New Patient Office Visit (level 4) at TWIN CITIES COMMUNITY HOSPITAL
1100 Las Tablas Rd, Templeton, CA · Adventisthealth · · NPI 1396778197
$91.98
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.
$1,314.00
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.
$117.72 with TRICARE BLUE SHIELD-ALL PLANS vs $783.90 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 |
|---|---|---|---|
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $117.72 | ↑ +28% |
| CENCAL MCR ADV - ALL OTHER PLANS | CENCAL MCR ADV - ALL OTHER PLANS | $117.72 | ↑ +28% |
| UHC MCR ADV | UHC MCR ADV | $117.72 | ↑ +28% |
| AETNA MCR ADV | AETNA MCR ADV | $117.72 | ↑ +28% |
| CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | $153.04 | ↑ +66% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $202.85 | ↑ +121% |
| UHC PPO | UHC PPO | $202.85 | ↑ +121% |
| UHC HMO | UHC HMO | $203.09 | ↑ +121% |
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $205.02 | ↑ +123% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $211.90 | ↑ +130% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $217.08 | ↑ +136% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $249.64 | ↑ +171% |
| BLUE SHIELD EPO/PPO - ALL OTHER PLANS | BLUE SHIELD EPO/PPO - ALL OTHER PLANS | $292.46 | ↑ +218% |
| CHN-COMMUNITY HLTH NTWRK-ALL PLANS | CHN-COMMUNITY HLTH NTWRK-ALL PLANS | $331.65 | ↑ +261% |
| NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXLUS-ALL OTHER PLANS | $348.23 | ↑ +279% |
| NBD-NTWRKS BY DESIGN NON-EXLUS | NBD-NTWRKS BY DESIGN NON-EXLUS | $348.23 | ↑ +279% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $496.00 | ↑ +439% |
| PACIFIC HEALTH ALLIANCE-ALL PLANS | PACIFIC HEALTH ALLIANCE-ALL PLANS | $542.70 | ↑ +490% |
| MEDI-CAL | MEDI-CAL | $603.00 | ↑ +556% |
| CENCAL MCAL | CENCAL MCAL | $687.42 | ↑ +647% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $724.81 | ↑ +688% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $783.90 | ↑ +752% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $783.90 | ↑ +752% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| Mark Twain Medical Center | San Andreas | $291.05 | $58.73 – $222.46 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $111.00 – $384.00 |
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |