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 |
|---|---|---|---|---|
| Ultrasound guide tissue ablation CPT 76940 | $103.95 | $385.00 | $15.64 – $385.00 | 20 |
| Ultrasound hips infant dynamic CPT 76885 | $37.26 | $138.00 | $5.33 – $184.49 | 20 |
| Ultrasound infant hips ltd without stress CPT 76886 | $31.32 | $116.00 | $4.47 – $135.30 | 20 |
| Ultrasound joint complete left CPT 76881 | $254.61 | $943.00 | $4.32 – $194.47 | 24 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $305.10 | $1,130.00 | $3.00 – $73.34 | 24 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $458.19 | $1,697.00 | $7.12 – $154.88 | 24 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $168.48 | $624.00 | $6.11 – $105.95 | 24 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $196.56 | $728.00 | $14.15 – $300.56 | 24 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $203.58 | $754.00 | $6.34 – $145.32 | 24 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $216.81 | $803.00 | $4.79 – $116.48 | 24 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $228.96 | $848.00 | $5.48 – $152.05 | 24 |
| Ultrasound prostate/transrectal CPT 76872 | $222.21 | $823.00 | $5.12 – $201.80 | 20 |
| Ultrasound retroperitoneal limited CPT 76775 | $232.74 | $862.00 | $4.26 – $95.07 | 24 |
| Ultrasound scrotum and contents CPT 76870 | $393.66 | $1,458.00 | $4.68 – $134.85 | 24 |
| Ultrasound spinal canal and contents CPT 76800 | $139.05 | $515.00 | $8.04 – $184.03 | 24 |
| Ultrasound transabd ea addl gest CPT 76812 | $90.18 | $334.00 | $13.20 – $255.55 | 20 |
| Ultrasound transvaginal non obstetric CPT 76830 | $317.25 | $1,175.00 | $5.00 – $158.07 | 24 |
| Umbilical artery cath newborn 36660 CPT 36660 | $62.10 | $230.00 | $31.65 – $128.34 | 20 |
| Umbilicoplasty 15847 CPT 15847 | $582.66 | $2,158.00 | $273.22 – $2,158.00 | 9 |
| Unlistd noninvas vasc dx std CPT 93998 | $12.69 | $47.00 | $75.60 – $106.97 | 2 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $992.79 | $3,677.00 | $41.00 – $75.60 | 2 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $289.44 | $1,072.00 | $75.60 – $1,192.55 | 4 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $1,151.01 | $4,263.00 | $41.00 – $75.60 | 2 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $93.96 | $348.00 | $41.00 – $160.00 | 4 |
| Unlisted laps px bladder CPT 51999 | $1,520.91 | $5,633.00 | $41.00 – $41.00 | 1 |
| Unlisted laps px ovidct ovry CPT 58679 | $246.24 | $912.00 | $41.00 – $155.00 | 4 |
| Unlisted laps px renal CPT 50549 | $699.30 | $2,590.00 | $41.00 – $75.60 | 2 |
| Unlisted laps px spleen CPT 38129 | $1,220.67 | $4,521.00 | $41.00 – $130.00 | 4 |
| Unlisted laps px uterus CPT 58578 | $540.54 | $2,002.00 | $41.00 – $75.60 | 2 |
| Unlisted misc path test CPT 89240 | $2.52 | $9.35 | $9.35 – $85.18 | 2 |
| Unlisted oph svc/procedure CPT 92499 | $16.47 | $61.00 | $41.00 – $75.60 | 4 |
| Unlisted procedure microbiology CPT 87999 | $119.61 | $443.00 | $443.00 – $571.47 | 7 |
| Unlisted procedure rectum CPT 45999 | $324.54 | $1,202.00 | $41.00 – $75.60 | 4 |
| Unlisted procedure urinary 58750 CPT 58750 | $833.76 | $3,088.00 | $796.29 – $3,088.00 | 20 |
| Unlisted px abdomen muscskel CPT 22999 | $572.67 | $2,121.00 | $35.00 – $75.60 | 4 |
| Unlisted px accessory sinus CPT 31299 | $118.53 | $439.00 | $41.00 – $75.60 | 2 |
| Unlisted px ant segment eye CPT 66999 | $170.10 | $630.00 | $41.00 – $75.60 | 2 |
| Unlisted px arthroscopy CPT 29999 | $663.66 | $2,458.00 | $41.00 – $75.60 | 4 |
| Unlisted px casting/strpg CPT 29799 | $111.24 | $412.00 | $55.00 – $265.63 | 4 |
| Unlisted px conjunctiva CPT 68399 | $69.93 | $259.00 | $41.00 – $75.60 | 4 |
| Unlisted px external ear CPT 69399 | $69.93 | $259.00 | $35.00 – $75.60 | 4 |
| Unlisted px foot/toes CPT 28899 | $1,475.82 | $5,466.00 | $41.00 – $684.56 | 12 |
| Unlisted px leg/ankle CPT 27899 | $794.07 | $2,941.00 | $41.00 – $75.60 | 2 |
| Unlisted px male genital sys CPT 55899 | $260.55 | $965.00 | $41.00 – $75.60 | 2 |
| Unlisted px middle ear CPT 69799 | $85.32 | $316.00 | $41.00 – $75.60 | 2 |
| Unlisted px neck/thorax CPT 21899 | $119.07 | $441.00 | $20.00 – $684.56 | 12 |
| Unlisted px pelvis/hip joint CPT 27299 | $69.93 | $259.00 | $34.00 – $75.60 | 4 |
| Unlisted px small intestine CPT 44799 | $1,481.76 | $5,488.00 | $40.00 – $75.60 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | $73.98 | $274.00 | $30.00 – $75.60 | 4 |
| Unlisted special svc px/rprt CPT 99199 | $60.21 | $223.00 | $41.00 – $684.56 | 15 |
| Unlisted ultrasound procedure CPT 76999 | $262.71 | $973.00 | $41.00 – $75.60 | 2 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $713.07 | $2,641.00 | $1,121.89 – $3,406.89 | 7 |
| Upgrade pm system CPT 33214 | $427.68 | $1,584.00 | $55.00 – $889.06 | 20 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $810.00 | $3,000.00 | $18.58 – $715.61 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $675.00 | $2,500.00 | $13.94 – $571.33 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $607.50 | $2,250.00 | $11.61 – $509.54 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $112.59 | $417.00 | $112.02 – $511.89 | 20 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $126.36 | $468.00 | $40.00 – $656.03 | 20 |
| Uppr gi scope w/submuc inj CPT 43236 | $126.36 | $468.00 | $40.00 – $639.63 | 20 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $594.00 | $2,200.00 | $521.22 – $1,115.65 | 20 |
| Urea nitrogen CPT 84520 | $47.79 | $177.00 | $0.12 – $23.34 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $63.45 | $235.00 | $0.31 – $28.03 | 9 |
| Urea nitrogen clearance CPT 84545 | $1.59 | $5.88 | $0.42 – $38.99 | 9 |
| Ureteral reflux study CPT 78740 | $28.62 | $106.00 | $27.45 – $282.90 | 20 |
| Ureter endoscopy & treatment CPT 50961 | $286.20 | $1,060.00 | $12.00 – $708.73 | 20 |
| Ureteroneocystostomy 50780 CPT 50780 | $1,019.79 | $3,777.00 | $177.59 – $1,921.39 | 20 |
| Ureteroureterostomy 50760 CPT 50760 | $1,031.67 | $3,821.00 | $45.00 – $1,929.48 | 20 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $380.16 | $1,408.00 | $2.44 – $315.23 | 24 |
| Urethrlys transvag with scope CPT 53500 | $689.58 | $2,554.00 | $30.00 – $1,320.45 | 20 |
| Urethrocystography void s&i CPT 74455 | $332.64 | $1,232.00 | $2.44 – $124.82 | 24 |
| Uric acid blood CPT 84550 | $65.34 | $242.00 | $0.33 – $26.70 | 9 |
| Uric acid urine CPT 84560 | $12.15 | $45.00 | $0.21 – $28.03 | 9 |
| Urinalysis microscopic only CPT 81015 | $15.93 | $59.00 | $1.68 – $17.96 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $2.43 | $9.00 | $0.20 – $4.90 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $71.01 | $263.00 | $0.09 – $18.65 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $15.66 | $58.00 | $0.04 – $5.07 | 24 |
| Urine Culture Test CPT 87086 | $95.58 | $354.00 | $9.25 – $47.67 | 9 |
| Urine flow measurement 51736 CPT 51736 | $12.96 | $48.00 | $8.76 – $523.31 | 26 |
| Urine pregnancy test CPT 81025 | $45.09 | $167.00 | $0.74 – $12.92 | 24 |
| Urography, antegrade CPT 74425 | $25.65 | $95.00 | $2.65 – $166.73 | 20 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $109.08 | $404.00 | $158.82 – $797.74 | 6 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $99.36 | $368.00 | $144.48 – $725.74 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $70.99 | $262.94 | $29.00 – $55.22 | 11 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $75.06 | $278.00 | $29.00 – $181.70 | 11 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $57.78 | $214.00 | $27.00 – $117.28 | 11 |
| Vaccine dtap-ipv/hib im CPT 90698 | $76.14 | $282.00 | $118.32 – $282.00 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $18.36 | $68.00 | $29.00 – $57.65 | 11 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $27.27 | $101.00 | $14.13 – $89.01 | 11 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $48.33 | $179.00 | $27.00 – $153.36 | 11 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $202.23 | $749.00 | $130.64 – $749.00 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $26.46 | $98.00 | $29.00 – $73.23 | 11 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $50.76 | $188.00 | $70.52 – $188.00 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $62.37 | $231.00 | $77.35 – $297.99 | 12 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $669.93 | $2,481.24 | $158.49 – $1,145.24 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $28.08 | $104.00 | $29.00 – $52.61 | 12 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $137.70 | $510.00 | $29.00 – $503.00 | 11 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $109.89 | $407.00 | $29.00 – $353.37 | 11 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $56.43 | $209.00 | $71.72 – $209.00 | 7 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $56.43 | $209.00 | $59.37 – $209.00 | 7 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $14.85 | $55.00 | $17.94 – $55.00 | 7 |
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.