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 |
|---|---|---|---|---|
| Osmolality blood CPT 83930 | $13.16 | $188.00 | $6.61 – $244.40 | 11 |
| Osmolality urine CPT 83935 | $13.16 | $188.00 | $6.82 – $244.40 | 11 |
| Ot evaluation high complexity patient/family CPT 97167 | $95.97 | $1,371.00 | $108.03 – $1,782.30 | 18 |
| Ot evaluation low complexity patient/family CPT 97165 | $42.70 | $610.00 | $108.03 – $793.00 | 18 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $55.09 | $787.00 | $108.03 – $1,023.10 | 18 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $23.66 | $338.00 | $54.91 – $474.00 | 18 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $22.40 | $320.00 | $50.26 – $474.00 | 18 |
| Ot re-evaluation patient/family CPT 97168 | $25.62 | $366.00 | $73.88 – $475.80 | 18 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $37.03 | $529.00 | $37.95 – $474.00 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $14.77 | $211.00 | $18.97 – $474.00 | 18 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $14.77 | $211.00 | $20.21 – $474.00 | 18 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $32.97 | $471.00 | $31.06 – $474.00 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $33.60 | $480.00 | $35.04 – $474.00 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $27.09 | $387.00 | $34.87 – $484.90 | 18 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $2.17 | $31.00 | $31.00 – $40.30 | 5 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $32.48 | $464.00 | $52.00 – $67.60 | 5 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $8.12 | $116.00 | $15.11 – $150.80 | 11 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $370.79 | $5,297.00 | $5,297.00 – $6,886.10 | 5 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $44.31 | $633.00 | $88.00 – $114.40 | 5 |
| Papaverin hcl injection HCPCS J2440 | $34.86 | $498.00 | $498.00 – $647.40 | 5 |
| Parathormone (pth) intact CPT 83970 | $26.67 | $381.00 | $9.00 – $74.30 | 11 |
| Parathyroid planar imaging CPT 78070 | $413.49 | $5,907.00 | $513.27 – $7,679.10 | 11 |
| Parathyroid planar img w/tomo spect CPT 78071 | $353.01 | $5,043.00 | $513.27 – $6,555.90 | 11 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1.75 | $25.00 | $17.00 – $22.10 | 5 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $753.48 | $10,764.00 | $225.20 – $13,993.20 | 11 |
| Pelvic CT scan (with contrast) CPT 72193 | $630.00 | $9,000.00 | $225.20 – $11,700.00 | 11 |
| Pelvic CT scan (without contrast) CPT 72192 | $577.78 | $8,254.00 | $134.23 – $10,730.20 | 11 |
| Pelvic MRI (with and without contrast) CPT 72197 | $999.95 | $14,285.00 | $447.92 – $18,570.50 | 11 |
| Pelvic MRI (without contrast) CPT 72195 | $811.58 | $11,594.00 | $306.34 – $15,072.20 | 11 |
| Pelvic Ultrasound (complete) CPT 76856 | $266.00 | $3,800.00 | $134.23 – $4,940.00 | 11 |
| Pelvic Ultrasound (limited) CPT 76857 | $155.89 | $2,227.00 | $134.23 – $2,895.10 | 11 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $40.25 | $575.00 | $60.29 – $747.50 | 11 |
| Peng benzathine/procaine inj HCPCS J0558 | $2.87 | $41.00 | $19.52 – $53.30 | 11 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $3.43 | $49.00 | $30.01 – $63.70 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $2.87 | $41.00 | $10.00 – $13.00 | 5 |
| Penicillin g procaine inj HCPCS J2510 | $40.74 | $582.00 | $582.00 – $756.60 | 5 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $2,452.87 | $35,041.00 | $35,041.00 – $45,553.30 | 5 |
| Penile vascular study CPT 93980 | $106.12 | $1,516.00 | $134.23 – $1,970.80 | 14 |
| Pentamidine non-comp unit HCPCS J2545 | $291.55 | $4,165.00 | $4,165.00 – $5,414.50 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $99.40 | $1,420.00 | $1,420.00 – $1,846.00 | 5 |
| Pet CT whole body initial CPT 78816 | $448.42 | $6,406.00 | $1,835.91 – $8,327.80 | 11 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $5,996.06 | $85,658.00 | $582.00 – $756.60 | 5 |
| Ph body fluid CPT 83986 | $11.06 | $158.00 | $3.58 – $205.40 | 11 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $3.22 | $46.00 | $32.00 – $41.60 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $52.01 | $743.00 | $15.30 – $965.90 | 11 |
| Phentolaine mesylate inj HCPCS J2760 | $128.17 | $1,831.00 | $432.02 – $2,380.30 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $0.14 | $2.00 | $2.00 – $2.60 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $54.81 | $783.00 | $13.25 – $23.85 | 11 |
| Phlebotomy therapeutic CPT 99195 | $63.28 | $904.00 | $170.82 – $1,175.20 | 14 |
| Phosphorus CPT 84100 | $30.24 | $432.00 | $4.74 – $519.26 | 11 |
| Phosphorus 24 hour urine CPT 84105 | $0.23 | $3.25 | $3.25 – $10.40 | 11 |
| Phys blood bank serv reactj CPT 86078 | $71.05 | $1,015.00 | $218.74 – $1,319.50 | 11 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $5.04 | $72.00 | $16.00 – $20.80 | 5 |
| Pin caspar distraction 12mm HCPCS C1821 | $3,391.99 | $48,457.00 | $48,457.00 – $62,994.10 | 5 |
| Pinworm exam CPT 87172 | $11.90 | $170.00 | $4.27 – $204.34 | 11 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $7.28 | $104.00 | $72.00 – $93.60 | 5 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $232.05 | $3,315.00 | $35.32 – $4,309.50 | 11 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $95.69 | $1,367.00 | $511.59 – $1,777.10 | 11 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $94.29 | $1,347.00 | $680.61 – $1,751.10 | 11 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $80.78 | $1,154.00 | $479.10 – $1,617.00 | 14 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $118.44 | $1,692.00 | $26.07 – $2,199.60 | 11 |
| Potassium 24 hour urine CPT 84133 | $18.90 | $270.00 | $4.73 – $111.80 | 11 |
| Potassium serum/plasma/whole blood CPT 84132 | $22.12 | $316.00 | $4.76 – $410.80 | 11 |
| Pq dr cath chg w cont s&i CPT 75984 | $129.92 | $1,856.00 | $102.19 – $2,412.80 | 11 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $38.78 | $554.00 | $257.59 – $720.20 | 11 |
| Prealbumin CPT 84134 | $7.91 | $113.00 | $14.59 – $146.90 | 11 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $5.88 | $84.00 | $28.00 – $36.40 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.10 | $30.00 | $23.00 – $29.90 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $264.53 | $3,779.00 | $134.23 – $4,912.70 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $290.78 | $4,154.00 | $134.23 – $5,400.20 | 11 |
| Pretreat rbc absorption reference CPT 86978 | $9.38 | $134.00 | $75.74 – $174.20 | 11 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $7.00 | $100.00 | $75.74 – $136.33 | 11 |
| Pretreat rbc w enzyme reference CPT 86971 | $9.38 | $134.00 | $134.00 – $393.73 | 11 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $15.26 | $218.00 | $10.93 – $283.40 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $99.40 | $1,420.00 | $294.69 – $1,846.00 | 11 |
| Procalcitonin CPT 84145 | $13.44 | $192.00 | $27.22 – $230.78 | 11 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $41.79 | $597.00 | $231.00 – $300.30 | 5 |
| Progesterone CPT 84144 | $27.30 | $390.00 | $20.86 – $507.00 | 11 |
| Prolactin CPT 84146 | $20.23 | $289.00 | $19.38 – $375.70 | 11 |
| Promethazine hcl injection HCPCS J2550 | $35.98 | $514.00 | $514.00 – $668.20 | 5 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.14 | $2.00 | $2.00 – $2.60 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $39.69 | $567.00 | $567.00 – $737.10 | 5 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.26 | $18.00 | $18.00 – $23.40 | 5 |
| Protein c activity CPT 85303 | $0.70 | $10.00 | $10.00 – $24.91 | 11 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $0.17 | $2.38 | $2.38 – $19.33 | 11 |
| Protein s total CPT 85305 | $1.26 | $18.00 | $11.61 – $23.40 | 11 |
| Protein total 24 hour urine CPT 84156 | $51.80 | $740.00 | $2.75 – $6.61 | 11 |
| Protein total body fluid CPT 84157 | $45.43 | $649.00 | $4.00 – $7.20 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $31.08 | $444.00 | $2.37 – $14.34 | 11 |
| Prothrombin complex kcentra HCPCS J7168 | $1.82 | $26.00 | $2.14 – $33.80 | 11 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $16.31 | $233.00 | $3.94 – $302.90 | 11 |
| PSA (Prostate) Test CPT 84153 | $39.62 | $566.00 | $3.99 – $33.10 | 11 |
| Pt evaluation high complexity patient/family CPT 97163 | $87.29 | $1,247.00 | $104.99 – $1,621.10 | 18 |
| Pt evaluation low complexity patient/family CPT 97161 | $34.65 | $495.00 | $104.99 – $643.50 | 18 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $47.74 | $682.00 | $104.99 – $886.60 | 18 |
| Pt re-evaluation patient/family CPT 97164 | $24.36 | $348.00 | $72.73 – $474.00 | 18 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $18.83 | $269.00 | $30.48 – $349.70 | 11 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $16.03 | $229.00 | $13.52 – $474.00 | 18 |
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.