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 |
|---|---|---|---|---|
| Ghs nerve block sciatic nerve CPT 64445 | $150.39 | $557.00 | $12.00 – $523.31 | 26 |
| Ghs nerve block suprascapular CPT 64418 | $81.54 | $302.00 | $48.17 – $523.31 | 26 |
| Ghs ng placement w fluoro guidance CPT 43752 | $36.18 | $134.00 | $34.21 – $129.93 | 20 |
| Ghs o2 uptake rest & exercise CPT 94680 | $8.10 | $30.00 | $12.74 – $68.80 | 20 |
| Ghs opcc repair cvp without subq port CPT 36575 | $30.24 | $112.00 | $29.77 – $312.69 | 20 |
| Ghs opcc repair cvp w subq port CPT 36576 | $165.51 | $613.00 | $40.00 – $667.38 | 20 |
| Ghs optokenetic CPT 92544 | $21.06 | $78.00 | $13.70 – $26.57 | 20 |
| Ghs oscillating trac CPT 92545 | $21.06 | $78.00 | $12.29 – $23.72 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $21.33 | $79.00 | $19.95 – $523.31 | 26 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $30.78 | $114.00 | $30.16 – $523.31 | 26 |
| Ghs ot dds rom CPT 95851 | $19.98 | $74.00 | $10.80 – $171.00 | 10 |
| Ghs ot prosthetic training/15 min CPT 97761 | $43.74 | $162.00 | $44.00 – $208.98 | 10 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $46.98 | $174.00 | $34.67 – $171.00 | 11 |
| Ghs pacing - transcutaneous CPT 92953 | $231.66 | $858.00 | $0.91 – $37.75 | 24 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $82.62 | $306.00 | $12.00 – $227.44 | 20 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $47.52 | $176.00 | $7.00 – $207.44 | 20 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $6.40 | $23.70 | $15.10 – $134.82 | 9 |
| Ghs peritonsillar abscess i andd CPT 42700 | $184.68 | $684.00 | $35.00 – $523.31 | 26 |
| Ghs picc line insert < 5 CPT 36568 | $82.35 | $305.00 | $82.36 – $602.04 | 20 |
| Ghs plngl fx pm cl CPT 26725 | $341.82 | $1,266.00 | $135.52 – $655.06 | 26 |
| Ghs plt ct-manual CPT 85032 | $17.55 | $65.00 | $2.80 – $25.37 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $687.15 | $2,545.00 | $125.01 – $1,751.42 | 26 |
| Ghs pos nystagmus CPT 92542 | $21.06 | $78.00 | $13.93 – $38.27 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $63.99 | $237.00 | $3.36 – $17.88 | 24 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $2.32 | $8.59 | $0.83 – $57.00 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $3.44 | $12.75 | $1.83 – $84.68 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $68.04 | $252.00 | $16.20 – $104.45 | 23 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $2.94 | $10.89 | $1.33 – $72.30 | 9 |
| Ghs refill of implantable pump CPT 95990 | $61.83 | $229.00 | $49.52 – $160.22 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | $201.96 | $748.00 | $10.00 – $523.31 | 26 |
| Ghs removal pharyngeal foreign body CPT 42809 | $196.56 | $728.00 | $65.00 – $523.31 | 26 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $581.04 | $2,152.00 | $52.00 – $1,249.69 | 20 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $478.17 | $1,771.00 | $75.00 – $1,382.64 | 20 |
| Ghs sedimentation rate CPT 85651 | $57.24 | $212.00 | $0.18 – $20.97 | 9 |
| Ghs semen analysis, post-vas CPT 89300 | $10.53 | $39.00 | $3.84 – $39.00 | 20 |
| Ghs sensitivity (per antimicro) CPT 87184 | $23.22 | $86.00 | $0.56 – $40.71 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $166.32 | $616.00 | $15.00 – $523.31 | 26 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $206.01 | $763.00 | $46.00 – $523.31 | 26 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $192.24 | $712.00 | $105.42 – $523.31 | 26 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $135.00 | $500.00 | $65.15 – $426.39 | 20 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $133.65 | $495.00 | $18.00 – $523.31 | 26 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $125.28 | $464.00 | $17.00 – $523.31 | 26 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $162.00 | $600.00 | $38.00 – $523.31 | 26 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $213.30 | $790.00 | $15.00 – $523.31 | 26 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $152.82 | $566.00 | $21.00 – $511.67 | 20 |
| Ghs sleep study unattended CPT 95800 | $98.28 | $364.00 | $39.68 – $213.19 | 20 |
| Ghs sphenopalatine ganglion block CPT 64505 | $205.47 | $761.00 | $60.68 – $523.31 | 26 |
| Ghs spont nystagmus CPT 92541 | $21.06 | $78.00 | $14.57 – $41.18 | 20 |
| Ghs st - eval for alt comm CPT 92567 | $21.06 | $78.00 | $8.84 – $39.75 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $77.22 | $286.00 | $15.70 – $523.31 | 27 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $48.33 | $179.00 | $19.41 – $76.54 | 6 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $286.47 | $1,061.00 | $20.00 – $523.31 | 26 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $167.67 | $621.00 | $25.00 – $523.31 | 26 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $286.20 | $1,060.00 | $30.00 – $500.46 | 20 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $322.65 | $1,195.00 | $17.00 – $601.88 | 26 |
| Ghs urine, porphyrins quant CPT 84120 | $3.53 | $13.08 | $1.92 – $86.86 | 9 |
| Ghs vaginal delivery only CPT 59409 | $703.89 | $2,607.00 | $544.28 – $2,241.98 | 20 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $429.84 | $1,592.00 | $609.98 – $1,208.74 | 7 |
| Ghs windowing of cast CPT 29730 | $62.10 | $230.00 | $28.29 – $523.31 | 26 |
| Giardia lamblia antibody CPT 86674 | $17.01 | $63.00 | $6.33 – $86.91 | 9 |
| Gi inhouse confirmation CPT 87045 | $34.02 | $126.00 | $0.89 – $55.72 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,683.45 | $6,235.00 | $122.32 – $1,415.56 | 23 |
| Gi trc img intral esophagus CPT 91111 | $1,940.76 | $7,188.00 | $1,482.61 – $8,819.68 | 6 |
| Gjb2 gene full sequence CPT 81252 | $27.30 | $101.12 | $101.12 – $470.50 | 9 |
| Gjb6 gene com variants CPT 81254 | $9.45 | $35.00 | $12.25 – $85.47 | 9 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $121.77 | $451.00 | $182.45 – $451.00 | 8 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $424.09 | $1,570.69 | $193.42 – $3,604.72 | 9 |
| Glucagon plasma - sendout CPT 82943 | $3.43 | $12.70 | $1.81 – $84.34 | 9 |
| Glucose 1 hr post dose CPT 82950 | $18.63 | $69.00 | $0.20 – $28.03 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $12.69 | $47.00 | $0.43 – $5.28 | 24 |
| Glucose blood quantitative CPT 82947 | $44.55 | $165.00 | $0.13 – $8.84 | 24 |
| Glucose body fluid CPT 82945 | $62.64 | $232.00 | $0.13 – $23.15 | 9 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $46.71 | $173.00 | $96.43 – $684.56 | 14 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $34.02 | $126.00 | $1.45 – $76.00 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $16.20 | $60.00 | $0.14 – $23.10 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $67.54 | $250.13 | $1.04 – $574.05 | 9 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $69.93 | $259.00 | $3.05 – $109.71 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $93.42 | $346.00 | $3.03 – $109.31 | 9 |
| Gonioscopy CPT 92020 | $18.63 | $69.00 | $16.40 – $46.20 | 20 |
| Goniotomy CPT 65820 | $779.22 | $2,886.00 | $40.00 – $1,376.78 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $459.54 | $1,702.00 | $610.10 – $1,702.00 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $20.52 | $76.00 | $30.23 – $209.21 | 20 |
| Graft axiofill 1000mg HCPCS J3590 | $4,298.27 | $15,919.52 | $365.40 – $838.59 | 7 |
| Graft hand or finger tendon CPT 26416 | $875.34 | $3,242.00 | $27.00 – $1,793.56 | 20 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $3,766.77 | $13,951.00 | $36.98 – $223.15 | 6 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $7,869.96 | $29,148.00 | $2,710.00 – $3,495.90 | 6 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $4,704.48 | $17,424.00 | $1,069.00 – $1,379.01 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $729.00 | $2,700.00 | $101.03 – $209.43 | 21 |
| Graft repair of spine defect 63710 CPT 63710 | $997.38 | $3,694.00 | $841.40 – $2,768.93 | 20 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $2,770.20 | $10,260.00 | $134.06 – $266.43 | 21 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $959.58 | $3,554.00 | $60.19 – $346.14 | 8 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $92.34 | $342.00 | $37.50 – $321.08 | 18 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $21,834.63 | $80,869.00 | $111.00 – $143.19 | 6 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $734.67 | $2,721.00 | $878.00 – $1,132.62 | 6 |
| Great toe with reduction 28495 CPT 28495 | $181.44 | $672.00 | $65.90 – $523.31 | 26 |
| Grfg autol soft tiss dir exc CPT 15769 | $451.17 | $1,671.00 | $35.00 – $786.76 | 20 |
| Group health education CPT 99078 | $5.67 | $21.00 | $21.00 – $75.60 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,722.06 | $6,378.00 | $70.00 – $3,335.20 | 20 |
| Gstrst open wo constj tube CPT 43830 | $642.06 | $2,378.00 | $40.00 – $1,232.78 | 20 |
| G-tube reposition CPT 43761 | $92.61 | $343.00 | $65.00 – $203.54 | 20 |
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.