CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Adventist Health Tehachapi Valley

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$19,452

about 1.4× the $14,044 Medicare rate · typically $14,122–$32,826

modeled estimate · not a bill or quote

What this hospital charges insurers

$30,996

Above the fair price

about $11,544 over the fair price · 2.2× Medicare

Medicare pays $14,044 Fair price $19,452 This hospital $30,996 Cash price $31,607 Hospital's list price $117,065

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $9,517 Priciest $30,996

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $19,452 (about 1.4× the $14,044 Medicare rate). Adventist Health Tehachapi Valley charges insurers about $30,996, or about $31,607 in cash — above the fair price. Located in Tehachapi, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,452. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$11,774 - $55,652	84%
Blue Cross Blue Shieldmajor	$4,274 - $8,344	30%
Aetnamajor	$36,825 - $84,286	262%
Cignamajor	$2,475	18%
Kaiser Permanentemajor	$20,251	144%
Health Net	$11,774 - $27,009	84%
Oscar Health	$18,169	129%
+ 7 smaller / regional plans	$4,632 - $63,590

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 31,607), 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: 470.

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 470.
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: Hip or knee replacement (inpatient stay) at other CA hospitals

Patients' Hospital of Redding · Redding $9,517
College Medical Center · Long Beach $12,743
Santa Clara Valley Medical Center · San Jose $15,669
Salinas Valley Memorial Hospital · Salinas $17,291
Shriners Hospitals for Children Northern Calif · Sacramento $17,574
French Hospital Medical Center · San Luis Obispo $17,727
Fresno Surgical Hospital · Fresno $17,982
Good Samaritan Hospital, LP · Bakersfield $18,197

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