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 |
|---|---|---|---|---|
| Chromatography CPT 83021 | $1.28 | $18.25 | $18.06 – $32.51 | 11 |
| Chromo high res and frag x - sendout CPT 81243 | $5.25 | $75.00 | $57.04 – $102.67 | 11 |
| Cilastatin sodium injection HCPCS J0743 | $13.37 | $191.00 | $191.00 – $248.30 | 5 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $52.36 | $748.00 | $19.00 – $24.70 | 5 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $99.12 | $1,416.00 | $1,416.00 – $1,840.80 | 5 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $50.82 | $726.00 | $726.00 – $943.80 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $123.20 | $1,760.00 | $1,760.00 – $2,288.00 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | $18.48 | $264.00 | $19.56 – $343.20 | 11 |
| Cmv pcr-sendout CPT 87496 | $5.46 | $78.00 | $35.09 – $101.40 | 11 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $1.19 | $17.00 | $2.66 – $22.10 | 11 |
| Cold agglutinin titer CPT 86157 | $20.02 | $286.00 | $8.06 – $343.77 | 11 |
| Colistimethate sodium inj HCPCS J0770 | $40.74 | $582.00 | $582.00 – $756.60 | 5 |
| Collection of venous blood by venipuncture CPT 36415 | $7.56 | $108.00 | $9.34 – $44.20 | 11 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $48.72 | $696.00 | $218.74 – $904.80 | 11 |
| Compatibility test each unit immediate spin technique CPT 86920 | $55.09 | $787.00 | $218.74 – $1,023.10 | 11 |
| Compatibility test incubate CPT 86921 | $23.59 | $337.00 | $218.74 – $438.10 | 11 |
| Complement antigen each component c3 CPT 86160 | $3.44 | $49.12 | $4.50 – $21.60 | 11 |
| Concentration infection agents any type CPT 87015 | $2.17 | $31.00 | $6.68 – $40.30 | 11 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $68.11 | $973.00 | $392.06 – $1,264.90 | 11 |
| Consultation pathology during surgery CPT 88329 | $4.05 | $57.84 | $57.84 – $136.33 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $2.49 | $35.53 | $35.53 – $1,861.94 | 11 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $1.98 | $28.31 | $28.31 – $104.58 | 11 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $3.23 | $46.17 | $46.17 – $393.73 | 11 |
| Contrast x-ray of ankle CPT 73615 | $85.33 | $1,219.00 | $447.92 – $1,584.70 | 11 |
| Contrast x-ray of knee joint CPT 73580 | $229.81 | $3,283.00 | $447.92 – $4,267.90 | 11 |
| Contrast x-ray of wrist CPT 73115 | $321.72 | $4,596.00 | $447.92 – $5,974.80 | 11 |
| Controller infinity pt dbs HCPCS C1787 | $489.16 | $6,988.00 | $6,988.00 – $9,084.40 | 5 |
| Coombs direct CPT 86880 | $12.46 | $178.00 | $5.39 – $114.00 | 11 |
| Coombs indirect titer reference CPT 86886 | $14.00 | $200.00 | $5.18 – $260.00 | 11 |
| Cortisol total am CPT 82533 | $19.04 | $272.00 | $16.30 – $326.94 | 11 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $96.25 | $1,375.00 | $1,207.00 – $1,569.10 | 5 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $91.98 | $1,314.00 | $566.13 – $1,708.20 | 11 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $44.52 | $636.00 | $566.13 – $1,019.04 | 11 |
| Covid-19 lab test non-cdc HCPCS U0002 | $18.20 | $260.00 | $51.31 – $338.00 | 11 |
| C-peptide CPT 84681 | $0.33 | $4.75 | $4.75 – $37.46 | 11 |
| Crbrospnl fld flw imag cistern CPT 78630 | $317.66 | $4,538.00 | $697.12 – $5,899.40 | 11 |
| C-reactive protein CPT 86140 | $121.59 | $1,737.00 | $5.18 – $39.00 | 11 |
| C-reactive protein high sensitivity CPT 86141 | $17.85 | $255.00 | $4.10 – $23.31 | 11 |
| Creatine kinase CPT 82550 | $36.68 | $524.00 | $6.51 – $681.20 | 11 |
| Creatine kinase mb CPT 82553 | $0.88 | $12.50 | $11.55 – $20.79 | 11 |
| Creatinine CPT 82565 | $35.77 | $511.00 | $5.12 – $614.22 | 11 |
| Creatinine 24 hour urine CPT 82570 | $50.19 | $717.00 | $5.18 – $143.00 | 11 |
| Creatinine clearance urine CPT 82575 | $98.56 | $1,408.00 | $9.46 – $1,830.40 | 11 |
| Critical care 30-74 minutes CPT 99291 | $868.49 | $12,407.00 | $1,060.54 – $16,129.10 | 11 |
| Critical care each additional 30 minutes CPT 99292 | $419.79 | $5,997.00 | $100.33 – $7,796.10 | 11 |
| Crotalidae poly immune fab HCPCS J0840 | $1,478.26 | $21,118.00 | $1,828.71 – $27,453.40 | 11 |
| Cryoprecipitate each unit HCPCS P9012 | $18.20 | $260.00 | $71.95 – $338.00 | 11 |
| Cryptosporidium antigen CPT 87272 | $22.12 | $316.00 | $11.98 – $410.80 | 11 |
| Crystal identification light microscopy CPT 89060 | $84.98 | $1,214.00 | $7.33 – $1,578.20 | 11 |
| Csf leakage imaging CPT 78650 | $333.41 | $4,763.00 | $1,662.20 – $6,191.90 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | $127.61 | $1,823.00 | $85.24 – $2,369.90 | 11 |
| Cta abdomen without & /or w/contrast CPT 74175 | $791.56 | $11,308.00 | $225.20 – $12,162.80 | 11 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $755.86 | $10,798.00 | $225.20 – $14,037.40 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $653.38 | $9,334.00 | $225.20 – $7,490.60 | 11 |
| Cta neck without &/or w/contrast CPT 70498 | $597.03 | $8,529.00 | $225.20 – $9,007.70 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,302.63 | $18,609.00 | $447.92 – $7,287.80 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $858.76 | $12,268.00 | $225.20 – $13,361.40 | 11 |
| CT Angiogram of the Head CPT 70496 | $686.00 | $9,800.00 | $225.20 – $9,185.80 | 11 |
| CT angio pelvis CPT 72191 | $1,010.10 | $14,430.00 | $225.20 – $14,450.80 | 11 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $848.05 | $12,115.00 | $225.20 – $15,749.50 | 11 |
| CT colonography dx CPT 74261 | $176.12 | $2,516.00 | $134.23 – $3,270.80 | 11 |
| CT guidance for needle placement CPT 77012 | $488.11 | $6,973.00 | $132.04 – $9,064.90 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $570.36 | $8,148.00 | $121.67 – $9,064.90 | 11 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $237.16 | $3,388.00 | $111.73 – $4,404.40 | 11 |
| CT limited or localized follow-up study CPT 76380 | $425.81 | $6,083.00 | $111.73 – $7,530.90 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $391.65 | $5,595.00 | $225.20 – $7,273.50 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $409.50 | $5,850.00 | $134.23 – $7,605.00 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $524.86 | $7,498.00 | $225.20 – $9,747.40 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $757.33 | $10,819.00 | $225.20 – $14,064.70 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $494.20 | $7,060.00 | $134.23 – $9,178.00 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $745.85 | $10,655.00 | $225.20 – $13,851.50 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $804.79 | $11,497.00 | $225.20 – $14,946.10 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $567.98 | $8,114.00 | $225.20 – $10,548.20 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $554.89 | $7,927.00 | $134.23 – $10,305.10 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,276.03 | $18,229.00 | $447.92 – $23,697.70 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,302.63 | $18,609.00 | $447.92 – $24,191.70 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,088.08 | $15,544.00 | $306.34 – $20,207.20 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $605.78 | $8,654.00 | $225.20 – $11,250.20 | 11 |
| CT thoracic spine without contrast CPT 72128 | $703.43 | $10,049.00 | $134.23 – $13,063.70 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $412.93 | $5,899.00 | $447.92 – $7,668.70 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $431.83 | $6,169.00 | $134.23 – $8,019.70 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $679.98 | $9,714.00 | $225.20 – $12,628.20 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $20.86 | $298.00 | $8.08 – $19.50 | 11 |
| Culture afb any source CPT 87116 | $0.53 | $7.50 | $7.50 – $19.44 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $96.32 | $1,376.00 | $8.08 – $1,788.80 | 11 |
| Culture anaerobic except blood CPT 87075 | $101.08 | $1,444.00 | $9.47 – $1,877.20 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $21.35 | $305.00 | $9.44 – $388.70 | 11 |
| Culture body fluid CPT 87070 | $111.37 | $1,591.00 | $8.62 – $178.10 | 11 |
| Culture fungi definitive id mold CPT 87107 | $5.04 | $72.00 | $10.32 – $93.60 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $17.99 | $257.00 | $10.32 – $308.91 | 11 |
| Culture fungi other (except blood) CPT 87102 | $31.64 | $452.00 | $8.41 – $473.59 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $14.07 | $201.00 | $7.71 – $261.30 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $17.71 | $253.00 | $14.61 – $328.90 | 11 |
| Culture screening strep group a CPT 87081 | $104.86 | $1,498.00 | $6.63 – $100.97 | 11 |
| Culture typing immunologic CPT 87147 | $49.91 | $713.00 | $5.18 – $926.90 | 11 |
| Culture urine each isolate CPT 87088 | $9.24 | $132.00 | $8.09 – $158.66 | 11 |
| Cutter lead HCPCS C1773 | $32.27 | $461.00 | $461.00 – $599.30 | 5 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $53.97 | $771.00 | $771.00 – $1,002.30 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $3.44 | $49.12 | $10.00 – $23.31 | 11 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $7.70 | $110.00 | $110.00 – $143.00 | 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.