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 |
|---|---|---|---|---|
| Stereotactic radiation trmt CPT 77432 | $458.19 | $1,697.00 | $284.32 – $723.85 | 20 |
| Sterile water/saline, 10 ml HCPCS A4216 | $30.37 | $112.49 | $0.99 – $9.62 | 7 |
| Sternal debridement CPT 21627 | $511.92 | $1,896.00 | $50.00 – $1,102.24 | 20 |
| St evaluate speech sound production CPT 92522 | $182.79 | $677.00 | $91.96 – $412.86 | 10 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $225.99 | $837.00 | $98.00 – $859.13 | 10 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $216.81 | $803.00 | $57.30 – $178.00 | 9 |
| St evaluation swallow function CPT 92610 | $156.33 | $579.00 | $28.00 – $171.00 | 10 |
| Stimulants synthetic CPT 80371 | $40.50 | $150.00 | $0.05 – $9.03 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $418.77 | $1,551.00 | $70.00 – $1,336.19 | 20 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $27.00 | $100.00 | $6.00 – $523.31 | 26 |
| Strapping of chest CPT 29200 | $30.24 | $112.00 | $15.70 – $523.31 | 26 |
| Strapping of elbow or wrist 29260 CPT 29260 | $27.81 | $103.00 | $15.90 – $523.31 | 27 |
| Strapping of hand or finger CPT 29280 | $28.08 | $104.00 | $17.04 – $523.31 | 27 |
| Strapping of hip CPT 29520 | $33.21 | $123.00 | $6.00 – $523.31 | 26 |
| Strapping of knee CPT 29530 | $28.08 | $104.00 | $15.70 – $523.31 | 26 |
| Strapping of toes 29550 CPT 29550 | $18.90 | $70.00 | $9.67 – $523.31 | 26 |
| Strep b dna amp probe CPT 87653 | $8.24 | $30.52 | $10.71 – $207.17 | 9 |
| Stress test pulmonary CPT 94618 | $23.49 | $87.00 | $12.08 – $57.97 | 20 |
| Stress tte complete CPT 93351 | $86.67 | $321.00 | $83.58 – $302.01 | 20 |
| Str markers specimen anal CPT 81265 | $68.18 | $252.50 | $191.15 – $1,332.45 | 9 |
| St treatment speech individual CPT 92507 | $139.59 | $517.00 | $28.00 – $373.28 | 11 |
| St treatment swallow dysfunction/oral CPT 92526 | $135.00 | $500.00 | $28.00 – $178.00 | 10 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $252.18 | $934.00 | $143.52 – $699.63 | 26 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $78.84 | $292.00 | $104.41 – $229.55 | 20 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $75.87 | $281.00 | $98.63 – $523.31 | 26 |
| Subtalar arthro w/fb rmvl CPT 29904 | $608.31 | $2,253.00 | $450.11 – $1,213.43 | 20 |
| Subtalar arthro w/fusion CPT 29907 | $826.74 | $3,062.00 | $60.00 – $1,682.37 | 20 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $10.35 | $38.33 | $4.22 – $87.97 | 9 |
| Sugars single quant CPT 84378 | $2.76 | $10.24 | $1.18 – $68.05 | 9 |
| Sulfonylurea screen qn-sendout CPT 80377 | $33.91 | $125.59 | $0.05 – $5.16 | 8 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $58.05 | $215.00 | $27.37 – $215.00 | 8 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $11.61 | $43.00 | $13.20 – $684.56 | 14 |
| Support clav 29.6-40.5in med HCPCS L3650 | $58.86 | $218.00 | $32.62 – $130.77 | 19 |
| Suprv interfacilty transport CPT 99485 | $38.61 | $143.00 | $69.57 – $187.44 | 9 |
| Suprv interfac trnsport addl CPT 99486 | $33.75 | $125.00 | $60.52 – $144.57 | 9 |
| Surg dx exam anorectal CPT 45990 | $97.20 | $360.00 | $16.75 – $200.18 | 20 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $731.43 | $2,709.00 | $40.00 – $1,720.32 | 26 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $731.16 | $2,708.00 | $709.05 – $1,733.84 | 20 |
| Surgical opening of stomach 43500 CPT 43500 | $714.96 | $2,648.00 | $40.00 – $1,399.30 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $7.83 | $29.00 | $11.07 – $114.05 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $11.61 | $43.00 | $24.13 – $239.25 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $15.93 | $59.00 | $29.56 – $263.58 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $27.00 | $100.00 | $32.54 – $355.71 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $106.92 | $396.00 | $125.71 – $750.47 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $227.88 | $844.00 | $259.13 – $1,317.01 | 9 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $1,211.49 | $4,487.00 | $45.00 – $2,430.86 | 20 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $1,368.36 | $5,068.00 | $75.00 – $2,768.54 | 20 |
| Surgical revision intestine CPT 44680 | $968.22 | $3,586.00 | $30.00 – $1,910.39 | 20 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $404.73 | $1,499.00 | $30.00 – $657.24 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $1.28 | $4.75 | $0.23 – $9.62 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $4.05 | $15.00 | $0.23 – $9.62 | 9 |
| Susceptibility mic per plate CPT 87186 | $81.81 | $303.00 | $0.60 – $51.03 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | $6.05 | $22.39 | $0.39 – $39.18 | 9 |
| Suspension of testis CPT 54620 | $277.56 | $1,028.00 | $168.65 – $530.88 | 20 |
| Suspension of uterus 58400 CPT 58400 | $58.59 | $217.00 | $217.00 – $944.01 | 20 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $946.35 | $3,505.00 | $137.01 – $1,925.22 | 20 |
| Suture bile duct injury 47900 CPT 47900 | $1,242.27 | $4,601.00 | $881.98 – $2,449.16 | 20 |
| Svc venogram s&i CPT 75827 | $54.81 | $203.00 | $8.25 – $168.09 | 20 |
| Sympathectomy digital artery CPT 64820 | $723.33 | $2,679.00 | $70.00 – $1,917.80 | 20 |
| Sympathectomy supfc palmar CPT 64823 | $746.82 | $2,766.00 | $594.56 – $2,020.05 | 20 |
| Synvisc or synvisc-one HCPCS J7325 | $297.81 | $1,103.00 | $7.95 – $31.00 | 8 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $5.13 | $19.00 | $0.75 – $25.96 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $63.72 | $236.00 | $2.54 – $99.98 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $23.76 | $88.00 | $1.79 – $83.70 | 9 |
| T4 (thyroxine) free CPT 84439 | $70.74 | $262.00 | $0.71 – $53.25 | 9 |
| T4 (thyroxine) total CPT 84436 | $59.94 | $222.00 | $7.83 – $40.57 | 9 |
| Tacrolimus therapeutic drug level CPT 80197 | $3.30 | $12.21 | $1.68 – $81.03 | 9 |
| Tah w/mmk 58152 CPT 58152 | $1,130.22 | $4,186.00 | $192.55 – $2,710.31 | 20 |
| Tap block uni by cont infusion 64487 CPT 64487 | $54.00 | $200.00 | $8.00 – $512.36 | 20 |
| Target gsa panel hmtlmph neop CPT 81450 | $661.50 | $2,450.00 | $911.44 – $6,922.66 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $788.29 | $2,919.60 | $1,964.13 – $57,344.74 | 9 |
| Target gsa panel organ neop CPT 81445 | $631.80 | $2,340.00 | $597.91 – $4,289.94 | 9 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $44.82 | $166.00 | $37.36 – $65.71 | 19 |
| Tbs techl prep&transmis data CPT 77090 | $71.55 | $265.00 | $2.10 – $142.26 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $96.39 | $357.00 | $100.09 – $365.88 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $22.41 | $83.00 | $24.79 – $365.88 | 9 |
| Tca peel dermal 15789 CPT 15789 | $516.51 | $1,913.00 | $182.80 – $1,208.13 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $11.22 | $41.55 | $9.40 – $277.35 | 9 |
| T cells absolute cd 4 count CPT 86361 | $6.43 | $23.80 | $6.37 – $158.02 | 9 |
| T cells total count CPT 86359 | $9.11 | $33.75 | $6.04 – $222.67 | 9 |
| Tcranial magn stim tx deli CPT 90868 | $155.52 | $576.00 | $75.60 – $534.43 | 6 |
| Tcranial magn stim tx plan CPT 90867 | $219.24 | $812.00 | $75.60 – $600.98 | 6 |
| Tcran magn stim redetemine CPT 90869 | $179.01 | $663.00 | $118.25 – $1,191.57 | 6 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $879.66 | $3,258.00 | $75.00 – $2,004.48 | 20 |
| Telehealth original site facility fee HCPCS Q3014 | $21.06 | $78.00 | $29.29 – $96.75 | 11 |
| Telethx isodose plan cplx CPT 77307 | $166.05 | $615.00 | $144.87 – $373.53 | 20 |
| Telethx isodose plan simple CPT 77306 | $79.92 | $296.00 | $69.60 – $192.69 | 20 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $556.47 | $2,061.00 | $55.00 – $1,160.26 | 20 |
| Tendon transfer with graft CPT 26492 | $883.17 | $3,271.00 | $31.00 – $1,824.99 | 20 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $11,694.16 | $43,311.70 | $315.91 – $99,400.35 | 9 |
| Tenodesis biceps tdn at elbw CPT 24340 | $578.61 | $2,143.00 | $30.00 – $1,232.77 | 20 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $585.90 | $2,170.00 | $57.00 – $1,298.04 | 20 |
| Tenosynovectomy radic 26145 CPT 26145 | $498.96 | $1,848.00 | $65.00 – $1,012.81 | 20 |
| Tenotomy hip flexor open CPT 27005 | $682.83 | $2,529.00 | $40.00 – $1,479.33 | 20 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $361.53 | $1,339.00 | $167.91 – $650.59 | 26 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $15.81 | $58.55 | $6.73 – $134.37 | 9 |
| Test for chlorohydrocarbons CPT 82441 | $31.59 | $117.00 | $6.89 – $35.43 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | $35.91 | $133.00 | $33.45 – $276.05 | 20 |
| Test stress cardiovascular tracing only CPT 93017 | $434.70 | $1,610.00 | $75.31 – $352.96 | 7 |
| Theophylline therapeutic drug level CPT 80198 | $44.01 | $163.00 | $16.22 – $83.50 | 9 |
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.