Bilirubin direct at TWIN CITIES COMMUNITY HOSPITAL

1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197

Source: hospital's published price file ↗ · Published Jan 10, 2026 · Ingested Sep 16, 2026

$20.86

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$298.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$5.02 with UHC MCR ADV vs $339.72 with CENCAL MCAL — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
UHC MCR ADV UHC MCR ADV $5.02 ↓ -76%
CENCAL MCR ADV - ALL OTHER PLANS CENCAL MCR ADV - ALL OTHER PLANS $5.02 ↓ -76%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $5.02 ↓ -76%
AETNA MCR ADV AETNA MCR ADV $5.02 ↓ -76%
CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS $6.53 ↓ -69%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $9.04 ↓ -57%
UHC PPO UHC PPO $18.84 ↓ -10%
UHC HMO UHC HMO $18.86 ↓ -10%
BLUE SHIELD HMO/POS BLUE SHIELD HMO/POS $23.18 ↑ +11%
BLUE SHIELD EPO/PPO - ALL OTHER PLANS BLUE SHIELD EPO/PPO - ALL OTHER PLANS $27.16 ↑ +30%
CHN-COMMUNITY HLTH NTWRK-ALL PLANS CHN-COMMUNITY HLTH NTWRK-ALL PLANS $30.80 ↑ +48%
NBD-NTWRKS BY DESIGN NON-EXLUS NBD-NTWRKS BY DESIGN NON-EXLUS $32.34 ↑ +55%
NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS $32.34 ↑ +55%
PACIFIC HEALTH ALLIANCE-ALL PLANS PACIFIC HEALTH ALLIANCE-ALL PLANS $50.40 ↑ +142%
BLUE SHIELD PROMISE MCAL BLUE SHIELD PROMISE MCAL $67.31 ↑ +223%
CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS $72.80 ↑ +249%
COALINGA-ALL PLANS COALINGA-ALL PLANS $72.80 ↑ +249%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $100.25 ↑ +381%
HPN-HERITAGE PROV NTWRK-ALL PLANS HPN-HERITAGE PROV NTWRK-ALL PLANS $101.32 ↑ +386%
BLUE SHIELD EPN BLUE SHIELD EPN $107.28 ↑ +414%
MEDI-CAL MEDI-CAL $298.00 ↑ +1329%
CENCAL MCAL CENCAL MCAL $339.72 ↑ +1529%

Visitor-reported prices

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Bilirubin direct at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $98.12 $5.02 – $15.67
Redwood City Medical Center Redwood City $85.68 $5.00 – $5.00
Santa Clara Medical Center SANTA CLARA $85.68 $5.00 – $5.00
Baldwin Park Medical Center BALDWIN PARK $59.80 $3.00 – $3.00
Riverside Medical Center RIVERSIDE $59.80 $3.00 – $3.00
Banner Lassen Medical Center Susanville $25.67 $1.00 – $39.77
Sacramento Medical Center SACRAMENTO $85.68 $5.00 – $5.00
Oakland Medical Center Oakland $85.68 $5.00 – $5.00

All California hospitals for this procedure →