Ercp biliary & pancreas at TWIN CITIES COMMUNITY HOSPITAL
1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197
$263.55
Cash price 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.
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What you pay up front if you don't use insurance.
$3,765.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$1,266.55 with UHC PPO vs $4,894.50 with CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS — 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 →
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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 ?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 ?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 PPO | UHC PPO | $1,266.55 | ↑ +381% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,266.55 | ↑ +381% |
| UHC HMO | UHC HMO | $1,268.05 | ↑ +381% |
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $1,280.10 | ↑ +386% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $1,355.40 | ↑ +414% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $1,558.71 | ↑ +491% |
| BLUE SHIELD EPO/PPO - ALL OTHER PLANS | BLUE SHIELD EPO/PPO - ALL OTHER PLANS | $1,826.03 | ↑ +593% |
| CHN-COMMUNITY HLTH NTWRK-ALL PLANS | CHN-COMMUNITY HLTH NTWRK-ALL PLANS | $2,070.75 | ↑ +686% |
| NBD-NTWRKS BY DESIGN NON-EXLUS | NBD-NTWRKS BY DESIGN NON-EXLUS | $2,174.29 | ↑ +725% |
| NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | $2,174.29 | ↑ +725% |
| PACIFIC HEALTH ALLIANCE-ALL PLANS | PACIFIC HEALTH ALLIANCE-ALL PLANS | $3,388.50 | ↑ +1186% |
| MEDI-CAL | MEDI-CAL | $3,765.00 | ↑ +1329% |
| CENCAL MCAL | CENCAL MCAL | $4,292.10 | ↑ +1529% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $4,525.53 | ↑ +1617% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $4,894.50 | ↑ +1757% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $4,894.50 | ↑ +1757% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Fresno Medical Center | FRESNO | $1,607.20 | not published |
| St. John's Camarillo Hospital | Camarillo | $1,772.59 | $249.84 – $3,156.66 |
| Antioch Medical Center | ANTIOCH | $1,607.20 | not published |
| Redwood City Medical Center | Redwood City | $1,607.20 | not published |
| Santa Clara Medical Center | SANTA CLARA | $1,607.20 | not published |
| Baldwin Park Medical Center | BALDWIN PARK | $1,476.80 | not published |
| Riverside Medical Center | RIVERSIDE | $1,476.80 | not published |
| Fremont Medical Center | FREMONT | $1,607.20 | not published |