CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Adventist Health Tehachapi Valley

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$9,590

about 1.7× the $5,676 Medicare rate · typically $5,420–$18,433

modeled estimate · not a bill or quote

Medicare pays $5,676 Fair price $9,590 Cash price $7,053 Hospital's list price $26,121

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$11,799 - $17,661	208%
Blue Cross Blue Shieldmajor	$6,411 - $12,516	113%
Aetnamajor	$18,807 - $21,943	331%
Cignamajor	$2,475	44%
Kaiser Permanentemajor	$56,498	995%
Health Net	$17,661 - $18,318	311%
Oscar Health	$7,343	129%
+ 7 smaller / regional plans	$4,632 - $39,737

Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 7,053), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health Tehachapi Valley is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health Tehachapi Valley

Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $5,150
Salinas Valley Memorial Hospital · Salinas $6,988
Shriners Hospitals for Children Northern Calif · Sacramento $7,300
Good Samaritan Hospital, LP · Bakersfield $7,405
Casa Colina Hospital · Pomona $7,407
French Hospital Medical Center · San Luis Obispo $7,451
Oak Valley Hospital District · Oakdale $7,456
Adventist Health and Rideout · Marysville $7,527

Insurance negotiated median for the same procedure, sorted lowest first.