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 |
|---|---|---|---|---|
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $860.76 | $3,188.00 | $1,757.32 – $2,952.61 | 7 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $1,408.59 | $5,217.00 | $168.65 – $2,805.04 | 20 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $29.78 | $110.29 | $23.66 – $253.11 | 9 |
| Papaverin hcl injection HCPCS J2440 | $23.49 | $87.00 | $37.50 – $87.00 | 8 |
| Parathormone (pth) intact CPT 83970 | $137.43 | $509.00 | $14.38 – $243.64 | 9 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $1,294.38 | $4,794.00 | $767.00 – $2,934.20 | 20 |
| Parathyroid planar imaging CPT 78070 | $39.69 | $147.00 | $37.25 – $386.30 | 20 |
| Parathyroid planar img w/tomo spect CPT 78071 | $58.86 | $218.00 | $53.90 – $461.01 | 20 |
| Parial mast w/lymph removal 19302 CPT 19302 | $827.55 | $3,065.00 | $80.00 – $1,968.16 | 20 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $68.85 | $255.00 | $13.65 – $523.31 | 26 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $827.28 | $3,064.00 | $99.40 – $1,583.27 | 20 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $190.35 | $705.00 | $30.00 – $523.31 | 26 |
| Partial complicated cystectomy 51555 CPT 51555 | $1,156.14 | $4,282.00 | $759.12 – $2,217.82 | 20 |
| Partial exc bone humerus CPT 24140 | $667.71 | $2,473.00 | $60.00 – $1,503.50 | 20 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $420.12 | $1,556.00 | $30.00 – $1,173.29 | 20 |
| Partial excision of lip CPT 40500 | $355.86 | $1,318.00 | $344.49 – $735.83 | 20 |
| Partial hip replacement CPT 27125 | $1,054.35 | $3,905.00 | $208.49 – $2,257.66 | 20 |
| Partial hysterectomy CPT 58180 | $882.36 | $3,268.00 | $444.00 – $2,039.49 | 20 |
| Partial proctectomy; perineal 45123 CPT 45123 | $1,017.90 | $3,770.00 | $60.00 – $2,000.66 | 20 |
| Partial removal finger bone CPT 26235 | $475.20 | $1,760.00 | $56.96 – $983.80 | 20 |
| Partial removal finger bone CPT 26236 | $428.22 | $1,586.00 | $53.24 – $870.19 | 20 |
| Partial removal foot fascia CPT 28060 | $344.52 | $1,276.00 | $50.63 – $881.36 | 20 |
| Partial removal leg bone(s) CPT 27360 | $852.12 | $3,156.00 | $33.00 – $1,718.63 | 20 |
| Partial removal of bladder CPT 51550 | $885.06 | $3,278.00 | $759.12 – $1,670.78 | 20 |
| Partial removal of eye fluid CPT 67005 | $453.33 | $1,679.00 | $411.69 – $838.73 | 20 |
| Partial removal of eye fluid CPT 67010 | $516.24 | $1,912.00 | $52.00 – $973.24 | 20 |
| Partial removal of fibula CPT 27641 | $620.46 | $2,298.00 | $70.00 – $1,469.66 | 20 |
| Partial removal of foot bone CPT 28288 | $577.80 | $2,140.00 | $201.04 – $970.32 | 26 |
| Partial removal of hand bone CPT 26230 | $481.41 | $1,783.00 | $55.00 – $1,005.56 | 20 |
| Partial removal of lip CPT 40530 | $384.48 | $1,424.00 | $50.00 – $852.38 | 20 |
| Partial removal of lung 32480 CPT 32480 | $1,303.56 | $4,828.00 | $100.00 – $3,324.97 | 20 |
| Partial removal of nose CPT 30150 | $752.49 | $2,787.00 | $119.88 – $1,691.05 | 20 |
| Partial removal of penis CPT 54120 | $589.14 | $2,182.00 | $421.82 – $1,091.39 | 20 |
| Partial removal of radius CPT 25151 | $560.79 | $2,077.00 | $30.00 – $1,568.76 | 20 |
| Partial removal of radius CPT 25230 | $420.39 | $1,557.00 | $210.72 – $916.12 | 20 |
| Partial removal of rectum CPT 45111 | $987.93 | $3,659.00 | $61.00 – $1,972.90 | 20 |
| Partial removal of rib CPT 21600 | $539.19 | $1,997.00 | $55.00 – $1,065.99 | 20 |
| Partial removal of sternum CPT 21620 | $463.86 | $1,718.00 | $486.93 – $1,063.57 | 20 |
| Partial removal of thyroid CPT 60220 | $653.13 | $2,419.00 | $30.00 – $1,592.78 | 20 |
| Partial removal of thyroid CPT 60225 | $865.89 | $3,207.00 | $70.00 – $1,915.00 | 20 |
| Partial removal of tibia CPT 27640 | $777.87 | $2,881.00 | $70.00 – $1,824.99 | 20 |
| Partial removal of tongue CPT 41120 | $1,004.94 | $3,722.00 | $65.00 – $1,920.28 | 20 |
| Partial removal of ulna CPT 25119 | $484.11 | $1,793.00 | $84.51 – $1,092.57 | 20 |
| Partial removal of ulna CPT 25240 | $417.69 | $1,547.00 | $253.16 – $964.46 | 20 |
| Partial removal of vaginal wall 57106 CPT 57106 | $504.09 | $1,867.00 | $59.28 – $989.99 | 26 |
| Partial thyroid excision CPT 60210 | $653.13 | $2,419.00 | $65.00 – $1,453.39 | 20 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $929.07 | $3,441.00 | $35.00 – $2,093.24 | 20 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1.89 | $7.00 | $2.54 – $7.00 | 9 |
| Part removal hip bone deep CPT 27071 | $912.06 | $3,378.00 | $101.27 – $1,837.07 | 20 |
| Part removal of metatarsal CPT 28110 | $284.31 | $1,053.00 | $187.64 – $767.36 | 20 |
| Part removal of metatarsal CPT 28113 | $412.83 | $1,529.00 | $80.00 – $978.67 | 20 |
| Part removal of metatarsal 28112 CPT 28112 | $301.05 | $1,115.00 | $39.84 – $839.65 | 20 |
| Patient recorded spirometry CPT 94014 | $38.88 | $144.00 | $20.85 – $95.60 | 20 |
| Patient recorded spirometry CPT 94015 | $22.68 | $84.00 | $14.43 – $57.42 | 19 |
| Pca3/klk3 antigen CPT 81313 | $68.86 | $255.05 | $255.05 – $987.00 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $679.32 | $2,516.00 | $116.16 – $1,367.20 | 20 |
| Ped crit care transport CPT 99466 | $151.20 | $560.00 | $193.96 – $419.68 | 20 |
| Ped crit care transport addl CPT 99467 | $75.87 | $281.00 | $96.79 – $215.01 | 20 |
| Ped critical care initial CPT 99471 | $504.36 | $1,868.00 | $299.00 – $1,414.96 | 26 |
| Ped critical care subsq CPT 99472 | $260.01 | $963.00 | $143.52 – $700.27 | 26 |
| Pedicle enel/ntroral 15576 CPT 15576 | $614.52 | $2,276.00 | $63.29 – $1,213.15 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,350.00 | $5,000.00 | $8.84 – $437.32 | 24 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,292.76 | $4,788.00 | $8.40 – $378.31 | 24 |
| Pelvic CT scan (without contrast) CPT 72192 | $962.28 | $3,564.00 | $7.93 – $263.99 | 24 |
| Pelvic MRI (with and without contrast) CPT 72197 | $810.00 | $3,000.00 | $16.39 – $851.40 | 24 |
| Pelvic MRI (with contrast) CPT 72196 | $702.00 | $2,600.00 | $12.57 – $692.63 | 24 |
| Pelvic MRI (without contrast) CPT 72195 | $607.50 | $2,250.00 | $10.60 – $633.68 | 24 |
| Pelvic Ultrasound (complete) CPT 76856 | $410.94 | $1,522.00 | $5.06 – $140.76 | 24 |
| Pelvic Ultrasound (limited) CPT 76857 | $275.13 | $1,019.00 | $2.83 – $78.03 | 24 |
| Peng benzathine/procaine inj HCPCS J0558 | $13.77 | $51.00 | $13.08 – $51.00 | 8 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $771.21 | $2,856.34 | $16.78 – $50.34 | 13 |
| Penicillin g procaine inj HCPCS J2510 | $510.03 | $1,889.00 | $35.65 – $1,889.00 | 8 |
| Penile injection CPT 54235 | $86.94 | $322.00 | $25.00 – $523.31 | 26 |
| Penile vascular study CPT 93980 | $105.30 | $390.00 | $61.58 – $306.00 | 24 |
| Penile vascular study CPT 93981 | $22.41 | $83.00 | $21.47 – $94.75 | 20 |
| Penis plastic surgery CPT 54360 | $668.79 | $2,477.00 | $35.00 – $1,293.50 | 26 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $394.20 | $1,460.00 | $75.60 – $1,460.00 | 4 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $202.50 | $750.00 | $41.00 – $750.00 | 4 |
| Perc d-e cor stent ather s HCPCS C9602 | $321.03 | $1,189.00 | $75.60 – $1,189.00 | 4 |
| Perc drug-el cor stent bran HCPCS C9601 | $170.37 | $631.00 | $75.60 – $1,713.56 | 4 |
| Perc drug-el cor stent sing HCPCS C9600 | $334.80 | $1,240.00 | $75.60 – $1,240.00 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $203.85 | $755.00 | $15.00 – $560.04 | 20 |
| Peri-implt capslc brst compl CPT 19371 | $669.87 | $2,481.00 | $421.82 – $1,779.86 | 20 |
| Perineoplasty rpr per nonob CPT 56810 | $251.91 | $933.00 | $242.01 – $562.62 | 20 |
| Peri-proc device eval icd CPT 93287 | $14.31 | $53.00 | $22.34 – $61.95 | 20 |
| Peri-proc device eval pm CPT 93286 | $9.72 | $36.00 | $14.83 – $51.92 | 20 |
| Peritoneogram rs&i CPT 74190 | $22.95 | $85.00 | $3.51 – $637.76 | 20 |
| Perq dev breast 1st mr guide CPT 19287 | $113.94 | $422.00 | $35.00 – $2,267.38 | 20 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $1,031.94 | $3,822.00 | $632.54 – $2,244.77 | 20 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $316.17 | $1,171.00 | $35.00 – $1,080.12 | 26 |
| Perq skel fix rad/uln dislc CPT 25671 | $518.40 | $1,920.00 | $392.78 – $1,022.48 | 20 |
| Perq skel fix ulnar styld fx CPT 25651 | $476.28 | $1,764.00 | $17.00 – $916.12 | 20 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $493.29 | $1,827.00 | $158.97 – $797.95 | 20 |
| Perq tx malar fracture CPT 21355 | $312.66 | $1,158.00 | $40.00 – $824.27 | 20 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $46.98 | $174.00 | $25.17 – $104.13 | 17 |
| Pessary reusable rub anytype HCPCS A4561 | $18.90 | $70.00 | $10.11 – $41.81 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $119.61 | $443.00 | $62.41 – $1,974.75 | 20 |
| Pet CT whole body initial CPT 78816 | $120.69 | $447.00 | $63.13 – $1,976.12 | 20 |
| Pet fdg brain metoblic eval sb CPT 78608 | $72.90 | $270.00 | $37.43 – $1,913.71 | 18 |
| Pet image full body CPT 78813 | $96.12 | $356.00 | $51.01 – $1,941.51 | 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.