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 |
|---|---|---|---|---|
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $276.48 | $1,024.00 | $24.21 – $523.31 | 27 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $53.73 | $199.00 | $37.60 – $523.31 | 26 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $76.14 | $282.00 | $53.40 – $523.31 | 26 |
| Prealbumin CPT 84134 | $42.39 | $157.00 | $1.82 – $86.07 | 9 |
| Pr ecg 12 lead report only CPT 93010 | $8.64 | $32.00 | $8.55 – $523.31 | 26 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $17.82 | $66.00 | $18.26 – $523.31 | 26 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.79 | $10.33 | $2.51 – $23.70 | 9 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.35 | $5.00 | $0.01 – $5.00 | 12 |
| Prefab stnlss steel crown pe HCPCS D2931 | $162.54 | $602.00 | $304.25 – $1,056.78 | 14 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $114.21 | $423.00 | $304.25 – $1,056.78 | 14 |
| Pregabalin - sendout CPT 80366 | $18.56 | $68.75 | $0.05 – $5.16 | 8 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $180.90 | $670.00 | $40.00 – $638.26 | 20 |
| Pregnancy associated plasma protein-a CPT 84163 | $3.61 | $13.38 | $2.01 – $88.88 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $385.02 | $1,426.00 | $7.24 – $179.94 | 24 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $388.80 | $1,440.00 | $7.24 – $157.17 | 24 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $69.39 | $257.00 | $75.38 – $684.56 | 20 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $513.27 | $1,901.00 | $304.25 – $2,452.29 | 26 |
| Prenatal Care Only (7+ visits) CPT 59426 | $938.25 | $3,475.00 | $304.25 – $4,482.75 | 26 |
| Prepare fecal microbiota CPT 44705 | $112.86 | $418.00 | $75.60 – $418.00 | 8 |
| Prep skin to 100cm2 other CPT 15004 | $371.25 | $1,375.00 | $65.15 – $610.70 | 26 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $201.15 | $745.00 | $15.00 – $506.17 | 20 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $39.69 | $147.00 | $15.00 – $112.79 | 20 |
| Pressure max expiratory/inspiratory CPT 94799 | $227.07 | $841.00 | $210.34 – $210.34 | 1 |
| Pressure velocity wire add ves CPT 93572 | $32.67 | $121.00 | $72.54 – $197.24 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $121.50 | $450.00 | $23.88 – $278.50 | 9 |
| Pretreat rbc absorption reference CPT 86978 | $26.60 | $98.50 | $19.97 – $119.97 | 9 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $47.07 | $174.35 | $4.52 – $100.87 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | $20.59 | $76.25 | $24.79 – $278.50 | 9 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $129.60 | $480.00 | $103.25 – $333.24 | 20 |
| Preventive counseling group CPT 99411 | $6.75 | $25.00 | $25.00 – $684.56 | 13 |
| Preventive counseling group CPT 99412 | $10.80 | $40.00 | $40.00 – $684.56 | 13 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $20.52 | $76.00 | $23.73 – $684.56 | 20 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $41.58 | $154.00 | $48.29 – $684.56 | 20 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $62.37 | $231.00 | $231.00 – $684.56 | 13 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $83.43 | $309.00 | $304.25 – $684.56 | 13 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $112.32 | $416.00 | $115.56 – $536.64 | 25 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $122.58 | $454.00 | $53.24 – $523.31 | 26 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $215.19 | $797.00 | $88.61 – $523.31 | 26 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $154.44 | $572.00 | $84.51 – $523.31 | 26 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $1,224.72 | $4,536.00 | $548.03 – $2,322.15 | 20 |
| Prgrmg dev eval impltbl sys CPT 93260 | $27.27 | $101.00 | $42.04 – $138.30 | 20 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $45.90 | $170.00 | $31.73 – $78.35 | 20 |
| Prgrmg dev eval scrms ip CPT 93285 | $40.77 | $151.00 | $25.82 – $69.25 | 20 |
| Prgrmg eval implantable dfb CPT 93282 | $54.27 | $201.00 | $41.67 – $97.43 | 20 |
| Prgrmg eval implantable dfb CPT 93283 | $66.42 | $246.00 | $56.14 – $122.95 | 20 |
| Prgrmg eval implantable dfb CPT 93284 | $71.82 | $266.00 | $61.01 – $146.32 | 20 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $114.21 | $423.00 | $80.10 – $523.31 | 26 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $85.59 | $317.00 | $73.20 – $523.31 | 26 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $54.00 | $200.00 | $34.30 – $523.31 | 26 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $77.76 | $288.00 | $45.80 – $523.31 | 26 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $52.11 | $193.00 | $37.80 – $523.31 | 26 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $32.13 | $119.00 | $27.50 – $523.31 | 26 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $376.65 | $1,395.00 | $366.91 – $4,972.69 | 20 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $437.94 | $1,622.00 | $30.00 – $1,628.78 | 20 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $204.39 | $757.00 | $75.76 – $523.31 | 26 |
| Pr incision & drainage abscess simple/single CPT 10060 | $197.10 | $730.00 | $15.00 – $523.31 | 26 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $138.24 | $512.00 | $90.70 – $523.31 | 26 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $248.13 | $919.00 | $39.00 – $523.31 | 26 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $191.97 | $711.00 | $168.65 – $917.19 | 26 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $141.75 | $525.00 | $123.74 – $677.25 | 26 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $220.05 | $815.00 | $10.95 – $216.86 | 24 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $580.23 | $2,149.00 | $89.35 – $1,412.10 | 20 |
| Probe nasolacrimal duct CPT 68810 | $153.90 | $570.00 | $10.00 – $523.31 | 26 |
| Probe nasolacrimal duct CPT 68811 | $128.52 | $476.00 | $15.00 – $374.53 | 20 |
| Procalcitonin CPT 84145 | $72.90 | $270.00 | $31.23 – $158.12 | 9 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $30.59 | $113.31 | $1.81 – $146.16 | 12 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,648.35 | $6,105.00 | $1,096.42 – $3,365.27 | 20 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $101.52 | $376.00 | $50.00 – $392.38 | 20 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $78.57 | $291.00 | $40.95 – $1,602.81 | 20 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $125.55 | $465.00 | $36.11 – $523.31 | 26 |
| Proctosigmoidoscopy volvul CPT 45321 | $93.96 | $348.00 | $87.12 – $168.54 | 20 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $67.50 | $250.00 | $50.00 – $317.71 | 20 |
| Progesterone CPT 84144 | $36.45 | $135.00 | $3.82 – $123.18 | 9 |
| Prolactin CPT 84146 | $75.87 | $281.00 | $3.28 – $114.39 | 9 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $37.80 | $140.00 | $46.91 – $172.48 | 8 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $28.62 | $106.00 | $30.52 – $684.56 | 20 |
| Prolong service without contact CPT 99358 | $62.37 | $231.00 | $75.60 – $684.56 | 20 |
| Prolong serv without contact add CPT 99359 | $42.39 | $157.00 | $48.04 – $684.56 | 20 |
| Promethazine hcl injection HCPCS J2550 | $5.13 | $19.00 | $2.86 – $19.00 | 8 |
| Proph rta dtchmnt pc CPT 67145 | $205.20 | $760.00 | $74.46 – $933.68 | 20 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $84.56 | $313.20 | $0.25 – $204.80 | 9 |
| _propoxygc/msur CPT 80367 | $40.77 | $151.00 | $0.05 – $194.79 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $106.92 | $396.00 | $370.00 – $1,987.67 | 9 |
| Prostate ca screening; dre HCPCS G0102 | $13.23 | $49.00 | $5.41 – $49.00 | 19 |
| Prostatectomy (turp) CPT 52601 | $672.57 | $2,491.00 | $65.00 – $1,428.24 | 20 |
| Protein c activity CPT 85303 | $3.32 | $12.30 | $1.70 – $81.62 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $13.50 | $50.00 | $0.75 – $63.41 | 9 |
| Protein s total CPT 85305 | $2.79 | $10.32 | $1.20 – $68.45 | 9 |
| Protein total 24 hour urine CPT 84156 | $65.34 | $242.00 | $0.12 – $21.66 | 9 |
| Protein total body fluid CPT 84157 | $57.24 | $212.00 | $0.12 – $21.66 | 9 |
| Protein total serum plasma whole blood CPT 84155 | $48.60 | $180.00 | $0.11 – $21.66 | 9 |
| Prothrombin complex kcentra HCPCS J7168 | $4.19 | $15.53 | $3.28 – $35.64 | 10 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $4.32 | $16.00 | $0.14 – $8.88 | 24 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $400.14 | $1,482.00 | $75.20 – $1,030.57 | 20 |
| Prp i/hern init block >5 yr CPT 49507 | $539.19 | $1,997.00 | $319.00 – $1,136.84 | 20 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $55.08 | $204.00 | $66.79 – $523.31 | 26 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $21.33 | $79.00 | $27.64 – $523.31 | 25 |
| Prq card revasc mi 1 vsl CPT 92941 | $408.24 | $1,512.00 | $541.18 – $1,753.73 | 20 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $363.15 | $1,345.00 | $482.46 – $1,563.44 | 20 |
| Prq skel fix epcndylr hum fx CPT 24566 | $690.93 | $2,559.00 | $63.66 – $1,385.06 | 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.