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 |
|---|---|---|---|---|
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.97 | $177.65 | $19.44 – $72.24 | 12 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $14.04 | $52.00 | $20.65 – $34.54 | 12 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $52.11 | $193.00 | $33.05 – $92.83 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $15.66 | $58.00 | $21.40 – $39.39 | 7 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $20.79 | $77.00 | $22.10 – $37.41 | 12 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $14.04 | $52.00 | $10.33 – $29.00 | 7 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $15.93 | $59.00 | $27.44 – $59.00 | 7 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $49.68 | $184.00 | $71.72 – $184.00 | 7 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $24.84 | $92.00 | $21.91 – $92.00 | 7 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $7.29 | $27.00 | $10.44 – $27.00 | 7 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $106.92 | $396.00 | $29.00 – $395.51 | 11 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $82.89 | $307.00 | $188.36 – $330.68 | 7 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $282.15 | $1,045.00 | $75.60 – $1,045.00 | 7 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $97.20 | $360.00 | $29.00 – $283.19 | 11 |
| Vaccine mmr live subcutaneous CPT 90707 | $100.44 | $372.00 | $29.00 – $172.89 | 11 |
| Vaccine mmrv live subcutaneous CPT 90710 | $218.16 | $808.00 | $29.00 – $495.55 | 11 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $101.79 | $377.00 | $29.00 – $232.26 | 12 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $257.58 | $954.00 | $29.00 – $445.74 | 11 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $171.18 | $634.00 | $75.60 – $634.00 | 7 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $279.72 | $1,036.00 | $44.00 – $961.05 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $47.25 | $175.00 | $29.00 – $77.37 | 11 |
| Vaccine rabies im CPT 90675 | $668.86 | $2,477.27 | $318.14 – $766.42 | 11 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $392.31 | $1,453.00 | $343.62 – $1,544.36 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $617.49 | $2,287.00 | $622.87 – $2,799.43 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $617.49 | $2,287.00 | $622.87 – $2,799.43 | 6 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $168.75 | $625.00 | $343.11 – $1,542.09 | 6 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $78.57 | $291.00 | $29.00 – $274.75 | 11 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $76.14 | $282.00 | $27.00 – $186.37 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $118.45 | $438.71 | $27.00 – $82.08 | 11 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $102.05 | $377.96 | $30.71 – $116.10 | 11 |
| Vaccine typhoid vicps im CPT 90691 | $61.02 | $226.00 | $90.01 – $226.00 | 7 |
| Vaccine varicella live subcutaneous CPT 90716 | $205.74 | $762.00 | $29.00 – $299.40 | 11 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $912.33 | $3,379.00 | $70.00 – $2,144.99 | 20 |
| Vag hyst incl t/o complex CPT 58291 | $1,134.27 | $4,201.00 | $656.68 – $2,729.24 | 20 |
| Vag hyst including t/o CPT 58262 | $851.58 | $3,154.00 | $40.00 – $1,990.81 | 20 |
| Vaginal bx CPT 58999 | $140.67 | $521.00 | $41.00 – $75.60 | 2 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $790.02 | $2,926.00 | $65.00 – $2,261.25 | 20 |
| Vaginal Delivery (full care) CPT 59400 | $2,179.71 | $8,073.00 | $40.00 – $3,847.98 | 20 |
| Vaginal hysterectomy CPT 58260 | $771.66 | $2,858.00 | $389.00 – $1,777.12 | 20 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $1,075.14 | $3,982.00 | $716.68 – $2,109.36 | 20 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $31.05 | $115.00 | $115.00 – $263.93 | 7 |
| Valproic acid total therapeutic drug level CPT 80164 | $56.97 | $211.00 | $1.63 – $79.95 | 9 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $68.65 | $254.25 | $0.08 – $269.71 | 9 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $56.73 | $210.13 | $0.28 – $482.24 | 9 |
| Vancomycin peak therapeutic drug level CPT 80202 | $116.91 | $433.00 | $1.63 – $79.95 | 9 |
| Varicella zoster antibody igg CPT 86787 | $10.80 | $40.00 | $1.47 – $76.05 | 9 |
| Vasc graft into carpal bone CPT 25430 | $697.14 | $2,582.00 | $108.71 – $1,392.31 | 20 |
| Vasectomy CPT 55250 | $319.68 | $1,184.00 | $223.75 – $916.23 | 26 |
| Vbac delivery 59610 CPT 59610 | $2,263.68 | $8,384.00 | $65.00 – $3,847.98 | 20 |
| Vbac/include postpartum care 59614 CPT 59614 | $1,023.03 | $3,789.00 | $1,000.82 – $3,789.00 | 20 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $14,040.00 | $52,000.00 | $33.57 – $119,340.00 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | $429.84 | $1,592.00 | $609.98 – $1,350.02 | 7 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $824.31 | $3,053.00 | $1,403.74 – $2,164.51 | 7 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $252.45 | $935.00 | $535.20 – $690.41 | 7 |
| Veeg unmon 12-26 hrs CPT 95714 | $429.84 | $1,592.00 | $380.22 – $609.98 | 7 |
| Veeg unmon 2-12 hrs CPT 95711 | $252.45 | $935.00 | $318.25 – $410.54 | 7 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $1,232.82 | $4,566.00 | $731.00 – $2,702.19 | 20 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $1,425.33 | $5,279.00 | $40.00 – $3,189.89 | 20 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $1,416.69 | $5,247.00 | $65.00 – $3,131.56 | 20 |
| Vein x-ray kidney CPT 75831 | $53.46 | $198.00 | $8.31 – $168.55 | 18 |
| Vein x-ray liver CPT 75891 | $54.54 | $202.00 | $8.25 – $176.29 | 18 |
| Vein x-ray liver w/hemodynam CPT 75889 | $54.00 | $200.00 | $8.25 – $173.56 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $205.47 | $761.00 | $3.00 – $30.34 | 23 |
| Venogram ext bil s&i CPT 75822 | $71.28 | $264.00 | $7.72 – $162.17 | 20 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $50.76 | $188.00 | $5.16 – $138.48 | 20 |
| Venous mech thrombectomy CPT 37187 | $345.87 | $1,281.00 | $65.00 – $4,835.01 | 20 |
| Venous m-thrombectomy add-on CPT 37188 | $247.59 | $917.00 | $243.63 – $4,165.30 | 20 |
| Venous sampling s&i CPT 75893 | $26.46 | $98.00 | $3.93 – $148.05 | 18 |
| Ven thrombosis images bilat CPT 78458 | $45.36 | $168.00 | $40.50 – $267.86 | 20 |
| Ventilator each subsequent day CPT 94003 | $852.12 | $3,156.00 | $35.30 – $122.87 | 24 |
| Ventilator initial day CPT 94002 | $1,120.77 | $4,151.00 | $44.80 – $168.98 | 24 |
| Version cephalic external CPT 59412 | $90.72 | $336.00 | $54.00 – $639.19 | 22 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | $233.01 | $863.00 | $40.00 – $743.35 | 20 |
| Very long chain fatty acids CPT 82726 | $4.33 | $16.05 | $3.17 – $106.60 | 9 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | $341.82 | $1,266.00 | $253.16 – $785.48 | 20 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $10.80 | $40.00 | $5.53 – $40.00 | 8 |
| Virus isolation addl studies ea CPT 87253 | $4.32 | $16.00 | $3.23 – $119.23 | 9 |
| Vital capacity test CPT 94150 | $15.93 | $59.00 | $3.74 – $32.34 | 9 |
| Vitamin b-12 CPT 82607 | $81.81 | $303.00 | $1.82 – $88.98 | 9 |
| Vitamin D Test CPT 82306 | $48.60 | $180.00 | $7.34 – $174.75 | 9 |
| Vkorc1 gene CPT 81355 | $13.50 | $50.00 | $44.10 – $147.11 | 9 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | $163.35 | $605.00 | $10.00 – $523.31 | 26 |
| Volume measurement urine timed CPT 81050 | $8.91 | $33.00 | $0.55 – $17.72 | 9 |
| Vulvectomy simple partial CPT 56620 | $553.77 | $2,051.00 | $121.61 – $1,130.65 | 26 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $106,341.74 | $393,858.30 | $5,008.10 – $903,904.80 | 9 |
| Warde 1003990 aldosterone CPT 82088 | $9.78 | $36.22 | $14.76 – $240.58 | 9 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $38.61 | $143.00 | $6.87 – $164.14 | 9 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $57.46 | $212.80 | $1.48 – $76.10 | 9 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $6.06 | $22.45 | $5.67 – $149.04 | 9 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $3.72 | $13.78 | $2.14 – $91.54 | 9 |
| Warde 1015200 kappa light chain free CPT 83521 | $4.66 | $17.27 | $2.98 – $72.45 | 9 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $1.93 | $7.13 | $0.57 – $47.38 | 9 |
| Warde 3008005 oligoclonal bands CPT 83916 | $5.91 | $21.90 | $6.00 – $118.74 | 9 |
| Warde 3016000 west nile virus antibody CPT 86788 | $4.04 | $14.98 | $2.52 – $99.44 | 9 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $3.45 | $12.79 | $1.84 – $84.93 | 9 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $44.28 | $164.00 | $1.33 – $72.35 | 9 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $3.51 | $13.00 | $0.52 – $52.51 | 9 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $4.31 | $15.98 | $2.87 – $106.10 | 9 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $38.51 | $142.63 | $114.10 – $598.32 | 9 |
| Warde 3400852 arsenic CPT 82175 | $56.70 | $210.00 | $2.92 – $112.02 | 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.