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 |
|---|---|---|---|---|
| Home visit est patient 99348 CPT 99348 | $51.03 | $189.00 | $30.60 – $523.31 | 26 |
| Homocysteine CPT 83090 | $36.72 | $136.00 | $2.69 – $99.59 | 9 |
| Homogenization tissue CPT 87176 | $1.41 | $5.23 | $0.31 – $34.74 | 9 |
| Homovanillic acid (hva) CPT 83150 | $6.05 | $22.41 | $5.02 – $114.20 | 9 |
| Hospice care supervision CPT 99377 | $51.30 | $190.00 | $51.52 – $190.00 | 9 |
| Hpa-1 genotyping CPT 81105 | $29.33 | $108.64 | $108.64 – $632.96 | 9 |
| Hpv types 16 & 18 only CPT 87625 | $12.15 | $45.00 | $18.25 – $200.36 | 9 |
| H pylori (c-13) breath CPT 83013 | $68.11 | $252.27 | $40.34 – $397.61 | 9 |
| H pylori drug admin CPT 83014 | $36.99 | $137.00 | $4.95 – $46.39 | 9 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $688.50 | $2,550.00 | $779.22 – $12,635.28 | 9 |
| Hrdtry cardmypy gene panel CPT 81439 | $477.90 | $1,770.00 | $671.18 – $10,352.73 | 9 |
| Hrdtry perph neurphy panel CPT 81448 | $405.00 | $1,500.00 | $671.18 – $8,773.50 | 9 |
| Htt gene detc abnor alleles CPT 81271 | $29.59 | $109.60 | $109.60 – $574.68 | 9 |
| Human epididymis protein 4 (he4) CPT 86305 | $39.07 | $144.72 | $3.85 – $122.88 | 9 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4.44 | $16.44 | $2.74 – $37.73 | 10 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $157.29 | $582.55 | $0.97 – $1,336.95 | 9 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.45 | $172.05 | $11.95 – $394.85 | 9 |
| Hydration IV infusion each additional hour CPT 96361 | $95.04 | $352.00 | $13.88 – $38.62 | 23 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $287.55 | $1,065.00 | $36.01 – $124.26 | 23 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $6.21 | $23.00 | $3.08 – $23.00 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $67.84 | $251.26 | $16.36 – $324.13 | 12 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | $22.41 | $83.00 | $11.19 – $83.00 | 19 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $33.48 | $124.00 | $0.38 – $281.60 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $148.29 | $549.21 | $31.00 – $177.66 | 9 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $95.02 | $351.93 | $10.83 – $453.99 | 12 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $22.18 | $82.13 | $2.79 – $103.39 | 9 |
| Hymenotomy CPT 56442 | $44.82 | $166.00 | $28.00 – $102.79 | 20 |
| Hyoid myotomy & suspension CPT 21685 | $917.19 | $3,397.00 | $423.68 – $1,953.10 | 20 |
| Hyperbaric oxygen therapy CPT 99183 | $68.58 | $254.00 | $92.90 – $389.57 | 20 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $242.19 | $897.00 | $45.00 – $632.95 | 20 |
| Hysterosalpingography s&i CPT 74740 | $19.17 | $71.00 | $2.83 – $115.71 | 20 |
| Hysteroscopy ablation CPT 58563 | $223.02 | $826.00 | $30.00 – $4,744.08 | 20 |
| Hysteroscopy biopsy CPT 58558 | $1,225.26 | $4,538.00 | $125.00 – $637.57 | 26 |
| Hysteroscopy dx sep proc CPT 58555 | $325.62 | $1,206.00 | $30.00 – $523.31 | 26 |
| Hysteroscopy lysis CPT 58559 | $257.04 | $952.00 | $30.00 – $770.11 | 20 |
| Hysteroscopy remove fb CPT 58562 | $388.26 | $1,438.00 | $182.41 – $653.57 | 26 |
| Hysteroscopy remove myoma CPT 58561 | $323.46 | $1,198.00 | $35.00 – $1,236.29 | 20 |
| Hysteroscopy resect septum CPT 58560 | $282.69 | $1,047.00 | $30.00 – $870.66 | 20 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $110.43 | $409.00 | $192.33 – $409.00 | 7 |
| Iaadi respiratory synctial virus CPT 87280 | $2.39 | $8.84 | $1.19 – $54.83 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $8.86 | $32.80 | $11.51 – $207.17 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $19.44 | $72.00 | $11.74 – $29.17 | 20 |
| Icut allergy test-delayed CPT 95028 | $8.64 | $32.00 | $4.20 – $20.07 | 20 |
| Icut allergy test drug/bug CPT 95024 | $5.40 | $20.00 | $0.91 – $12.01 | 20 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $883.44 | $3,272.00 | $65.00 – $1,747.64 | 20 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $359.37 | $1,331.00 | $17.00 – $748.83 | 20 |
| I&d/bursa/foot 28001 CPT 28001 | $120.96 | $448.00 | $87.24 – $523.31 | 26 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $663.93 | $2,459.00 | $304.25 – $1,058.73 | 26 |
| Idh1 common variants CPT 81120 | $41.74 | $154.60 | $154.60 – $810.62 | 9 |
| Idh2 common variants CPT 81121 | $63.89 | $236.63 | $236.63 – $1,240.76 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $414.72 | $1,536.00 | $25.00 – $687.05 | 20 |
| I&d lacrimal sac CPT 68420 | $156.87 | $581.00 | $35.00 – $635.64 | 20 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $342.63 | $1,269.00 | $32.39 – $720.33 | 26 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $295.65 | $1,095.00 | $32.00 – $665.41 | 20 |
| I&d vag hemtma obst/postpart CPT 57022 | $168.75 | $625.00 | $37.00 – $357.05 | 20 |
| Igh gene rearrange amp meth CPT 81261 | $56.70 | $210.00 | $210.00 – $415.78 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | $79.52 | $294.52 | $251.69 – $867.42 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | $51.30 | $190.00 | $190.00 – $512.75 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $16.97 | $62.86 | $46.75 – $222.52 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $106.92 | $396.00 | $21.14 – $127.75 | 24 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $76.95 | $285.00 | $19.28 – $82.57 | 24 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $7.83 | $29.00 | $13.99 – $27.31 | 7 |
| Ikbkap gene CPT 81260 | $8.49 | $31.44 | $12.36 – $306.56 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $940.68 | $3,484.00 | $30.00 – $1,893.09 | 20 |
| Iliac/fem angio cath insert HCPCS G0278 | $8.37 | $31.00 | $4.72 – $31.00 | 19 |
| Immob elbow child sm HCPCS L3762 | $77.76 | $288.00 | $52.55 – $172.62 | 19 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $112.32 | $416.00 | $44.12 – $249.32 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $78.84 | $292.00 | $49.17 – $148.67 | 23 |
| Immobilizer shldr sling med HCPCS L3660 | $90.45 | $335.00 | $40.11 – $201.15 | 19 |
| Immt breast prosthesis 19340 CPT 19340 | $712.80 | $2,640.00 | $65.00 – $1,301.92 | 20 |
| Immune complex assay CPT 86332 | $5.85 | $21.66 | $5.28 – $143.90 | 9 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $51.84 | $192.00 | $3.85 – $122.88 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $52.11 | $193.00 | $3.85 – $122.88 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $4.86 | $18.00 | $0.71 – $70.72 | 9 |
| Immunodiffusion nes CPT 86329 | $3.37 | $12.49 | $1.75 – $82.91 | 9 |
| Immunofixation electrophoresis serum CPT 86334 | $5.36 | $19.86 | $3.35 – $131.86 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $26.96 | $99.84 | $48.35 – $212.75 | 9 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $145.80 | $540.00 | $80.40 – $310.51 | 9 |
| Immunoglobulin assay CPT 86023 | $240.57 | $891.00 | $1.38 – $73.53 | 9 |
| Immunology procedure CPT 86849 | $18.02 | $66.75 | $66.75 – $86.11 | 7 |
| Impact tooth remov part bony HCPCS D7230 | $185.22 | $686.00 | $304.25 – $1,056.78 | 14 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $5,374.89 | $19,907.00 | $519.00 – $669.51 | 6 |
| Implant hormone pellet(s) 11980 CPT 11980 | $49.95 | $185.00 | $45.00 – $165.05 | 20 |
| Implant neuroelectrodes CPT 63655 | $774.09 | $2,867.00 | $30.00 – $2,094.66 | 20 |
| Implant neuroelectrodes CPT 64561 | $278.91 | $1,033.00 | $70.00 – $1,700.26 | 20 |
| Implant spine infusion pump CPT 62362 | $357.48 | $1,324.00 | $52.12 – $1,417.62 | 20 |
| Implant ureth bulk agent HCPCS L8606 | $1,863.00 | $6,900.00 | $118.40 – $409.91 | 22 |
| Impl neurostim electr perc CPT 63650 | $386.37 | $1,431.00 | $87.12 – $1,116.41 | 20 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $194.40 | $720.00 | $60.00 – $327.36 | 20 |
| Implnt spinl canal catheter 62350 CPT 62350 | $370.98 | $1,374.00 | $12.00 – $1,301.56 | 20 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $563.76 | $2,088.00 | $25.00 – $1,626.78 | 20 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $494.10 | $1,830.00 | $65.00 – $1,000.72 | 20 |
| Incis 1 vertebral seg cerv CPT 22210 | $1,632.15 | $6,045.00 | $65.00 – $3,521.86 | 20 |
| Incis 1 vertebral seg lumbar CPT 22214 | $1,394.28 | $5,164.00 | $194.34 – $2,934.48 | 20 |
| Incis 1 vertebral seg thorac CPT 22212 | $1,395.63 | $5,169.00 | $65.00 – $2,898.22 | 20 |
| Incis addl spine segment CPT 22216 | $320.49 | $1,187.00 | $40.00 – $788.01 | 20 |
| Incise/drain eyelid lining CPT 68020 | $104.49 | $387.00 | $35.00 – $218.91 | 20 |
| Incise flexor carpi radialis CPT 25001 | $343.44 | $1,272.00 | $35.00 – $642.98 | 20 |
| Incise hand/finger tendon CPT 26460 | $439.56 | $1,628.00 | $172.00 – $819.43 | 20 |
| Incise inner ear CPT 69801 | $216.81 | $803.00 | $34.25 – $1,240.87 | 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.