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 |
|---|---|---|---|---|
| Ghs protoporphyrins fract CPT 84202 | $1.63 | $23.22 | $14.35 – $30.19 | 11 |
| Ghs reticulocyte count CPT 85044 | $74.90 | $1,070.00 | $4.31 – $1,391.00 | 11 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $91.84 | $1,312.00 | $13.91 – $1,705.60 | 11 |
| Ghs sedimentation rate CPT 85651 | $48.02 | $686.00 | $4.27 – $891.80 | 11 |
| Ghs semen analysis fert CPT 89320 | $18.97 | $271.00 | $12.31 – $352.30 | 11 |
| Ghs sensitivity (per antimicro) CPT 87184 | $20.02 | $286.00 | $7.48 – $371.80 | 11 |
| Ghs somatosensory testing lower extremit CPT 95926 | $34.65 | $495.00 | $277.22 – $1,506.00 | 14 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $60.76 | $868.00 | $868.00 – $1,984.57 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $0.98 | $14.00 | $14.00 – $26.48 | 11 |
| Gi inhouse confirmation CPT 87045 | $110.81 | $1,583.00 | $9.44 – $1,902.77 | 11 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $51.03 | $729.00 | $182.45 – $947.70 | 11 |
| Glucagon plasma - sendout CPT 82943 | $2.45 | $35.00 | $14.29 – $45.50 | 11 |
| Glucose 1 hr post dose CPT 82950 | $4.27 | $61.00 | $4.75 – $79.30 | 11 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $10.99 | $157.00 | $3.28 – $204.10 | 11 |
| Glucose blood quantitative CPT 82947 | $43.40 | $620.00 | $3.93 – $745.24 | 11 |
| Glucose body fluid CPT 82945 | $43.40 | $620.00 | $3.93 – $806.00 | 11 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $11.27 | $161.00 | $12.87 – $209.30 | 11 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $2.87 | $41.00 | $3.92 – $53.30 | 11 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.77 | $11.00 | $11.00 – $14.30 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $19.95 | $285.00 | $18.58 – $370.50 | 11 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $11.06 | $158.00 | $18.52 – $205.40 | 11 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $15.82 | $226.00 | $144.95 – $293.80 | 11 |
| Graft axiofill 1000mg HCPCS J3590 | $627.69 | $8,967.00 | $81.00 – $105.30 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $25.62 | $366.00 | $144.95 – $475.80 | 11 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,079.79 | $43,997.00 | $2,718.00 – $3,533.40 | 5 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $3,247.65 | $46,395.00 | $806.00 – $1,047.80 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $40.67 | $581.00 | $113.00 – $260.91 | 11 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $22.47 | $321.00 | $144.95 – $417.30 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,117.73 | $44,539.00 | $502.00 – $652.60 | 5 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $819.63 | $11,709.00 | $894.00 – $1,162.20 | 5 |
| Gu dilat ureter/urethra s&i CPT 74485 | $349.02 | $4,986.00 | $2,683.84 – $6,481.80 | 11 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $147.35 | $2,105.00 | $293.00 – $380.90 | 5 |
| Gw stiffened micro access kit HCPCS C1894 | $117.39 | $1,677.00 | $1,677.00 – $2,180.10 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $55.51 | $793.00 | $793.00 – $1,030.90 | 5 |
| Hand X-ray CPT 73130 | $129.64 | $1,852.00 | $111.73 – $2,407.60 | 11 |
| Haptoglobin quantitative CPT 83010 | $21.98 | $314.00 | $9.10 – $408.20 | 11 |
| Hbb full gene sequence CPT 81364 | $47.25 | $675.00 | $324.58 – $877.50 | 11 |
| Hcg qualitative CPT 84703 | $66.22 | $946.00 | $7.52 – $1,078.44 | 11 |
| Hcg quantitative CPT 84702 | $119.14 | $1,702.00 | $15.05 – $2,212.60 | 11 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $604.80 | $8,640.00 | $697.12 – $11,232.00 | 11 |
| Head CT scan (with and without contrast) CPT 70470 | $612.36 | $8,748.00 | $225.20 – $11,372.40 | 11 |
| Head CT scan (with contrast) CPT 70460 | $596.96 | $8,528.00 | $225.20 – $11,086.40 | 11 |
| Head CT scan (without contrast) CPT 70450 | $631.12 | $9,016.00 | $134.23 – $11,720.80 | 11 |
| Helicobacter pylori antibody igm CPT 86677 | $17.85 | $255.00 | $16.85 – $331.50 | 11 |
| Hematocrit CPT 85014 | $0.35 | $5.00 | $2.37 – $6.50 | 11 |
| Hemodialysis one evaluation CPT 90935 | $461.58 | $6,594.00 | $881.16 – $8,572.20 | 11 |
| Hemoglobin CPT 85018 | $13.44 | $192.00 | $1.50 – $249.60 | 11 |
| Hemolysins/agglutinins auto CPT 86940 | $6.30 | $90.00 | $8.77 – $117.00 | 11 |
| Heparin assay CPT 85520 | $45.64 | $652.00 | $13.09 – $847.60 | 11 |
| Heparin bolus from bag HCPCS J1644 | $0.35 | $5.00 | $5.00 – $6.50 | 5 |
| Hepatitis a antibody igm CPT 86709 | $24.71 | $353.00 | $6.00 – $20.27 | 11 |
| Hepatitis b core antibody igm CPT 86705 | $27.58 | $394.00 | $11.77 – $512.20 | 11 |
| Hepatitis b core antibody total CPT 86704 | $1.22 | $17.36 | $4.00 – $21.69 | 11 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $480.06 | $6,858.00 | $134.19 – $2,301.00 | 11 |
| Hepatitis b surface ag quan CPT 87467 | $28.42 | $406.00 | $16.15 – $527.80 | 11 |
| Hepatitis b surface antibody CPT 86706 | $28.42 | $406.00 | $3.50 – $19.33 | 11 |
| Hepatitis c antibody CPT 86803 | $29.61 | $423.00 | $4.96 – $482.22 | 11 |
| Hepatobiliary system imaging CPT 78226 | $208.32 | $2,976.00 | $513.27 – $3,868.80 | 11 |
| Herpes simplex type 1 antibody igg CPT 86695 | $0.63 | $9.00 | $9.00 – $23.74 | 11 |
| Herpes simplex type 2 antibody igg CPT 86696 | $0.70 | $10.00 | $10.00 – $34.83 | 11 |
| Heterophile antibodies screening CPT 86308 | $78.82 | $1,126.00 | $5.18 – $1,463.80 | 11 |
| Hgb methemoglobin qual CPT 83045 | $9.87 | $141.00 | $6.49 – $183.30 | 11 |
| Hip X-ray CPT 73502 | $107.73 | $1,539.00 | $111.73 – $1,930.50 | 11 |
| Histamine CPT 83088 | $8.75 | $125.00 | $29.53 – $162.50 | 11 |
| Hla i low res one antigen equiv ea CPT 81374 | $1.96 | $28.00 | $28.00 – $133.79 | 11 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Homocysteine CPT 83090 | $0.56 | $8.00 | $8.00 – $32.26 | 11 |
| Homogenization tissue CPT 87176 | $4.48 | $64.00 | $5.88 – $76.93 | 11 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1.89 | $27.00 | $1.55 – $35.10 | 11 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $0.21 | $3.07 | $3.07 – $3.99 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $42.28 | $604.00 | $604.00 – $785.20 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | $65.45 | $935.00 | $60.12 – $930.00 | 14 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $119.84 | $1,712.00 | $273.09 – $1,539.20 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $40.81 | $583.00 | $583.00 – $757.90 | 5 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $0.21 | $3.00 | $3.00 – $3.90 | 5 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $30.80 | $440.00 | $13.00 – $16.90 | 5 |
| #hypersens-actinomyces ab CPT 86602 | $1.09 | $15.56 | $10.18 – $20.23 | 11 |
| I-123 iobenguane diag HCPCS A9582 | $1,128.26 | $16,118.00 | $2,317.50 – $20,953.40 | 11 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $33.95 | $485.00 | $485.00 – $630.50 | 5 |
| I131 iodide cap, rx HCPCS A9517 | $42.70 | $610.00 | $24.07 – $793.00 | 11 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $211.61 | $3,023.00 | $3,023.00 – $3,929.90 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $5.51 | $78.67 | $78.67 – $188.71 | 11 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $10.76 | $153.73 | $153.73 – $828.38 | 11 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $6.27 | $89.50 | $89.50 – $393.73 | 11 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $53.06 | $758.00 | $45.31 – $985.40 | 11 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $51.87 | $741.00 | $78.80 – $963.30 | 11 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $25.20 | $360.00 | $47.53 – $468.00 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $39.62 | $566.00 | $20.81 – $735.80 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $0.46 | $6.55 | $6.55 – $37.46 | 11 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $1.09 | $15.59 | $11.98 – $21.56 | 11 |
| Immunodiffusion nes CPT 86329 | $3.71 | $53.00 | $14.05 – $68.90 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $0.21 | $3.00 | $3.00 – $40.21 | 11 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $10.50 | $150.00 | $118.97 – $214.15 | 11 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $10.50 | $150.00 | $150.00 – $393.73 | 11 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,835.18 | $69,074.00 | $312.00 – $405.60 | 5 |
| Implant ureth bulk agent HCPCS L8606 | $98.56 | $1,408.00 | $278.74 – $1,605.50 | 11 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $276.22 | $3,946.00 | $745.62 – $5,129.80 | 11 |
| In-111 pentetreotide HCPCS A9572 | $1,117.69 | $15,967.00 | $2,000.94 – $20,757.10 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $5.77 | $82.44 | $82.44 – $234.63 | 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.