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 |
|---|---|---|---|---|
| Warde vitamin c (ascorbic acid) CPT 82180 | $1.31 | $18.75 | $9.89 – $24.38 | 11 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $1.05 | $15.00 | $15.00 – $69.30 | 11 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $0.63 | $9.00 | $9.00 – $25.52 | 11 |
| Warde zinc CPT 84630 | $0.29 | $4.20 | $4.20 – $20.50 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $33.39 | $477.00 | $244.00 – $620.10 | 18 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $44.17 | $631.00 | $244.00 – $939.46 | 18 |
| Wrist X-ray CPT 73110 | $116.41 | $1,663.00 | $111.73 – $2,161.90 | 11 |
| X-ray abdomen 1 view CPT 74018 | $87.36 | $1,248.00 | $111.73 – $1,622.40 | 11 |
| X-ray abdomen 2 views CPT 74019 | $133.98 | $1,914.00 | $134.23 – $2,488.20 | 11 |
| X-ray abdomen >=3 views CPT 74021 | $92.75 | $1,325.00 | $134.23 – $1,722.50 | 11 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $134.89 | $1,927.00 | $134.23 – $2,505.10 | 11 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $99.26 | $1,418.00 | $111.73 – $1,843.40 | 11 |
| X-ray ankle 2 views (both sides) CPT 73600 | $79.17 | $1,131.00 | $111.73 – $1,470.30 | 11 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $183.40 | $2,620.00 | $447.92 – $3,406.00 | 11 |
| X-ray bone age studies CPT 77072 | $68.53 | $979.00 | $134.23 – $1,272.70 | 11 |
| X-ray bone length studies CPT 77073 | $144.27 | $2,061.00 | $134.23 – $2,679.30 | 11 |
| X-ray bone survey complete CPT 77075 | $189.63 | $2,709.00 | $134.23 – $3,521.70 | 11 |
| X-ray bone survey infant CPT 77076 | $112.07 | $1,601.00 | $134.23 – $2,081.30 | 11 |
| X-ray cervical spine 2-3 views CPT 72040 | $145.95 | $2,085.00 | $111.73 – $2,061.80 | 11 |
| X-ray cervical spine 4-5 views CPT 72050 | $153.44 | $2,192.00 | $134.23 – $2,849.60 | 11 |
| X-ray cervical spine >= 6 views CPT 72052 | $165.06 | $2,358.00 | $134.23 – $3,065.40 | 11 |
| X-ray clavicle complete (both sides) CPT 73000 | $105.98 | $1,514.00 | $111.73 – $1,968.20 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $276.92 | $3,956.00 | $225.20 – $5,142.80 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $314.16 | $4,488.00 | $225.20 – $5,834.40 | 11 |
| X-ray elbow 2 views (both sides) CPT 73070 | $79.17 | $1,131.00 | $111.73 – $1,470.30 | 11 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $133.77 | $1,911.00 | $111.73 – $2,484.30 | 11 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $163.94 | $2,342.00 | $225.20 – $3,044.60 | 11 |
| X-ray exam of arm infant CPT 73092 | $79.17 | $1,131.00 | $134.23 – $1,470.30 | 11 |
| X-ray exam of eye sockets CPT 70200 | $77.07 | $1,101.00 | $134.23 – $1,431.30 | 11 |
| X-ray exam of femur 1 CPT 73551 | $83.23 | $1,189.00 | $111.73 – $1,545.70 | 11 |
| X-ray exam of sinuses CPT 70210 | $110.46 | $1,578.00 | $111.73 – $2,051.40 | 11 |
| X-ray exam thorac spine4/>vw CPT 72074 | $139.37 | $1,991.00 | $134.23 – $2,588.30 | 11 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $147.63 | $2,109.00 | $111.73 – $2,741.70 | 11 |
| X-ray facial bones complete > 3 views CPT 70150 | $151.69 | $2,167.00 | $134.23 – $2,817.10 | 11 |
| X-ray femur >=2 views (both sides) CPT 73552 | $120.54 | $1,722.00 | $111.73 – $2,238.60 | 11 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $76.79 | $1,097.00 | $111.73 – $1,426.10 | 11 |
| X-ray foot 2 views (both sides) CPT 73620 | $79.17 | $1,131.00 | $111.73 – $1,470.30 | 11 |
| X-ray forearm 2 views (both sides) CPT 73090 | $104.86 | $1,498.00 | $111.73 – $1,947.40 | 11 |
| X-ray hand 2 views (both sides) CPT 73120 | $79.17 | $1,131.00 | $134.23 – $1,470.30 | 11 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $79.17 | $1,131.00 | $111.73 – $1,470.30 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $114.94 | $1,642.00 | $134.23 – $2,134.60 | 11 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $145.53 | $2,079.00 | $134.23 – $2,702.70 | 11 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $165.90 | $2,370.00 | $134.23 – $3,081.00 | 11 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $105.21 | $1,503.00 | $111.73 – $1,545.70 | 11 |
| X-ray humerus >= 2 views left CPT 73060 | $79.17 | $1,131.00 | $111.73 – $1,470.30 | 11 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $94.15 | $1,345.00 | $111.73 – $1,748.50 | 11 |
| X-ray knee 3 views (both sides) CPT 73562 | $122.22 | $1,746.00 | $111.73 – $2,269.80 | 11 |
| X-ray knee ap standing bilateral CPT 73565 | $90.02 | $1,286.00 | $111.73 – $1,671.80 | 11 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $84.07 | $1,201.00 | $111.73 – $1,561.30 | 11 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $35.70 | $510.00 | $134.23 – $663.00 | 11 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $203.14 | $2,902.00 | $134.23 – $3,772.60 | 11 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $219.59 | $3,137.00 | $134.23 – $4,078.10 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $141.26 | $2,018.00 | $134.23 – $2,623.40 | 11 |
| X-ray nasal bones complete > 3 views CPT 70160 | $110.46 | $1,578.00 | $111.73 – $2,051.40 | 11 |
| X-ray neck soft tissue CPT 70360 | $110.46 | $1,578.00 | $111.73 – $2,051.40 | 11 |
| X-ray pelvis 1-2 views CPT 72170 | $84.00 | $1,200.00 | $134.23 – $1,560.00 | 11 |
| X-ray pelvis complete > 3 views CPT 72190 | $113.75 | $1,625.00 | $134.23 – $2,112.50 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $170.73 | $2,439.00 | $447.92 – $3,170.70 | 11 |
| X-ray ribs 2 views left CPT 71100 | $117.53 | $1,679.00 | $111.73 – $2,182.70 | 11 |
| X-ray ribs 3 views bilateral CPT 71110 | $124.46 | $1,778.00 | $134.23 – $2,311.40 | 11 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $137.55 | $1,965.00 | $134.23 – $2,554.50 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $140.42 | $2,006.00 | $134.23 – $2,607.80 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $111.30 | $1,590.00 | $134.23 – $2,067.00 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $105.14 | $1,502.00 | $111.73 – $1,952.60 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | $90.79 | $1,297.00 | $134.23 – $1,686.10 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $83.23 | $1,189.00 | $111.73 – $1,545.70 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $153.37 | $2,191.00 | $111.73 – $2,848.30 | 11 |
| X-ray skull < 4 views CPT 70250 | $132.65 | $1,895.00 | $134.23 – $2,463.50 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $159.46 | $2,278.00 | $134.23 – $2,961.40 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $169.26 | $2,418.00 | $225.20 – $3,143.40 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $169.26 | $2,418.00 | $86.77 – $3,143.40 | 11 |
| X-ray spine single view CPT 72020 | $83.72 | $1,196.00 | $111.73 – $1,554.80 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $107.73 | $1,539.00 | $111.73 – $2,000.70 | 11 |
| X-ray sternum > 2 views CPT 71120 | $90.02 | $1,286.00 | $111.73 – $1,671.80 | 11 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $144.90 | $2,070.00 | $225.20 – $2,691.00 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $87.22 | $1,246.00 | $111.73 – $1,619.80 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $119.28 | $1,704.00 | $134.23 – $2,215.20 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $102.20 | $1,460.00 | $134.23 – $1,898.00 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $101.15 | $1,445.00 | $111.73 – $1,878.50 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $100.24 | $1,432.00 | $111.73 – $1,861.60 | 11 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $110.39 | $1,577.00 | $111.73 – $2,050.10 | 11 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $75.11 | $1,073.00 | $111.73 – $1,394.90 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $219.03 | $3,129.00 | $225.20 – $4,067.70 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $201.67 | $2,881.00 | $225.20 – $3,745.30 | 11 |
| X-ray wrist 2 views (both sides) CPT 73100 | $87.29 | $1,247.00 | $111.73 – $1,621.10 | 11 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $1.12 | $16.00 | $1.51 – $20.80 | 11 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $8.96 | $128.00 | $128.00 – $166.40 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $196.35 | $2,805.00 | $2,805.00 – $3,646.50 | 5 |
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.