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 |
|---|---|---|---|---|
| Shoulder prosthesis removal CPT 23335 | $1,177.20 | $4,360.00 | $30.00 – $3,002.16 | 20 |
| Shoulder X-ray CPT 73030 | $256.77 | $951.00 | $1.34 – $47.85 | 24 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $24.03 | $89.00 | $3.40 – $117.07 | 20 |
| Sialography s&i CPT 70390 | $19.17 | $71.00 | $2.77 – $143.94 | 20 |
| Sialolithotomy 42330 CPT 42330 | $224.64 | $832.00 | $55.00 – $523.31 | 26 |
| Sickling rbc CPT 85660 | $8.91 | $33.00 | $0.25 – $32.57 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | $275.67 | $1,021.00 | $68.08 – $523.31 | 26 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $103.68 | $384.00 | $50.00 – $357.53 | 20 |
| Sigmoidoscopy for bleeding CPT 45334 | $107.73 | $399.00 | $25.00 – $413.15 | 20 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $280.53 | $1,039.00 | $55.00 – $448.52 | 20 |
| Sigmoidoscopy w/ablation CPT 45346 | $146.34 | $542.00 | $20.00 – $539.87 | 20 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $96.66 | $358.00 | $20.00 – $474.82 | 20 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $140.40 | $520.00 | $50.00 – $263.96 | 20 |
| Sigmoidoscopy w/resection CPT 45349 | $200.34 | $742.00 | $25.00 – $513.43 | 20 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $110.16 | $408.00 | $110.13 – $516.26 | 20 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $113.67 | $421.00 | $25.00 – $391.96 | 20 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $154.71 | $573.00 | $152.86 – $598.54 | 20 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $86.40 | $320.00 | $87.35 – $483.01 | 20 |
| Sig w/tndsc balloon dilation CPT 45340 | $71.82 | $266.00 | $50.00 – $798.50 | 20 |
| Simple cystometrogram 51725 CPT 51725 | $200.88 | $744.00 | $42.44 – $523.31 | 26 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,319.49 | $4,887.00 | $10.28 – $342.25 | 24 |
| Sinus CT scan (with contrast) CPT 70487 | $1,036.53 | $3,839.00 | $9.47 – $296.91 | 24 |
| Sinus CT scan (without contrast) CPT 70486 | $894.78 | $3,314.00 | $8.25 – $269.25 | 24 |
| Sinus/juglr venogram s&i CPT 75860 | $56.16 | $208.00 | $8.52 – $177.21 | 18 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $500.85 | $1,855.00 | $126.58 – $732.78 | 20 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $569.16 | $2,108.00 | $61.00 – $1,160.88 | 20 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $48.06 | $178.00 | $0.05 – $54.98 | 8 |
| Skel musc relaxant 3 or more CPT 80370 | $1.62 | $6.00 | $0.05 – $7.74 | 8 |
| Skin Biopsy CPT 11102 | $96.39 | $357.00 | $30.32 – $523.31 | 26 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $633.15 | $2,345.00 | $30.00 – $1,191.14 | 20 |
| Skin full graft add-on 15241 CPT 15241 | $97.47 | $361.00 | $88.74 – $277.84 | 20 |
| Skin pedicle flap trunk CPT 15570 | $679.86 | $2,518.00 | $115.41 – $1,369.95 | 20 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $100.17 | $371.00 | $20.00 – $330.11 | 20 |
| Skyla, 13.5 mg HCPCS J7301 | $493.29 | $1,827.00 | $960.16 – $1,827.00 | 8 |
| Sleep study attended CPT 95807 | $38.61 | $143.00 | $60.97 – $523.41 | 20 |
| Sleep Study (Polysomnography) CPT 95810 | $441.72 | $1,636.00 | $122.99 – $783.98 | 20 |
| Sleep study unattended CPT 95806 | $28.89 | $107.00 | $46.06 – $150.33 | 20 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $12.96 | $48.00 | $2.36 – $61.92 | 23 |
| Slitting of prepuce CPT 54001 | $132.57 | $491.00 | $32.00 – $358.41 | 20 |
| Slp pure tone screening CPT 92551 | $21.06 | $78.00 | $12.41 – $78.00 | 9 |
| Slp stdy unatnd w/anal CPT 95801 | $67.77 | $251.00 | $42.24 – $116.29 | 20 |
| Small bowel endoscopy CPT 44360 | $131.22 | $486.00 | $129.36 – $394.61 | 20 |
| Small bowel endoscopy CPT 44364 | $186.03 | $689.00 | $15.00 – $556.16 | 20 |
| Small bowel endoscopy CPT 44366 | $217.89 | $807.00 | $35.00 – $654.15 | 20 |
| Small bowel endoscopy CPT 44369 | $223.29 | $827.00 | $15.00 – $667.40 | 20 |
| Small bowel endoscopy CPT 44376 | $258.12 | $956.00 | $250.66 – $770.68 | 20 |
| Small bowel endoscopy CPT 44378 | $348.30 | $1,290.00 | $35.00 – $1,043.47 | 20 |
| Small bowel endoscopy CPT 44382 | $68.58 | $254.00 | $69.27 – $203.93 | 20 |
| Small bowel endoscopy CPT 44384 | $139.05 | $515.00 | $50.00 – $354.89 | 20 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $174.42 | $646.00 | $169.02 – $521.73 | 20 |
| Small bowel endoscopy/biopsy CPT 44361 | $144.99 | $537.00 | $35.00 – $434.34 | 20 |
| Small bowel endoscopy/biopsy CPT 44377 | $270.54 | $1,002.00 | $15.00 – $813.06 | 20 |
| Small bowel endoscopy br/wa CPT 44380 | $53.73 | $199.00 | $50.00 – $172.15 | 20 |
| Small bowel endoscopy br/wa CPT 44381 | $77.76 | $288.00 | $78.69 – $354.89 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $6.21 | $23.00 | $0.26 – $31.73 | 9 |
| Smear gram stain CPT 87205 | $57.51 | $213.00 | $0.15 – $25.22 | 9 |
| Smear nasal eosinophil CPT 89190 | $1.25 | $4.63 | $0.27 – $28.03 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $29.70 | $110.00 | $0.32 – $35.38 | 9 |
| Smear wet mount CPT 87210 | $57.51 | $213.00 | $1.34 – $9.62 | 24 |
| Smpd1 gene common variants CPT 81330 | $12.69 | $47.00 | $22.09 – $395.94 | 9 |
| Snrpn/ube3a gene CPT 81331 | $90.45 | $335.00 | $58.60 – $173.12 | 9 |
| Sodium 24 hour urine CPT 84300 | $52.92 | $196.00 | $0.22 – $28.72 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $38.96 | $144.28 | $1.95 – $186.12 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $18.23 | $67.51 | $1.24 – $87.09 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $47.52 | $176.00 | $1.80 – $157.86 | 9 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $59.13 | $219.00 | $71.52 – $219.00 | 8 |
| Sodium serum/plasma/whole blood CPT 84295 | $38.61 | $143.00 | $0.17 – $28.38 | 9 |
| Sp bone agrft morsel add-on CPT 20937 | $147.96 | $548.00 | $60.00 – $360.16 | 20 |
| Sp bone agrft struct add-on CPT 20938 | $160.92 | $596.00 | $30.00 – $394.00 | 20 |
| Sp bone algrft morsel add-on CPT 20930 | $198.45 | $735.00 | $113.02 – $735.00 | 9 |
| Special radiation dosimetry CPT 77331 | $49.95 | $185.00 | $41.75 – $83.81 | 20 |
| Special radiation treatment CPT 77470 | $116.37 | $431.00 | $99.92 – $186.54 | 20 |
| Special supplies phys/qhp CPT 99070 | $910.17 | $3,371.00 | $1.49 – $75.60 | 10 |
| Special teletx port plan CPT 77321 | $54.27 | $201.00 | $45.02 – $122.08 | 20 |
| Specific gravity body fluid CPT 84315 | $0.71 | $2.62 | $0.09 – $14.81 | 9 |
| Speech recep thresh CPT 92555 | $21.60 | $80.00 | $11.20 – $48.63 | 20 |
| Sperm antibody test CPT 89325 | $13.03 | $48.25 | $5.15 – $63.02 | 9 |
| Sphenoid sinus surgery CPT 31051 | $989.82 | $3,666.00 | $425.17 – $1,293.42 | 20 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $691.74 | $2,562.00 | $83.40 – $1,332.08 | 20 |
| Spinal bone allograftstructural 20931 CPT 20931 | $97.20 | $360.00 | $16.75 – $239.30 | 20 |
| Spinal bone autograftlocal 20936 CPT 20936 | $217.89 | $807.00 | $119.33 – $807.00 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $212.49 | $787.00 | $18.00 – $654.93 | 26 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $274.32 | $1,016.00 | $10.65 – $83.32 | 24 |
| Splenectomy total open 38100 CPT 38100 | $1,034.10 | $3,830.00 | $65.00 – $2,257.78 | 20 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $392.04 | $1,452.00 | $217.32 – $871.22 | 19 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $47.52 | $176.00 | $27.15 – $105.48 | 19 |
| Splint finger 4 prong foam sm HCPCS A4570 | $45.90 | $170.00 | $5.89 – $45.15 | 12 |
| Splint finger frog med HCPCS L3927 | $25.38 | $94.00 | $17.09 – $56.13 | 19 |
| Splint func pos polyflex ii med HCPCS L3999 | $11.34 | $42.00 | $41.00 – $75.60 | 4 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $64.80 | $240.00 | $22.26 – $143.85 | 19 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $646.38 | $2,394.00 | $463.89 – $1,405.71 | 20 |
| Split blood or products CPT 86985 | $28.89 | $107.00 | $88.68 – $278.50 | 8 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $119.61 | $443.00 | $20.00 – $445.65 | 20 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $41.85 | $155.00 | $89.05 – $449.43 | 10 |
| Staph a dna amp probe CPT 87640 | $30.24 | $112.00 | $28.42 – $207.17 | 9 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $137.16 | $508.00 | $28.00 – $172.37 | 10 |
| Stenger test speech CPT 92577 | $21.06 | $78.00 | $13.61 – $46.77 | 20 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $2,991.33 | $11,079.00 | $11,079.00 – $13,593.93 | 5 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $734.67 | $2,721.00 | $414.00 – $534.06 | 6 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $3,338.28 | $12,364.00 | $1,119.00 – $1,443.51 | 6 |
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.