TWIN CITIES COMMUNITY HOSPITAL
1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197
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 |
|---|---|---|---|---|
| 3-d radiotherapy plan CPT 77295 | $354.97 | $5,071.00 | $1,486.00 – $6,592.30 | 14 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $37.38 | $534.00 | $534.00 – $694.20 | 5 |
| 5% dextrose with potassium HCPCS S5012 | $6.23 | $89.00 | $89.00 – $115.70 | 5 |
| Abciximab injection HCPCS J0130 | $774.13 | $11,059.00 | $11,059.00 – $14,376.70 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $600.04 | $8,572.00 | $225.20 – $11,143.60 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $654.92 | $9,356.00 | $225.20 – $12,162.80 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $441.98 | $6,314.00 | $134.23 – $8,208.20 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $922.95 | $13,185.00 | $447.92 – $17,140.50 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $839.23 | $11,989.00 | $306.34 – $15,585.70 | 11 |
| Abdominal Ultrasound (complete) CPT 76700 | $202.65 | $2,895.00 | $134.23 – $3,763.50 | 11 |
| Abdominal Ultrasound (limited) CPT 76705 | $231.35 | $3,305.00 | $134.23 – $4,296.50 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $50.82 | $726.00 | $726.00 – $943.80 | 5 |
| Acetone qualitative CPT 82009 | $43.33 | $619.00 | $4.52 – $804.70 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1.75 | $25.00 | $25.00 – $32.50 | 5 |
| Acute hepatitis panel CPT 80074 | $77.21 | $1,103.00 | $47.63 – $1,433.90 | 11 |
| Acyclovir 400 mg tablet HCPCS J8499 | $307.51 | $4,393.00 | $2.00 – $2.60 | 5 |
| #acylcarnitineprfl CPT 82017 | $3.50 | $50.00 | $16.87 – $65.00 | 11 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $0.84 | $12.00 | $12.00 – $15.60 | 5 |
| Adh-sendout CPT 84588 | $1.82 | $26.00 | $26.00 – $61.09 | 11 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $33.25 | $475.00 | $4.00 – $5.20 | 5 |
| Administration immunization 1 vaccine CPT 90471 | $14.77 | $211.00 | $92.44 – $274.30 | 11 |
| Administration immunization each additional vaccine CPT 90472 | $14.42 | $206.00 | $17.45 – $223.60 | 11 |
| Administration vaccine hepatitis b HCPCS G0010 | $16.80 | $240.00 | $60.12 – $269.10 | 11 |
| Administration vaccine influenza virus HCPCS G0008 | $19.32 | $276.00 | $60.12 – $358.80 | 11 |
| Administration vaccine pneumococcal HCPCS G0009 | $14.49 | $207.00 | $60.12 – $252.20 | 11 |
| _afb id by dna probe rflx ast CPT 87149 | $14.49 | $207.00 | $20.05 – $124.80 | 11 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | $8.89 | $127.00 | $127.00 – $165.10 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | $0.63 | $9.00 | $7.78 – $14.00 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $227.64 | $3,252.00 | $53.08 – $4,227.60 | 11 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $225.47 | $3,221.00 | $53.08 – $4,187.30 | 11 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $8.89 | $127.00 | $5.78 – $54.60 | 11 |
| Albumin serum plasma or whole blood CPT 82040 | $33.46 | $478.00 | $3.71 – $621.40 | 11 |
| Alkaline phosphatase CPT 84075 | $26.67 | $381.00 | $5.18 – $495.30 | 11 |
| Allergen egg white ige CPT 86003 | $0.48 | $6.91 | $4.00 – $9.40 | 11 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $1,608.39 | $22,977.00 | $295.00 – $383.50 | 5 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $104.16 | $1,488.00 | $144.95 – $1,934.40 | 11 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $11.48 | $164.00 | $144.95 – $260.91 | 11 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $65.20 | $931.46 | $144.95 – $379.95 | 11 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $33.67 | $481.00 | $144.95 – $616.20 | 11 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $60.94 | $870.55 | $144.95 – $1,131.72 | 11 |
| Alpha-fetoprotein tumor marker CPT 82105 | $1.07 | $15.25 | $5.65 – $30.19 | 11 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $58.31 | $833.00 | $94.45 – $1,082.90 | 11 |
| Alt/sgpt CPT 84460 | $26.67 | $381.00 | $5.30 – $495.30 | 11 |
| Aluminum - quest CPT 82108 | $1.40 | $20.00 | $20.00 – $45.86 | 11 |
| Amantadine (symmetrel)-sendout CPT 80375 | $7.70 | $110.00 | $110.00 – $143.00 | 5 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $2.87 | $41.00 | $41.00 – $53.30 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $2.31 | $33.00 | $20.00 – $26.00 | 5 |
| Ammonia CPT 82140 | $81.69 | $1,167.00 | $14.57 – $1,517.10 | 11 |
| Amphetamine confirm urine -sendout CPT 80324 | $1.82 | $26.00 | $26.00 – $33.80 | 5 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $117.04 | $1,672.00 | $1,672.00 – $2,173.60 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | $7.42 | $106.00 | $10.30 – $137.80 | 11 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $28.14 | $402.00 | $21.48 – $522.60 | 11 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $38.50 | $550.00 | $26.00 – $33.80 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $45.64 | $652.00 | $45.00 – $58.50 | 5 |
| Amylase CPT 82150 | $43.61 | $623.00 | $6.48 – $135.20 | 11 |
| Analysis gene f2 20210g>a variant CPT 81240 | $2.70 | $38.50 | $38.50 – $118.24 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $2.03 | $29.00 | $29.00 – $132.07 | 11 |
| An fluoro guide for cvp CPT 77001 | $148.68 | $2,124.00 | $109.71 – $2,761.20 | 11 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $855.68 | $12,224.00 | $2.00 – $2.60 | 5 |
| Ankle X-ray CPT 73610 | $133.77 | $1,911.00 | $111.73 – $2,484.30 | 11 |
| Anora (draw only) CPT 99001 | $2.94 | $42.00 | $28.00 – $36.40 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $1.09 | $15.56 | $12.88 – $23.18 | 11 |
| Antibody elution rbc reference CPT 86860 | $6.09 | $87.00 | $87.00 – $393.73 | 11 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $16.31 | $233.00 | $18.37 – $46.80 | 11 |
| Antibody id rbc panel CPT 86870 | $82.04 | $1,172.00 | $118.00 – $828.38 | 11 |
| Antibody screen rbc CPT 86850 | $57.96 | $828.00 | $9.77 – $1,076.40 | 11 |
| Anti mog serum - sendout CPT 86362 | $38.50 | $550.00 | $12.05 – $715.00 | 11 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $6.04 | $86.34 | $12.05 – $21.69 | 11 |
| Antinuclear antibodies CPT 86038 | $2.89 | $41.25 | $4.00 – $21.76 | 11 |
| Antinuclear antibodies titer CPT 86039 | $1.82 | $26.00 | $11.16 – $33.80 | 11 |
| Antistreptolysin o titer CPT 86060 | $0.16 | $2.25 | $2.25 – $13.14 | 11 |
| Antithrombin iii activity CPT 85300 | $0.84 | $12.00 | $11.85 – $21.33 | 11 |
| Aquaporin-4 antibody elisa CPT 86051 | $31.50 | $450.00 | $11.53 – $585.00 | 11 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $1.82 | $26.00 | $0.80 – $33.80 | 11 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $742.42 | $10,606.00 | $4,053.89 – $13,787.80 | 11 |
| Ascenda two piece catheter HCPCS C1772 | $7,581.70 | $108,310.00 | $108,310.00 – $140,803.00 | 5 |
| Assay acid phosphatase CPT 84060 | $7.00 | $100.00 | $7.64 – $130.00 | 11 |
| Assay myeloperoxidase CPT 83876 | $1.75 | $25.00 | $25.00 – $91.55 | 11 |
| Assay of interleukin-6 (il-6) CPT 83529 | $4.90 | $70.00 | $17.27 – $91.00 | 11 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $9.17 | $131.00 | $4.27 – $118.30 | 11 |
| Ast/sgot CPT 84450 | $26.67 | $381.00 | $5.18 – $457.96 | 11 |
| Augment injectable kit 3.0cc HCPCS C1734 | $1,235.22 | $17,646.00 | $17,646.00 – $22,939.80 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | $6.72 | $96.00 | $96.00 – $124.80 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $50.68 | $724.00 | $101.00 – $131.30 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $1.82 | $26.00 | $26.00 – $33.80 | 5 |
| Bacterial meningitis antigen CPT 86403 | $5.81 | $83.00 | $11.54 – $107.90 | 11 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $244.86 | $3,498.00 | $3,498.00 – $4,547.40 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $34.37 | $491.00 | $491.00 – $638.30 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $1.46 | $20.81 | $8.00 – $45.81 | 11 |
| Beta-2 microglobulin CPT 82232 | $5.20 | $74.25 | $16.18 – $96.53 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $60.97 | $871.00 | $871.00 – $1,132.30 | 5 |
| Bilicheck CPT 88720 | $7.07 | $101.00 | $5.02 – $131.30 | 11 |
| Bilirubin direct CPT 82248 | $20.86 | $298.00 | $5.02 – $339.72 | 11 |
| Bilirubin total CPT 82247 | $23.94 | $342.00 | $5.02 – $444.60 | 11 |
| Biotinidase - quest CPT 82261 | $1.28 | $18.25 | $16.87 – $30.37 | 11 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $555.24 | $7,932.00 | $7,932.00 – $10,311.60 | 5 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $239.12 | $3,416.00 | $3,416.00 – $4,440.80 | 5 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $218.96 | $3,128.00 | $1,125.00 – $1,462.50 | 5 |
| Bln press regulation 71-80cm HCPCS C1815 | $2,657.62 | $37,966.00 | $37,966.00 – $49,355.80 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $39.69 | $567.00 | $2.25 – $7.72 | 11 |
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.