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 |
|---|---|---|---|---|
| Stress test pulmonary CPT 94618 | $79.31 | $1,133.00 | $170.82 – $1,617.00 | 14 |
| St treatment speech individual CPT 92507 | $62.86 | $898.00 | $81.24 – $659.10 | 18 |
| St treatment swallow dysfunction/oral CPT 92526 | $62.86 | $898.00 | $90.21 – $474.00 | 18 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $35.35 | $505.00 | $505.00 – $656.50 | 5 |
| Sulfonylurea screen qn-sendout CPT 80377 | $11.74 | $167.74 | $167.74 – $218.06 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $138.04 | $1,972.00 | $1,082.00 – $1,406.60 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $0.97 | $13.86 | $13.86 – $66.84 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $2.11 | $30.21 | $30.21 – $86.32 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $2.51 | $35.91 | $35.91 – $120.43 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $2.83 | $40.47 | $40.47 – $120.43 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $16.52 | $235.99 | $235.99 – $828.38 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $22.98 | $328.35 | $328.35 – $1,861.94 | 11 |
| Susceptibility agar dilution per agent CPT 87181 | $16.59 | $237.00 | $4.75 – $308.10 | 11 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $31.36 | $448.00 | $4.75 – $538.50 | 11 |
| Susceptibility mic per plate CPT 87186 | $35.98 | $514.00 | $8.65 – $15.57 | 11 |
| Svc venogram s&i CPT 75827 | $743.47 | $10,621.00 | $2,021.06 – $13,807.30 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $59.64 | $852.00 | $3.25 – $1,107.60 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $13.79 | $197.00 | $8.13 – $256.10 | 11 |
| T3 (triiodothyronine) total CPT 84480 | $35.28 | $504.00 | $14.18 – $605.81 | 11 |
| T4 (thyroxine) free CPT 84439 | $35.14 | $502.00 | $5.00 – $16.24 | 11 |
| T4 (thyroxine) total CPT 84436 | $59.36 | $848.00 | $6.87 – $1,102.40 | 11 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12.81 | $183.00 | $23.00 – $29.90 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $358.89 | $5,127.00 | $263.15 – $6,665.10 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $1.19 | $17.00 | $13.73 – $24.71 | 11 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $204.37 | $2,919.60 | $2,919.60 – $5,255.28 | 11 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.77 | $11.00 | $0.28 – $14.30 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $14.70 | $210.00 | $100.00 – $273.00 | 11 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $6.09 | $87.00 | $34.00 – $111.56 | 11 |
| Tc-99m disofenin HCPCS A9510 | $57.26 | $818.00 | $818.00 – $1,063.40 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | $270.76 | $3,868.00 | $927.71 – $5,028.40 | 11 |
| Tc-99m labeled rbc HCPCS A9560 | $54.25 | $775.00 | $775.00 – $1,007.50 | 5 |
| Tc-99m maa HCPCS A9540 | $14.28 | $204.00 | $204.00 – $265.20 | 5 |
| Tc-99m mebrofenin HCPCS A9537 | $33.32 | $476.00 | $476.00 – $618.80 | 5 |
| Tc-99m medronate HCPCS A9503 | $14.28 | $204.00 | $204.00 – $265.20 | 5 |
| Tc-99m mertiatide HCPCS A9562 | $206.99 | $2,957.00 | $2,957.00 – $3,844.10 | 5 |
| Tc-99m pentetate dtpa HCPCS A9539 | $15.33 | $219.00 | $219.00 – $284.70 | 5 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $33.32 | $476.00 | $476.00 – $618.80 | 5 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $13.44 | $192.00 | $192.00 – $249.60 | 5 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $43.96 | $628.00 | $628.00 – $816.40 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | $108.50 | $1,550.00 | $931.00 – $1,210.30 | 5 |
| Tc-99m tilmanocept diag HCPCS A9520 | $198.10 | $2,830.00 | $2,830.00 – $3,679.00 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $1.16 | $16.50 | $16.50 – $84.56 | 11 |
| T cells absolute cd 4 count CPT 86361 | $1.16 | $16.50 | $16.50 – $48.20 | 11 |
| Telehealth original site facility fee HCPCS Q3014 | $8.12 | $116.00 | $116.00 – $150.80 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $46.34 | $662.00 | $172.22 – $860.60 | 11 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $35.98 | $514.00 | $514.00 – $668.20 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $239.19 | $3,417.00 | $277.22 – $4,442.10 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $76.72 | $1,096.00 | $593.00 – $1,424.80 | 11 |
| Theophylline therapeutic drug level CPT 80198 | $57.05 | $815.00 | $14.14 – $1,059.50 | 11 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $32.48 | $464.00 | $464.00 – $603.20 | 5 |
| Thrombin time CPT 85670 | $1.46 | $20.81 | $5.77 – $27.05 | 11 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $86.24 | $1,232.00 | $6.47 – $11.65 | 11 |
| Thyroglobulin antibody CPT 86800 | $0.25 | $3.50 | $3.50 – $28.64 | 11 |
| Thyroid met imaging CPT 78015 | $337.68 | $4,824.00 | $513.27 – $6,271.20 | 11 |
| Thyroid mets imag whole body CPT 78018 | $342.93 | $4,899.00 | $697.12 – $6,368.70 | 11 |
| Thyroid (TSH) Test CPT 84443 | $48.02 | $686.00 | $16.80 – $252.20 | 11 |
| Thyroid Ultrasound CPT 76536 | $149.87 | $2,141.00 | $134.23 – $2,783.30 | 11 |
| Thyroid uptake measurement CPT 78012 | $167.93 | $2,399.00 | $513.27 – $3,118.70 | 11 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,227.87 | $17,541.00 | $2,116.32 – $22,803.30 | 11 |
| Tigecycline injection HCPCS J3243 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $14.35 | $205.00 | $144.95 – $266.50 | 11 |
| Tissue transglutaminase iga CPT 86364 | $2.08 | $29.76 | $8.15 – $20.75 | 11 |
| Tl-201 thallium diag per mci HCPCS A9505 | $209.37 | $2,991.00 | $2,991.00 – $3,888.30 | 5 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $49.14 | $702.00 | $702.00 – $912.60 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $59.92 | $856.00 | $16.13 – $1,112.80 | 11 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4.83 | $69.00 | $5.71 – $89.70 | 11 |
| Tocilizumab for covid-19 HCPCS Q0249 | $4.27 | $61.00 | $61.00 – $79.30 | 5 |
| Toxoplasma antibody igg CPT 86777 | $6.65 | $95.00 | $11.25 – $25.90 | 11 |
| Toxoplasma antibody igm CPT 86778 | $0.79 | $11.25 | $11.25 – $25.94 | 11 |
| Transferrin CPT 84466 | $24.29 | $347.00 | $12.76 – $451.10 | 11 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $101.43 | $1,449.00 | $170.82 – $1,883.70 | 17 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $50.19 | $717.00 | $18.82 – $1,645.00 | 17 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $46.48 | $664.00 | $244.00 – $1,645.00 | 17 |
| Treatment radiation delivery level 2 CPT 77407 | $82.74 | $1,182.00 | $495.20 – $2,133.00 | 14 |
| Treponema pallidum antibody CPT 86780 | $9.73 | $139.00 | $5.20 – $23.83 | 11 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $1.61 | $23.00 | $23.00 – $29.90 | 5 |
| #tricyclicantidprssnt CPT 80337 | $0.91 | $13.00 | $13.00 – $16.90 | 5 |
| Triglycerides CPT 84478 | $30.24 | $432.00 | $5.74 – $492.48 | 11 |
| Troponin quantitative CPT 84484 | $60.13 | $859.00 | $12.47 – $81.06 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $70.07 | $1,001.00 | $134.23 – $1,301.30 | 11 |
| Ultrasound breast complete CPT 76641 | $70.91 | $1,013.00 | $134.23 – $1,316.90 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $57.68 | $824.00 | $111.73 – $1,071.20 | 11 |
| Ultrasound chest CPT 76604 | $107.73 | $1,539.00 | $134.23 – $2,000.70 | 11 |
| Ultrasound encephalogram CPT 76506 | $109.97 | $1,571.00 | $134.23 – $2,042.30 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $112.49 | $1,607.00 | $134.23 – $2,089.10 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $264.53 | $3,779.00 | $134.23 – $4,912.70 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $27.58 | $394.00 | $44.05 – $512.20 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $209.79 | $2,997.00 | $69.59 – $3,896.10 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $257.60 | $3,680.00 | $3,680.00 – $4,784.00 | 5 |
| Ultrasound hips infant dynamic CPT 76885 | $74.55 | $1,065.00 | $111.73 – $1,384.50 | 11 |
| Ultrasound joint complete left CPT 76881 | $180.74 | $2,582.00 | $134.23 – $3,356.60 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $147.56 | $2,108.00 | $134.23 – $2,740.40 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $81.69 | $1,167.00 | $95.70 – $1,517.10 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $86.38 | $1,234.00 | $64.75 – $1,604.20 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $319.48 | $4,564.00 | $306.34 – $5,933.20 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $134.61 | $1,923.00 | $134.23 – $2,499.90 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $165.69 | $2,367.00 | $134.23 – $3,077.10 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $168.63 | $2,409.00 | $134.23 – $3,131.70 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $182.49 | $2,607.00 | $134.23 – $3,389.10 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $231.98 | $3,314.00 | $134.23 – $4,308.20 | 11 |
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.