New Patient Office Visit (level 3) at TWIN CITIES COMMUNITY HOSPITAL
1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197
$48.30
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.
$690.00
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.
$71.67 with UHC MCR ADV vs $825.50 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 MCR ADV | UHC MCR ADV | $71.67 | ↑ +48% |
| CENCAL MCR ADV - ALL OTHER PLANS | CENCAL MCR ADV - ALL OTHER PLANS | $71.67 | ↑ +48% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $71.67 | ↑ +48% |
| AETNA MCR ADV | AETNA MCR ADV | $71.67 | ↑ +48% |
| CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | $93.17 | ↑ +93% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $129.01 | ↑ +167% |
| UHC PPO | UHC PPO | $142.63 | ↑ +195% |
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $144.16 | ↑ +198% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $175.54 | ↑ +263% |
| BLUE SHIELD EPO/PPO - ALL OTHER PLANS | BLUE SHIELD EPO/PPO - ALL OTHER PLANS | $205.64 | ↑ +326% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $213.61 | ↑ +342% |
| UHC HMO | UHC HMO | $213.87 | ↑ +343% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $228.60 | ↑ +373% |
| CHN-COMMUNITY HLTH NTWRK-ALL PLANS | CHN-COMMUNITY HLTH NTWRK-ALL PLANS | $233.20 | ↑ +383% |
| NBD-NTWRKS BY DESIGN NON-EXLUS | NBD-NTWRKS BY DESIGN NON-EXLUS | $244.86 | ↑ +407% |
| NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | $366.71 | ↑ +659% |
| PACIFIC HEALTH ALLIANCE-ALL PLANS | PACIFIC HEALTH ALLIANCE-ALL PLANS | $381.60 | ↑ +690% |
| MEDI-CAL | MEDI-CAL | $424.00 | ↑ +778% |
| CENCAL MCAL | CENCAL MCAL | $483.36 | ↑ +901% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $496.00 | ↑ +927% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $763.27 | ↑ +1480% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $825.50 | ↑ +1609% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $825.50 | ↑ +1609% |
Visitor-reported prices
Comments
New Patient Office Visit (level 3) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $642.42 | $66.96 – $226.00 |
| Arroyo Grande Hospital | Santa Maria | $155.37 | $82.05 – $335.00 |
| Mark Twain Medical Center | San Andreas | $175.16 | $39.84 – $150.92 |
| French Hospital | San Luis Obispo | $142.30 | $82.05 – $328.30 |
| Bakersfield Memorial Hospital | Bakersfield | $116.71 | $101.90 – $232.00 |
| Healdsburg Hospital | Healdsburg | $475.83 | not published |
| Redwood Memorial Hospital | Fortuna | $109.65 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $198.75 | $82.05 – $554.32 |