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 |
|---|---|---|---|---|
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $16.87 | $241.00 | $2.99 – $313.30 | 11 |
| Ercp biliary & pancreas CPT 74330 | $263.55 | $3,765.00 | $3,765.00 – $4,894.50 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $43.96 | $628.00 | $589.00 – $765.70 | 5 |
| ER Visit (level 1, minor) CPT 99281 | $102.06 | $1,458.00 | $108.26 – $316.88 | 11 |
| ER Visit (level 2) CPT 99282 | $181.23 | $2,589.00 | $197.14 – $2,867.80 | 11 |
| ER Visit (level 3) CPT 99283 | $307.72 | $4,396.00 | $350.48 – $5,094.70 | 11 |
| ER Visit (level 4) CPT 99284 | $569.03 | $8,129.00 | $535.72 – $9,434.10 | 11 |
| ER Visit (level 5, high severity) CPT 99285 | $732.41 | $10,463.00 | $764.60 – $11,057.80 | 11 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $47.25 | $675.00 | $675.00 – $877.50 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $1.12 | $16.00 | $6.00 – $7.80 | 5 |
| Esophagus motility study CPT 91010 | $114.94 | $1,642.00 | $479.10 – $2,134.60 | 11 |
| Established Patient Office Visit (level 1) CPT 99211 | $27.72 | $396.00 | $7.82 – $189.80 | 11 |
| Established Patient Office Visit (level 2) CPT 99212 | $39.90 | $570.00 | $31.32 – $305.50 | 11 |
| Established Patient Office Visit (level 3) CPT 99213 | $56.91 | $813.00 | $58.32 – $345.80 | 11 |
| Established Patient Office Visit (level 4) CPT 99214 | $86.73 | $1,239.00 | $85.61 – $477.10 | 11 |
| Established Patient Office Visit (level 5) CPT 99215 | $168.63 | $2,409.00 | $127.40 – $591.50 | 11 |
| Estradiol total CPT 82670 | $30.52 | $436.00 | $27.94 – $566.80 | 11 |
| Estrogens total-sendout CPT 82672 | $0.56 | $8.00 | $8.00 – $39.06 | 11 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $28.63 | $409.00 | $409.00 – $531.70 | 5 |
| Euflexxa inj per dose HCPCS J7323 | $279.51 | $3,993.00 | $112.45 – $5,190.90 | 11 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $46.76 | $668.00 | $98.11 – $868.40 | 11 |
| Evaluation of speech fluency 92521 CPT 92521 | $31.08 | $444.00 | $142.46 – $474.00 | 18 |
| Evoked potentials upper limbs CPT 95925 | $143.01 | $2,043.00 | $277.22 – $2,655.90 | 14 |
| Evoked potential visual not glaucoma CPT 95930 | $124.39 | $1,777.00 | $277.22 – $2,310.10 | 14 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,115.59 | $15,937.00 | $833.22 – $20,718.10 | 11 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $970.34 | $13,862.00 | $13,862.00 – $18,020.60 | 5 |
| External newborn metabolic screening panel HCPCS S3620 | $12.34 | $176.25 | $176.25 – $229.13 | 5 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $4.90 | $70.00 | $4.50 – $32.27 | 11 |
| F-18 fdg pet diag HCPCS A9552 | $32.20 | $460.00 | $460.00 – $598.00 | 5 |
| Facial bones <3 CPT 70140 | $101.43 | $1,449.00 | $111.73 – $1,883.70 | 11 |
| Factor ix recombinant nos HCPCS J7195 | $0.84 | $12.00 | $1.85 – $15.60 | 11 |
| Factor viii CPT 85240 | $3.50 | $50.00 | $17.90 – $58.50 | 11 |
| Factor viii HCPCS J7190 | $0.70 | $10.00 | $1.09 – $13.00 | 11 |
| Factor viii recombinant nos HCPCS J7192 | $1.05 | $15.00 | $1.61 – $19.50 | 11 |
| Fat/lipids feces qualitative CPT 82705 | $1.05 | $15.00 | $5.10 – $19.50 | 11 |
| #fecal-sodium CPT 84302 | $3.04 | $43.45 | $4.86 – $56.49 | 11 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $32.48 | $464.00 | $18.00 – $23.40 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1.19 | $17.00 | $1.11 – $22.10 | 11 |
| Ferritin CPT 82728 | $35.84 | $512.00 | $13.63 – $665.60 | 11 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $1.40 | $20.00 | $0.32 – $26.00 | 11 |
| Fetal fibronectin CPT 82731 | $85.68 | $1,224.00 | $64.41 – $1,591.20 | 11 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $18.83 | $269.00 | $7.73 – $349.70 | 11 |
| Fetal hemoglobin rosette CPT 85461 | $29.61 | $423.00 | $9.36 – $549.90 | 11 |
| Fetal non stress test CPT 59025 | $136.85 | $1,955.00 | $259.57 – $2,516.80 | 14 |
| #_fet/norfentcnfrmur CPT 80354 | $0.77 | $11.00 | $11.00 – $14.30 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $78.89 | $1,127.00 | $10.18 – $1,465.10 | 11 |
| Fibrinogen activity CPT 85384 | $20.30 | $290.00 | $9.72 – $348.58 | 11 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $0.77 | $11.00 | $1.00 – $14.30 | 11 |
| Filter vena cava fem denali HCPCS C1880 | $666.12 | $9,516.00 | $9,516.00 – $12,370.80 | 5 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $570.92 | $8,156.00 | $412.46 – $10,602.80 | 11 |
| Flow cytometry interp 16 or more CPT 88189 | $5.83 | $83.31 | $81.99 – $147.58 | 11 |
| Flow cytometry marker each additional CPT 88185 | $1.81 | $25.84 | $25.84 – $47.25 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $6.18 | $88.34 | $88.34 – $828.38 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $143.99 | $2,057.00 | $2,057.00 – $2,674.10 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $442.89 | $6,327.00 | $6,327.00 – $8,225.10 | 5 |
| Fluorescent antibody titer dna CPT 86256 | $3.85 | $55.00 | $12.05 – $71.50 | 11 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $352.87 | $5,041.00 | $115.67 – $5,942.30 | 11 |
| Fluoroguide needle placement CPT 77002 | $522.55 | $7,465.00 | $135.13 – $9,704.50 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $108.15 | $1,545.00 | $306.34 – $2,008.50 | 11 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $34.86 | $498.00 | $498.00 – $647.40 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $69.37 | $991.00 | $991.00 – $1,288.30 | 5 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $9.80 | $140.00 | $140.00 – $182.00 | 5 |
| Folic acid CPT 82746 | $17.01 | $243.00 | $14.70 – $315.90 | 11 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.07 | $1.05 | $1.05 – $1.37 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $9.17 | $131.00 | $6.28 – $170.30 | 11 |
| Fondaparinux sodium HCPCS J1652 | $9.45 | $135.00 | $135.00 – $175.50 | 5 |
| Foot X-ray CPT 73630 | $124.88 | $1,784.00 | $111.73 – $2,319.20 | 11 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $8.12 | $116.00 | $1.47 – $150.80 | 11 |
| _fragile x methylation-sendout CPT 81244 | $37.16 | $530.85 | $44.89 – $690.11 | 11 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $34.72 | $496.00 | $85.98 – $322.40 | 11 |
| Fructosamine glycated protein CPT 82985 | $0.35 | $5.00 | $5.00 – $30.17 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $166.88 | $2,384.00 | $2,384.00 – $3,099.20 | 5 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.77 | $11.00 | $11.00 – $14.30 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $4.83 | $69.00 | $69.00 – $89.70 | 5 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Galactose transferase test CPT 82776 | $1.28 | $18.25 | $11.74 – $23.73 | 11 |
| Gammaglobulin iga CPT 82784 | $1.09 | $15.56 | $3.00 – $16.74 | 11 |
| Gammaglobulin ige CPT 82785 | $0.98 | $14.01 | $6.00 – $29.63 | 11 |
| Gamma glutamyltransferase CPT 82977 | $19.46 | $278.00 | $3.25 – $54.60 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $47.39 | $677.00 | $48.96 – $880.10 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $140.21 | $2,003.00 | $2,003.00 – $2,603.90 | 5 |
| Gated heart multiple CPT 78473 | $580.86 | $8,298.00 | $513.27 – $10,787.40 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $47.88 | $684.00 | $684.00 – $889.20 | 5 |
| Generator barostim neo2 2014 HCPCS C1767 | $3,548.09 | $50,687.00 | $50,687.00 – $65,893.10 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $39.06 | $558.00 | $550.00 – $715.00 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $54.81 | $783.00 | $16.38 – $1,017.90 | 11 |
| G-esoph reflx tst w/electrod CPT 91035 | $266.00 | $3,800.00 | $1,102.54 – $4,940.00 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $15.75 | $225.00 | $102.26 – $292.50 | 11 |
| Ghs bleeding time (ivy) CPT 85002 | $117.60 | $1,680.00 | $4.82 – $2,184.00 | 11 |
| Ghs flow volume loop CPT 94375 | $37.38 | $534.00 | $277.22 – $1,617.00 | 14 |
| Ghs histoplasma antigen CPT 87385 | $5.25 | $75.00 | $13.25 – $97.50 | 11 |
| Ghs HIV antibody CPT 86703 | $17.78 | $254.00 | $13.71 – $301.60 | 11 |
| Ghs low level laser therapy CPT 97039 | $34.72 | $496.00 | $244.00 – $644.80 | 12 |
| Ghs mbp CPT 83873 | $1.82 | $26.00 | $17.20 – $33.80 | 11 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $30.03 | $429.00 | $21.33 – $557.70 | 11 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $30.03 | $429.00 | $70.48 – $557.70 | 11 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $15.26 | $218.00 | $13.67 – $283.40 | 11 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $13.16 | $188.00 | $53.72 – $244.40 | 11 |
| Ghs pacing - transcutaneous CPT 92953 | $125.93 | $1,799.00 | $848.59 – $2,338.70 | 11 |
| Ghs ppd (tb intradermal) CPT 86580 | $30.24 | $432.00 | $37.13 – $443.30 | 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.