
| Dilation of anal sphincter CPT 45905 | $160.38 | $594.00 | $50.00 – $296.05 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | $73.44 | $272.00 | $34.46 – $523.31 | 26 |
| Dilation of rectal stricture 45910 CPT 45910 | $181.17 | $671.00 | $20.00 – $351.56 | 20 |
| Dilation of urethra CPT 53661 | $71.82 | $266.00 | $15.00 – $523.31 | 26 |
| Dilation of vagina CPT 57400 | $119.07 | $441.00 | $60.30 – $292.13 | 20 |
| Dilation salivary duct 42650 CPT 42650 | $71.28 | $264.00 | $15.00 – $523.31 | 26 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $160.11 | $593.00 | $10.00 – $523.31 | 26 |
| Dilat xst trc ndurlgc px CPT 50436 | $138.51 | $513.00 | $95.00 – $471.59 | 20 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $30.23 | $111.97 | $0.08 – $256.98 | 9 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $379.62 | $1,406.00 | $706.56 – $1,406.00 | 8 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $30.11 | $111.52 | $0.70 – $42.57 | 12 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $73.17 | $271.00 | $50.01 – $349.59 | 11 |
| Disability dlco CPT 94727 | $7.83 | $29.00 | $12.37 – $56.03 | 20 |
| Disaccharidases CPT 82657 | $90.94 | $336.80 | $3.93 – $106.60 | 9 |
| Discography cerv/thor spine CPT 72285 | $59.40 | $220.00 | $8.37 – $157.16 | 20 |
| Dise eval slp do brth flx dx CPT 42975 | $90.18 | $334.00 | $84.14 – $175.02 | 19 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $733.32 | $2,716.00 | $435.00 – $1,510.32 | 20 |
| Division of fallopian tube 58605 CPT 58605 | $312.66 | $1,158.00 | $71.00 – $711.39 | 20 |
| Dmd dup/delet analysis CPT 81161 | $75.33 | $279.00 | $161.94 – $2,849.96 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | $29.59 | $109.60 | $109.60 – $574.68 | 9 |
| Dna antibody native/double stranded CPT 86225 | $2.16 | $8.00 | $1.10 – $81.08 | 9 |
| Dna gardnerella CPT 87510 | $4.81 | $17.83 | $3.57 – $118.39 | 9 |
| Dna trichomonas CPT 87660 | $4.81 | $17.83 | $3.57 – $118.39 | 9 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $9.18 | $34.00 | $0.53 – $34.00 | 8 |
| Doppler echo complete CPT 93320 | $470.07 | $1,741.00 | $17.92 – $141.68 | 24 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $45.09 | $167.00 | $91.39 – $349.32 | 20 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $345.60 | $1,280.00 | $21.32 – $180.15 | 24 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $245.97 | $911.00 | $11.71 – $109.34 | 24 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $55.62 | $205.98 | $0.28 – $472.73 | 9 |
| Dpyd gene common variants CPT 81232 | $47.20 | $174.81 | $139.85 – $733.29 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $116.91 | $433.00 | $45.00 – $264.30 | 20 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $222.48 | $824.00 | $15.00 – $523.31 | 26 |
| Drainage external ear complex 69005 CPT 69005 | $208.98 | $774.00 | $91.84 – $523.31 | 26 |
| Drainage external ear simple 69000 CPT 69000 | $177.66 | $658.00 | $30.00 – $523.31 | 26 |
| Drainage lymph node lesion 38305 CPT 38305 | $461.16 | $1,708.00 | $12.00 – $946.07 | 20 |
| Drainage mouth roof lesion CPT 42000 | $105.03 | $389.00 | $20.00 – $242.64 | 20 |
| Drainage of arm bursa 23931 CPT 23931 | $290.79 | $1,077.00 | $25.00 – $582.55 | 26 |
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.