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 |
|---|---|---|---|---|
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $73.22 | $1,046.00 | $1,046.00 – $1,359.80 | 5 |
| Cyclosporine 2 hour CPT 80158 | $0.91 | $13.00 | $13.00 – $32.49 | 11 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $7.91 | $113.00 | $104.00 – $135.20 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $3.29 | $47.00 | $47.00 – $61.10 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $171.15 | $2,445.00 | $2,445.00 – $3,178.50 | 5 |
| Cystatin c CPT 82610 | $1.89 | $27.00 | $18.52 – $35.10 | 11 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $125.86 | $1,798.00 | $447.92 – $2,337.40 | 11 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $3.22 | $46.00 | $9.50 – $25.90 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $0.56 | $8.00 | $8.00 – $30.33 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $3.26 | $46.55 | $46.55 – $120.43 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $3.84 | $54.91 | $47.95 – $86.32 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $4.20 | $60.03 | $47.95 – $86.32 | 11 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $1.74 | $24.89 | $24.89 – $393.73 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $8.25 | $117.79 | $66.91 – $153.13 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $4.71 | $67.25 | $37.13 – $87.43 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $12.88 | $184.00 | $15.61 – $239.20 | 11 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $4.06 | $58.00 | $2.93 – $75.40 | 11 |
| Dch validity tests CPT 81002 | $2.87 | $41.00 | $3.48 – $53.30 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $2.08 | $29.75 | $7.00 – $21.69 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $42.42 | $606.00 | $21.52 – $728.41 | 11 |
| Decalcification CPT 88311 | $0.65 | $9.30 | $9.30 – $38.00 | 11 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $41.65 | $595.00 | $595.00 – $773.50 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $5.11 | $73.00 | $4.45 – $94.90 | 11 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $30.24 | $432.00 | $244.00 – $1,645.00 | 17 |
| Dermagraft HCPCS Q4106 | $16.87 | $241.00 | $241.00 – $313.30 | 5 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1.26 | $18.00 | $18.00 – $23.40 | 5 |
| Detect agent nos dna dir CPT 87797 | $3.85 | $55.00 | $30.03 – $71.50 | 11 |
| Device sut capio slim opn HCPCS C2631 | $113.75 | $1,625.00 | $1,625.00 – $2,112.50 | 5 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $0.14 | $2.00 | $2.00 – $2.60 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $82.81 | $1,183.00 | $1,183.00 – $1,537.90 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $78.26 | $1,118.00 | $1,118.00 – $1,453.40 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $60.41 | $863.00 | $429.00 – $557.70 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $82.81 | $1,183.00 | $1,183.00 – $1,537.90 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $0.49 | $7.00 | $7.00 – $40.01 | 11 |
| Diabetes (HbA1c) Test CPT 83036 | $30.24 | $432.00 | $9.71 – $561.60 | 11 |
| Dialysis one evaluation CPT 90945 | $214.20 | $3,060.00 | $535.72 – $3,978.00 | 11 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $1.26 | $18.00 | $18.00 – $23.40 | 5 |
| Dicyclomine injection HCPCS J0500 | $58.03 | $829.00 | $829.00 – $1,077.70 | 5 |
| Diffusing capacity CPT 94729 | $77.98 | $1,114.00 | $71.11 – $1,617.00 | 14 |
| Digital analysis of eeg CPT 95957 | $139.02 | $1,986.00 | $342.96 – $2,581.80 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $40.81 | $583.00 | $583.00 – $757.90 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $779.03 | $11,129.00 | $5,168.23 – $14,467.70 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $38.29 | $547.00 | $13.28 – $711.10 | 11 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $49.77 | $711.00 | $711.00 – $924.30 | 5 |
| Dilator fascial 10fx20cm HCPCS C2627 | $250.60 | $3,580.00 | $3,580.00 – $4,654.00 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $36.75 | $525.00 | $525.00 – $682.50 | 5 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $37.38 | $534.00 | $534.00 – $694.20 | 5 |
| Dipyridamole injection HCPCS J1245 | $91.91 | $1,313.00 | $1,313.00 – $1,706.90 | 5 |
| Dna antibody native/double stranded CPT 86225 | $8.75 | $125.00 | $6.25 – $24.73 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $139.23 | $1,989.00 | $1,498.00 – $1,947.40 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $17.43 | $249.00 | $249.00 – $323.70 | 5 |
| Dolasetron mesylate HCPCS J1260 | $3.43 | $49.00 | $49.00 – $63.70 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $0.77 | $11.00 | $11.00 – $14.30 | 5 |
| Doppler echo complete CPT 93320 | $168.28 | $2,404.00 | $56.68 – $3,125.20 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $135.87 | $1,941.00 | $277.22 – $2,523.30 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $91.49 | $1,307.00 | $170.82 – $1,891.00 | 14 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $154.56 | $2,208.00 | $2,208.00 – $2,870.40 | 5 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.14 | $2.05 | $2.05 – $2.67 | 5 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $46.97 | $671.00 | $671.00 – $872.30 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $254.38 | $3,634.00 | $1,103.00 – $1,433.90 | 5 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $14.63 | $209.00 | $144.95 – $271.70 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $5.69 | $81.25 | $18.64 – $105.63 | 11 |
| Drug test prsmv instrmnt CPT 80306 | $28.49 | $407.00 | $17.14 – $529.10 | 11 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $130.97 | $1,871.00 | $10.00 – $111.85 | 11 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $204.33 | $2,919.00 | $134.23 – $3,794.70 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $197.75 | $2,825.00 | $277.22 – $3,672.50 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $101.15 | $1,445.00 | $306.34 – $1,891.00 | 14 |
| Ecg 12 lead tracing only CPT 93005 | $102.48 | $1,464.00 | $75.74 – $1,427.40 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $624.33 | $8,919.00 | $701.54 – $11,594.70 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $131.11 | $1,873.00 | $26.73 – $2,434.90 | 14 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $132.16 | $1,888.00 | $306.34 – $2,454.40 | 14 |
| Echo stress CPT 93350 | $265.02 | $3,786.00 | $701.54 – $4,921.80 | 14 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $848.47 | $12,121.00 | $701.54 – $15,757.30 | 14 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $140.28 | $2,004.00 | $277.22 – $2,605.20 | 14 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $418.53 | $5,979.00 | $479.10 – $7,772.70 | 14 |
| Eeg during surgery CPT 95955 | $106.54 | $1,522.00 | $220.22 – $2,181.00 | 14 |
| Eeg monitoring/function test CPT 95958 | $624.05 | $8,915.00 | $1,102.54 – $11,589.50 | 14 |
| Eeg monitoring/giving drugs CPT 95954 | $399.49 | $5,707.00 | $479.10 – $7,419.10 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $276.22 | $3,946.00 | $277.22 – $5,129.80 | 14 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $197.33 | $2,819.00 | $277.22 – $3,664.70 | 14 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $291.69 | $4,167.00 | $277.22 – $5,417.10 | 14 |
| Eeg recording awake and asleep CPT 95819 | $276.22 | $3,946.00 | $277.22 – $5,129.80 | 14 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $241.85 | $3,455.00 | $479.10 – $4,491.50 | 14 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $126.07 | $1,801.00 | $277.22 – $2,341.30 | 14 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $228.41 | $3,263.00 | $479.10 – $4,241.90 | 14 |
| Electrolyte panel CPT 80051 | $61.04 | $872.00 | $7.01 – $1,133.60 | 11 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $27.93 | $399.00 | $170.82 – $1,506.00 | 14 |
| Emg needle test 1-extremity CPT 95860 | $91.98 | $1,314.00 | $170.82 – $1,708.20 | 14 |
| Emg needle test 4-extremities CPT 95864 | $29.82 | $426.00 | $165.20 – $1,506.00 | 14 |
| Endo cath bile duct s&i CPT 74328 | $222.67 | $3,181.00 | $3,181.00 – $4,135.30 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $6.02 | $86.00 | $86.00 – $111.80 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1.96 | $28.00 | $28.00 – $36.40 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $8.96 | $128.00 | $7.85 – $166.40 | 11 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $35.49 | $507.00 | $8.54 – $659.10 | 11 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $9.80 | $140.00 | $140.00 – $182.00 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $0.63 | $9.00 | $9.00 – $27.52 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $0.54 | $7.70 | $7.70 – $32.65 | 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.