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 |
|---|---|---|---|---|
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $31.64 | $452.00 | $31.06 – $474.00 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $13.37 | $191.00 | $32.23 – $474.00 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | $12.32 | $176.00 | $33.22 – $474.00 | 18 |
| Pulmonary vent imaging CPT 78579 | $242.55 | $3,465.00 | $513.27 – $4,504.50 | 11 |
| Pulse ox multiple CPT 94761 | $39.76 | $568.00 | $4.74 – $1,617.00 | 14 |
| Pulse ox single CPT 94760 | $30.66 | $438.00 | $4.36 – $1,617.00 | 14 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $21.28 | $304.00 | $170.82 – $395.20 | 11 |
| Puraply xt 1 sq cm HCPCS Q4197 | $23.87 | $341.00 | $144.95 – $443.30 | 11 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $35.14 | $502.00 | $502.00 – $652.60 | 5 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $244.02 | $3,486.00 | $697.12 – $4,531.80 | 11 |
| Quest t3 uptake CPT 84479 | $47.11 | $673.00 | $6.47 – $874.90 | 11 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $269.99 | $3,857.00 | $352.44 – $5,014.10 | 11 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $169.82 | $2,426.00 | $279.85 – $3,153.80 | 11 |
| Radiation physics consult CPT 77336 | $83.37 | $1,191.00 | $172.57 – $2,133.00 | 14 |
| Radiation therapy dose plan CPT 77300 | $62.79 | $897.00 | $172.57 – $2,133.00 | 14 |
| Radiation treatment aid(s) CPT 77332 | $86.31 | $1,233.00 | $172.57 – $2,133.00 | 14 |
| Radiation treatment aid(s) CPT 77334 | $86.45 | $1,235.00 | $480.73 – $2,133.00 | 14 |
| Radiation treatment delivery CPT 77402 | $75.25 | $1,075.00 | $131.00 – $2,133.00 | 14 |
| Radiation treatment delivery CPT 77412 | $99.89 | $1,427.00 | $709.41 – $2,133.00 | 14 |
| Radiology port images(s) CPT 77417 | $57.19 | $817.00 | $817.00 – $2,133.00 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $471.66 | $6,738.00 | $697.12 – $8,759.40 | 11 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $734.79 | $10,497.00 | $1,662.20 – $13,646.10 | 11 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $235.69 | $3,367.00 | $697.12 – $4,377.10 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $337.05 | $4,815.00 | $513.27 – $6,259.50 | 11 |
| Rapid Strep Test CPT 87880 | $66.22 | $946.00 | $16.53 – $1,229.80 | 11 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $176.05 | $2,515.00 | $377.52 – $3,269.50 | 11 |
| Rbc count only automated CPT 85041 | $0.16 | $2.25 | $2.25 – $5.44 | 11 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $44.66 | $638.00 | $184.91 – $829.40 | 11 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $49.77 | $711.00 | $265.41 – $924.30 | 11 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $47.46 | $678.00 | $678.00 – $881.40 | 5 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $2.76 | $39.47 | $6.73 – $51.31 | 11 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $38.78 | $554.00 | $257.59 – $681.20 | 11 |
| Renal function panel CPT 80069 | $123.62 | $1,766.00 | $8.68 – $2,295.80 | 11 |
| Resp virus 6-11 targets CPT 87632 | $167.86 | $2,398.00 | $218.06 – $1,558.70 | 11 |
| Resuscitation cardiopulmonary CPT 92950 | $177.52 | $2,536.00 | $277.22 – $7,049.00 | 14 |
| Resuscitation delivery/birthing room CPT 99465 | $124.32 | $1,776.00 | $244.00 – $2,308.80 | 17 |
| Reteplase injection HCPCS J2993 | $3,297.84 | $47,112.00 | $2,904.57 – $61,245.60 | 11 |
| Reticulocyte direct measurement automated CPT 85046 | $58.94 | $842.00 | $5.57 – $88.40 | 11 |
| Revita, per sq cm HCPCS Q4180 | $78.89 | $1,127.00 | $144.95 – $718.90 | 11 |
| Rheumatoid factor quantitative CPT 86431 | $13.23 | $189.00 | $5.67 – $63.96 | 11 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $6.51 | $93.00 | $93.00 – $120.90 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $34.37 | $491.00 | $25.46 – $638.30 | 11 |
| Rho d immune globulin inj HCPCS J2790 | $93.94 | $1,342.00 | $1,342.00 – $1,744.60 | 5 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.17 | $2.46 | $2.46 – $3.20 | 5 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $136.01 | $1,943.00 | $716.57 – $2,525.90 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $69.02 | $986.00 | $29.38 – $1,281.80 | 11 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $265.72 | $3,796.00 | $513.27 – $4,934.80 | 11 |
| Rubella antibody igg CPT 86762 | $66.22 | $946.00 | $3.31 – $25.90 | 11 |
| Rubeola antibody igg CPT 86765 | $0.19 | $2.75 | $2.75 – $23.18 | 11 |
| Russell viper venom diluted CPT 85613 | $1.58 | $22.50 | $8.75 – $17.24 | 11 |
| Sarscov coronavirus ag ia CPT 87426 | $19.95 | $285.00 | $35.33 – $370.50 | 11 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $145.39 | $2,077.00 | $306.34 – $2,700.10 | 14 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $100.10 | $1,430.00 | $134.23 – $1,891.00 | 14 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $299.32 | $4,276.00 | $134.23 – $5,558.80 | 14 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $253.05 | $3,615.00 | $306.34 – $4,699.50 | 14 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $163.94 | $2,342.00 | $134.23 – $3,044.60 | 14 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $163.94 | $2,342.00 | $134.23 – $3,044.60 | 14 |
| Screening prostate cancer PSA HCPCS G0103 | $16.87 | $241.00 | $19.31 – $313.30 | 11 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,812.76 | $68,753.67 | $32.00 – $41.60 | 5 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $13.16 | $188.00 | $5.08 – $244.40 | 11 |
| Semen analysis presence/motility CPT 89321 | $5.32 | $76.00 | $12.05 – $98.80 | 11 |
| Set radiation therapy field CPT 77280 | $82.18 | $1,174.00 | $172.57 – $2,133.00 | 14 |
| Set radiation therapy field CPT 77285 | $111.37 | $1,591.00 | $480.73 – $2,133.00 | 14 |
| Set radiation therapy field CPT 77290 | $147.49 | $2,107.00 | $480.73 – $2,739.10 | 14 |
| Shoulder MRI (with and without contrast) CPT 73223 | $786.03 | $11,229.00 | $447.92 – $14,597.70 | 11 |
| Shoulder MRI (with contrast) CPT 73222 | $707.91 | $10,113.00 | $1,006.48 – $13,146.90 | 11 |
| Shoulder MRI (without contrast) CPT 73221 | $641.90 | $9,170.00 | $306.34 – $11,921.00 | 11 |
| Shoulder X-ray CPT 73030 | $119.49 | $1,707.00 | $111.73 – $2,219.10 | 11 |
| Sickling rbc CPT 85660 | $0.28 | $4.00 | $4.00 – $9.92 | 11 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $64.12 | $916.00 | $916.00 – $1,190.80 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $675.15 | $9,645.00 | $225.20 – $12,538.50 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $592.41 | $8,463.00 | $225.20 – $10,479.30 | 11 |
| Sinus CT scan (without contrast) CPT 70486 | $584.08 | $8,344.00 | $134.23 – $10,305.10 | 11 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $0.91 | $13.00 | $13.00 – $16.90 | 5 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $35.70 | $510.00 | $10.98 – $663.00 | 11 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,250.69 | $17,867.00 | $6,660.00 – $8,658.00 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $0.53 | $7.50 | $5.39 – $9.75 | 11 |
| Smear gram stain CPT 87205 | $67.13 | $959.00 | $4.27 – $119.60 | 11 |
| Smear nasal eosinophil CPT 89190 | $8.96 | $128.00 | $5.79 – $166.40 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $76.86 | $1,098.00 | $5.99 – $1,427.40 | 11 |
| Smear wet mount CPT 87210 | $49.21 | $703.00 | $5.82 – $136.50 | 11 |
| Snrpn/ube3a gene CPT 81331 | $17.50 | $250.00 | $51.07 – $325.00 | 11 |
| Sodium 24 hour urine CPT 84300 | $17.57 | $251.00 | $5.06 – $106.60 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $86.87 | $1,241.00 | $1,241.00 – $1,613.30 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $67.90 | $970.00 | $970.00 – $1,261.00 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $49.91 | $713.00 | $54.00 – $70.20 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $5.18 | $74.00 | $74.00 – $96.20 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $17.57 | $251.00 | $4.81 – $326.30 | 11 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $0.42 | $6.00 | $0.88 – $7.80 | 11 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $140.63 | $2,009.00 | $479.10 – $2,611.70 | 14 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $594.79 | $8,497.00 | $4,146.34 – $11,046.10 | 11 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $22.33 | $319.00 | $109.44 – $474.00 | 18 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $1,074.15 | $15,345.00 | $15,345.00 – $19,948.50 | 5 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $35.14 | $502.00 | $502.00 – $652.60 | 5 |
| Sterile water/saline, 10 ml HCPCS A4216 | $2.87 | $41.00 | $0.63 – $5.20 | 11 |
| Sterile water/saline, 500 ml HCPCS A4217 | $62.86 | $898.00 | $3.80 – $44.20 | 11 |
| St evaluate speech sound production CPT 92522 | $19.04 | $272.00 | $118.82 – $474.00 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $81.90 | $1,170.00 | $242.09 – $1,037.40 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $120.47 | $1,721.00 | $97.89 – $1,246.70 | 18 |
| St evaluation swallow function CPT 92610 | $106.89 | $1,527.00 | $60.32 – $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.