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 |
|---|---|---|---|---|
| X-ray elbow 2 views (both sides) CPT 73070 | $200.88 | $744.00 | $1.13 – $38.45 | 24 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $244.62 | $906.00 | $1.28 – $48.07 | 24 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $225.99 | $837.00 | $3.36 – $123.45 | 24 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $18.36 | $68.00 | $4.01 – $100.67 | 20 |
| X-ray exam entire spi 6/> vw CPT 72084 | $21.33 | $79.00 | $4.66 – $119.34 | 20 |
| X-ray exam of arm infant CPT 73092 | $120.15 | $445.00 | $1.17 – $38.73 | 24 |
| X-ray exam of eye sockets CPT 70200 | $258.12 | $956.00 | $2.02 – $70.11 | 24 |
| X-ray exam of femur 1 CPT 73551 | $12.69 | $47.00 | $1.93 – $37.35 | 20 |
| X-ray exam of jaw joint CPT 70328 | $109.89 | $407.00 | $1.34 – $45.24 | 24 |
| X-ray exam of mastoids CPT 70120 | $93.42 | $346.00 | $1.34 – $48.07 | 24 |
| X-ray exam of salivary gland CPT 70380 | $8.64 | $32.00 | $1.28 – $46.01 | 20 |
| X-ray exam of sinuses CPT 70210 | $91.26 | $338.00 | $1.28 – $40.01 | 24 |
| X-ray exam si joints CPT 72200 | $124.74 | $462.00 | $1.28 – $41.00 | 24 |
| X-ray exam thorac spine4/>vw CPT 72074 | $216.00 | $800.00 | $1.60 – $64.97 | 24 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $9.18 | $34.00 | $8.06 – $39.63 | 20 |
| X-ray facial bones complete > 3 views CPT 70150 | $209.79 | $777.00 | $1.87 – $68.98 | 24 |
| X-ray femur >=2 views (both sides) CPT 73552 | $194.94 | $722.00 | $2.18 – $53.94 | 24 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $180.63 | $669.00 | $0.96 – $45.55 | 24 |
| X-ray foot 2 views (both sides) CPT 73620 | $227.34 | $842.00 | $1.17 – $35.53 | 24 |
| X-ray forearm 2 views (both sides) CPT 73090 | $214.65 | $795.00 | $1.17 – $38.45 | 24 |
| X-ray hand 2 views (both sides) CPT 73120 | $212.76 | $788.00 | $1.17 – $38.72 | 24 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $177.93 | $659.00 | $1.17 – $35.99 | 24 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $121.23 | $449.00 | $3.29 – $86.17 | 24 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $186.57 | $691.00 | $2.67 – $65.95 | 24 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $239.49 | $887.00 | $3.44 – $81.14 | 24 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $15.93 | $59.00 | $3.71 – $75.62 | 20 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $128.79 | $477.00 | $2.18 – $49.05 | 24 |
| X-ray humerus >= 2 views left CPT 73060 | $218.70 | $810.00 | $1.28 – $40.09 | 24 |
| X-ray joint survey 1 view CPT 77077 | $17.55 | $65.00 | $15.48 – $58.77 | 20 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $216.81 | $803.00 | $1.28 – $42.81 | 24 |
| X-ray knee 3 views (both sides) CPT 73562 | $261.36 | $968.00 | $1.34 – $50.11 | 24 |
| X-ray knee ap standing bilateral CPT 73565 | $146.88 | $544.00 | $1.28 – $49.66 | 24 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $176.31 | $653.00 | $1.17 – $38.73 | 24 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $214.38 | $794.00 | $1.60 – $64.04 | 24 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $268.38 | $994.00 | $2.23 – $81.14 | 24 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $215.46 | $798.00 | $2.65 – $104.19 | 24 |
| X-ray mandible complete > 4 views CPT 70110 | $182.52 | $676.00 | $1.81 – $62.99 | 24 |
| X-ray mandible ltd <4 views CPT 70100 | $160.92 | $596.00 | $1.34 – $46.92 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $119.88 | $444.00 | $1.28 – $46.47 | 24 |
| X-ray neck soft tissue CPT 70360 | $139.32 | $516.00 | $1.28 – $39.18 | 24 |
| X-ray nose to rectum for foreign body child CPT 76010 | $58.59 | $217.00 | $1.34 – $43.19 | 24 |
| X-ray of mammary ducts CPT 77054 | $343.44 | $1,272.00 | $21.44 – $127.44 | 24 |
| X-ray optic foramina CPT 70190 | $135.00 | $500.00 | $1.55 – $49.20 | 24 |
| X-ray pelvis 1-2 views CPT 72170 | $158.22 | $586.00 | $1.28 – $40.01 | 24 |
| X-ray pelvis complete > 3 views CPT 72190 | $12.96 | $48.00 | $1.55 – $51.93 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $477.09 | $1,767.00 | $2.65 – $104.40 | 24 |
| X-ray ribs 2 views left CPT 71100 | $189.00 | $700.00 | $1.60 – $50.26 | 24 |
| X-ray ribs 3 views bilateral CPT 71110 | $196.83 | $729.00 | $1.97 – $61.64 | 24 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $244.62 | $906.00 | $1.97 – $59.80 | 24 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $290.52 | $1,076.00 | $2.29 – $78.46 | 24 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $180.63 | $669.00 | $1.38 – $54.72 | 24 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $165.24 | $612.00 | $1.28 – $46.30 | 24 |
| X-ray scapula complete (both sides) CPT 73010 | $231.66 | $858.00 | $1.28 – $45.87 | 24 |
| X-ray sella turcica CPT 70240 | $122.58 | $454.00 | $1.38 – $42.81 | 24 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $203.04 | $752.00 | $1.13 – $32.01 | 24 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $196.56 | $728.00 | $1.81 – $61.71 | 24 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $25.92 | $96.00 | $3.93 – $76.07 | 20 |
| X-ray skull < 4 views CPT 70250 | $172.26 | $638.00 | $1.76 – $48.07 | 24 |
| X-ray skull > 4 views complete CPT 70260 | $247.32 | $916.00 | $2.50 – $74.64 | 24 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $29.16 | $108.00 | $4.26 – $125.28 | 20 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $295.92 | $1,096.00 | $3.40 – $175.08 | 24 |
| X-ray small intestine follow-through study CPT 74248 | $219.78 | $814.00 | $5.48 – $138.41 | 24 |
| X-ray spine single view CPT 72020 | $118.80 | $440.00 | $1.13 – $32.01 | 24 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $94.50 | $350.00 | $1.60 – $51.02 | 24 |
| X-ray sternum > 2 views CPT 71120 | $126.90 | $470.00 | $1.49 – $48.07 | 24 |
| X-ray surgical specimen CPT 76098 | $373.95 | $1,385.00 | $1.17 – $55.12 | 24 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $257.58 | $954.00 | $3.84 – $165.82 | 24 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $198.99 | $737.00 | $1.76 – $70.48 | 24 |
| X-ray thoracic spine 2 views CPT 72070 | $183.06 | $678.00 | $1.60 – $51.88 | 24 |
| X-ray thoracic spine 3 views CPT 72072 | $201.15 | $745.00 | $1.60 – $57.05 | 24 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $151.20 | $560.00 | $1.60 – $50.68 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $76.68 | $284.00 | $3.04 – $64.25 | 24 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $128.25 | $475.00 | $3.71 – $104.19 | 24 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $217.08 | $804.00 | $1.28 – $39.18 | 24 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $161.19 | $597.00 | $0.96 – $35.99 | 24 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $44.82 | $166.00 | $5.00 – $177.66 | 20 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $252.45 | $935.00 | $5.00 – $188.79 | 24 |
| X-ray wrist 2 views (both sides) CPT 73100 | $220.32 | $816.00 | $1.17 – $41.91 | 24 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $186.57 | $691.00 | $2.65 – $121.17 | 24 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $190.35 | $705.00 | $75.60 – $456.20 | 19 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $95.31 | $353.00 | $75.78 – $323.68 | 20 |
| Yersinia antibody CPT 86793 | $3.16 | $11.72 | $1.55 – $77.87 | 9 |
| Zika virus dna/rna amp probe CPT 87662 | $12.31 | $45.61 | $23.40 – $265.75 | 9 |
| Zika virus igm antibody CPT 86794 | $4.04 | $14.97 | $2.52 – $87.25 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $145.94 | $540.52 | $24.92 – $1,240.48 | 9 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $626.94 | $2,322.00 | $5.06 – $1,709.46 | 11 |
| Zoster vaccine-live inj CPT 90736 | $171.99 | $637.00 | $238.19 – $637.00 | 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.