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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $10.28 | $38.08 | $16.31 – $252.87 | 9 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $25.25 | $93.50 | $51.06 – $502.33 | 9 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $38.51 | $142.63 | $87.60 – $739.71 | 9 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | $56.43 | $209.00 | $39.94 – $209.00 | 7 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $19.44 | $72.00 | $0.01 – $72.00 | 7 |
| Ingest challenge ea addl 60 min CPT 95079 | $58.59 | $217.00 | $58.60 – $178.22 | 20 |
| Ingest challenge ini 120 min CPT 95076 | $86.13 | $319.00 | $63.62 – $260.26 | 20 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $124.74 | $462.00 | $98.00 – $357.95 | 9 |
| Initial foot exam pt lops HCPCS G0245 | $43.74 | $162.00 | $16.88 – $523.31 | 25 |
| Initial hosp neonate 28 d/less than not critically ill 99477 CPT 99477 | $221.13 | $819.00 | $265.48 – $630.60 | 26 |
| Initial nursing facility care/day 35 minutes CPT 99305 | $88.56 | $328.00 | $46.90 – $183.09 | 24 |
| Initial nursing facility care/day 45 minutes CPT 99306 | $120.69 | $447.00 | $72.10 – $249.41 | 24 |
| Initial nursing facility care/day low severity 99304 CPT 99304 | $53.19 | $197.00 | $37.80 – $116.16 | 24 |
| Initiation & management bipap/cpap initial day CPT 94660 | $322.11 | $1,193.00 | $32.63 – $103.98 | 24 |
| Init nb em per day non-fac CPT 99461 | $39.96 | $148.00 | $53.83 – $178.26 | 20 |
| Init pm e/m new pat 65+ yrs CPT 99387 | $93.69 | $347.00 | $101.65 – $684.56 | 20 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | $157.95 | $585.00 | $75.60 – $585.00 | 8 |
| Inj, bupivacaine liposome HCPCS J0666 | $802.79 | $2,973.28 | $2.25 – $6,823.67 | 9 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $54.81 | $203.00 | $25.00 – $384.33 | 20 |
| Inj dupuytren cord w/enzyme CPT 20527 | $83.43 | $309.00 | $49.14 – $523.31 | 26 |
| Inj, durolane 1 mg HCPCS J7318 | $287.82 | $1,066.00 | $6.77 – $1,066.00 | 8 |
| Inj dx for sinogram CPT 20501 | $32.94 | $122.00 | $31.00 – $270.73 | 20 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $76.41 | $283.00 | $23.00 – $569.84 | 20 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $93.15 | $345.00 | $10.00 – $423.01 | 20 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $78.57 | $291.00 | $3.00 – $523.31 | 26 |
| Injection during cath supravalvular aortography CPT 93567 | $23.22 | $86.00 | $31.16 – $531.87 | 20 |
| Injection epidural blood patch or clot CPT 62273 | $104.76 | $388.00 | $18.00 – $292.92 | 20 |
| Injection eye drug CPT 67028 | $107.19 | $397.00 | $40.00 – $523.31 | 26 |
| Injection for arthrography wrist (both sides) CPT 25246 | $99.36 | $368.00 | $20.00 – $365.00 | 20 |
| Injection for bladder x-ray CPT 51600 | $221.40 | $820.00 | $15.00 – $374.58 | 23 |
| Injection for hip x-ray CPT 27095 | $74.25 | $275.00 | $35.00 – $524.53 | 20 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $68.04 | $252.00 | $30.00 – $328.74 | 20 |
| Injection for ureter x-ray CPT 50690 | $65.61 | $243.00 | $45.00 – $191.33 | 20 |
| Injection into brain canal CPT 61055 | $105.84 | $392.00 | $40.00 – $226.60 | 20 |
| Injection into hemorrhoid(s) CPT 46500 | $178.20 | $660.00 | $10.00 – $306.44 | 20 |
| Injection into vocal cord CPT 31513 | $121.77 | $451.00 | $114.48 – $294.79 | 20 |
| Injection of sinus tract CPT 20500 | $85.86 | $318.00 | $15.00 – $258.64 | 20 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3.51 | $13.00 | $6.25 – $13.00 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $29.16 | $108.00 | $27.26 – $84.55 | 20 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $110.97 | $411.00 | $15.00 – $523.31 | 26 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $71.28 | $264.00 | $7.00 – $523.31 | 26 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $236.79 | $877.00 | $12.00 – $523.31 | 26 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $92.88 | $344.00 | $7.00 – $523.31 | 26 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $147.69 | $547.00 | $7.00 – $454.87 | 20 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $70.20 | $260.00 | $44.13 – $204.94 | 20 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $127.44 | $472.00 | $12.00 – $409.89 | 20 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $99.63 | $369.00 | $96.88 – $746.12 | 20 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $92.07 | $341.00 | $18.00 – $735.06 | 20 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $55.08 | $204.00 | $33.27 – $523.31 | 26 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $276.48 | $1,024.00 | $34.48 – $523.31 | 26 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $57.24 | $212.00 | $38.74 – $523.31 | 26 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $119.34 | $442.00 | $16.79 – $53.06 | 23 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $89.37 | $331.00 | $331.00 – $2,221.00 | 7 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $201.42 | $746.00 | $40.58 – $116.00 | 23 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $90.18 | $334.00 | $16.24 – $40.11 | 24 |
| Injection treatment of eye CPT 66030 | $106.11 | $393.00 | $45.00 – $319.14 | 20 |
| Injection treatment of nerve CPT 64605 | $844.83 | $3,129.00 | $158.97 – $3,192.03 | 14 |
| Injection treatment of nerve CPT 64610 | $710.37 | $2,631.00 | $205.14 – $3,192.03 | 14 |
| Injection treatment of nerve CPT 64681 | $436.86 | $1,618.00 | $15.00 – $576.86 | 26 |
| Injection treatment of nose CPT 30200 | $105.84 | $392.00 | $31.65 – $523.31 | 26 |
| Inject sacroiliac joint CPT 27096 | $158.49 | $587.00 | $42.00 – $523.31 | 26 |
| Inject/treat eye socket CPT 67515 | $43.74 | $162.00 | $39.25 – $160.89 | 20 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $90.45 | $335.00 | $18.00 – $494.65 | 20 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $71.82 | $266.00 | $23.00 – $464.25 | 20 |
| Inj for ext venography CPT 36005 | $41.85 | $155.00 | $40.76 – $585.71 | 20 |
| Inj for mammo ductogram CPT 19030 | $103.68 | $384.00 | $25.00 – $255.44 | 23 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $2.92 | $10.80 | $8.99 – $16.43 | 9 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $29.16 | $108.00 | $39.16 – $587.43 | 20 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $32.40 | $120.00 | $43.56 – $190.39 | 20 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $34.29 | $127.00 | $45.67 – $193.14 | 20 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $19.44 | $72.00 | $22.41 – $146.14 | 20 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $19.44 | $72.00 | $21.97 – $653.53 | 20 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $133.38 | $494.00 | $132.68 – $602.42 | 20 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $55.35 | $205.00 | $21.22 – $523.31 | 26 |
| Inj intralesional > 7 lsns CPT 11901 | $66.96 | $248.00 | $9.00 – $523.31 | 26 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $32.40 | $120.00 | $0.01 – $154.80 | 11 |
| Inj naloxone hydrochloride HCPCS J2310 | $6.48 | $24.00 | $24.00 – $26.20 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $119.61 | $443.00 | $45.00 – $600.94 | 20 |
| Inj proc ankle arthr CPT 27648 | $69.93 | $259.00 | $30.00 – $333.57 | 20 |
| Inj proc elbow arthro CPT 24220 | $90.72 | $336.00 | $30.00 – $365.00 | 20 |
| Inj proc for lymphang CPT 38790 | $76.14 | $282.00 | $20.00 – $175.96 | 20 |
| Inj proc lumbr disk ea lvl CPT 62290 | $144.45 | $535.00 | $144.55 – $596.89 | 18 |
| Inj proc myelogram lumbar CPT 62284 | $76.14 | $282.00 | $23.00 – $303.29 | 20 |
| Inj proc sialogram CPT 42550 | $56.16 | $208.00 | $15.00 – $200.69 | 20 |
| Inj progesterone per 50 mg HCPCS J2675 | $6.48 | $24.00 | $0.66 – $24.00 | 8 |
| Inj retro urethrocysto CPT 51610 | $474.12 | $1,756.00 | $15.00 – $337.58 | 23 |
| Inj scleros sol mult veins CPT 36471 | $189.81 | $703.00 | $30.00 – $523.31 | 26 |
| Inj scleros sol sgl vein CPT 36470 | $33.75 | $125.00 | $32.66 – $254.35 | 20 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $59.13 | $219.00 | $15.00 – $75.57 | 6 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $11.61 | $43.00 | $18.01 – $43.00 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $31.86 | $118.00 | $30.32 – $219.35 | 20 |
| Inpt/ed teleconsult30 HCPCS G0425 | $60.21 | $223.00 | $75.60 – $223.00 | 19 |
| Inpt/ed teleconsult50 HCPCS G0426 | $85.86 | $318.00 | $92.96 – $318.00 | 19 |
| Inpt/ed teleconsult70 HCPCS G0427 | $122.04 | $452.00 | $75.60 – $452.00 | 19 |
| Inpt/tele follow up 15 HCPCS G0406 | $27.00 | $100.00 | $35.04 – $100.00 | 19 |
| Inpt/tele follow up 25 HCPCS G0407 | $47.52 | $176.00 | $63.39 – $176.00 | 19 |
| Inpt/tele follow up 35 HCPCS G0408 | $69.12 | $256.00 | $75.60 – $256.00 | 19 |
| Ins cath ren art 1st bi CPT 36252 | $308.88 | $1,144.00 | $65.00 – $4,949.35 | 20 |
| Ins cath ren art 1st uni CPT 36251 | $222.21 | $823.00 | $65.00 – $4,536.32 | 20 |
| Ins cath ren art 2nd+ bi CPT 36254 | $361.26 | $1,338.00 | $341.03 – $7,231.52 | 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.