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 |
|---|---|---|---|---|
| Infect ag eia influenza a or b ea CPT 87400 | $15.05 | $215.00 | $14.13 – $157.30 | 11 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $5.76 | $82.34 | $82.34 – $463.41 | 11 |
| Infect ag ia optc obs influenza CPT 87804 | $9.80 | $140.00 | $16.55 – $182.00 | 11 |
| Infect ag if pneumocystis carinii CPT 87281 | $24.85 | $355.00 | $11.98 – $461.50 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $308.91 | $4,413.00 | $264.48 – $5,736.90 | 11 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $5.76 | $82.34 | $82.34 – $879.59 | 11 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $5.76 | $82.34 | $26.07 – $107.04 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $16.03 | $229.00 | $11.98 – $297.70 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $19.04 | $272.00 | $11.98 – $353.60 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $57.40 | $820.00 | $14.38 – $1,066.00 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $0.26 | $3.73 | $3.73 – $18.59 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $22.12 | $316.00 | $8.00 – $379.83 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $18.27 | $261.00 | $11.98 – $21.56 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $26.81 | $383.00 | $11.98 – $497.90 | 11 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $27.58 | $394.00 | $35.09 – $63.16 | 11 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $0.56 | $8.00 | $8.00 – $63.16 | 11 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $47.81 | $683.00 | $37.27 – $887.90 | 11 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $133.49 | $1,907.00 | $416.78 – $780.40 | 11 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $2.98 | $42.50 | $22.50 – $63.16 | 11 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $9.94 | $142.00 | $41.68 – $161.88 | 11 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $0.56 | $8.00 | $8.00 – $63.16 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $25.62 | $366.00 | $51.31 – $475.80 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $34.37 | $491.00 | $142.63 – $638.30 | 11 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $40.88 | $584.00 | $142.63 – $759.20 | 11 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $1.86 | $26.50 | $26.50 – $63.16 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $173.11 | $2,473.00 | $262.99 – $2,819.22 | 11 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $5.78 | $82.50 | $42.84 – $84.50 | 11 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $14.00 | $200.00 | $42.84 – $94.25 | 11 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $3.50 | $50.00 | $42.84 – $77.11 | 11 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $5.95 | $85.00 | $75.00 – $153.18 | 11 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $100.87 | $1,441.00 | $142.63 – $1,732.08 | 11 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $54.04 | $772.00 | $31.09 – $1,003.60 | 11 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $77.14 | $1,102.00 | $19.99 – $1,432.60 | 11 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $30.10 | $430.00 | $244.00 – $1,645.00 | 17 |
| Initiation & management bipap/cpap initial day CPT 94660 | $504.98 | $7,214.00 | $244.00 – $8,924.50 | 17 |
| Inj, bupivacaine liposome HCPCS J0666 | $0.91 | $13.00 | $1.85 – $16.90 | 11 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $1.34 | $19.08 | $2.42 – $24.80 | 11 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $921.55 | $13,165.00 | $1,045.15 – $17,114.50 | 11 |
| Injection, doxercalciferol HCPCS J1270 | $0.43 | $6.14 | $6.14 – $7.98 | 5 |
| Injection,onabotulinumtoxina HCPCS J0585 | $4.83 | $69.00 | $6.50 – $89.70 | 11 |
| Injection, peramivir HCPCS J2547 | $1.33 | $19.00 | $1.68 – $24.70 | 11 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $37.03 | $529.00 | $60.12 – $930.00 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $25.76 | $368.00 | $303.00 – $930.00 | 8 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $39.13 | $559.00 | $273.09 – $930.00 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $19.32 | $276.00 | $17.80 – $930.00 | 14 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $7.14 | $102.00 | $102.00 – $132.60 | 5 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $6.02 | $86.00 | $86.00 – $111.80 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | $26.74 | $382.00 | $50.74 – $496.60 | 11 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $9.45 | $135.00 | $135.00 – $175.50 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $8.19 | $117.00 | $102.00 – $132.60 | 5 |
| Inj multihance HCPCS A9577 | $3.78 | $54.00 | $54.00 – $70.20 | 5 |
| Inj prohance multipack HCPCS A9576 | $4.76 | $68.00 | $68.00 – $88.40 | 5 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $8.26 | $118.00 | $118.00 – $153.40 | 5 |
| Inj secretin synthetic human HCPCS J2850 | $22.33 | $319.00 | $40.52 – $414.70 | 11 |
| Insitu hybridization auto CPT 88367 | $6.12 | $87.40 | $87.40 – $828.38 | 11 |
| Insitu hybridization manual CPT 88368 | $8.59 | $122.75 | $122.75 – $828.38 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $10.56 | $150.87 | $150.87 – $393.73 | 11 |
| Insulin total CPT 83525 | $0.46 | $6.50 | $6.50 – $20.57 | 11 |
| Intrinsic factor antibody CPT 86340 | $0.77 | $11.00 | $11.00 – $27.14 | 11 |
| Intro long gi tube w/mult fluo CPT 74340 | $220.64 | $3,152.00 | $3,152.00 – $4,097.60 | 5 |
| Ionm in operatng room 15 min CPT 95940 | $26.25 | $375.00 | $27.39 – $2,181.00 | 14 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $3.15 | $45.00 | $45.00 – $58.50 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $0.77 | $11.00 | $11.00 – $14.30 | 5 |
| Iron CPT 83540 | $23.38 | $334.00 | $6.47 – $401.47 | 11 |
| Iron binding capacity CPT 83550 | $23.38 | $334.00 | $8.74 – $434.20 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $14.07 | $201.00 | $18.11 – $261.30 | 11 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $5.32 | $76.00 | $47.95 – $98.80 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $8.89 | $127.00 | $75.74 – $165.10 | 11 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $52.29 | $747.00 | $92.44 – $930.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $47.25 | $675.00 | $22.69 – $930.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $49.63 | $709.00 | $60.12 – $930.00 | 14 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $102.48 | $1,464.00 | $273.09 – $1,556.10 | 14 |
| Ivp w/nephrotomography CPT 74415 | $299.18 | $4,274.00 | $225.20 – $5,556.20 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $248.85 | $3,555.00 | $225.20 – $4,621.50 | 11 |
| Jak2 targeted sequence analysis CPT 81279 | $18.67 | $266.66 | $185.20 – $346.66 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $1.26 | $18.00 | $0.38 – $23.40 | 11 |
| Kidney function study CPT 78725 | $332.64 | $4,752.00 | $513.27 – $6,177.60 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $381.43 | $5,449.00 | $697.12 – $7,083.70 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $191.24 | $2,732.00 | $134.23 – $3,551.60 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $1,203.09 | $17,187.00 | $17,187.00 – $22,343.10 | 5 |
| Knee MRI (with and without contrast) CPT 73723 | $893.90 | $12,770.00 | $447.92 – $16,601.00 | 11 |
| Knee MRI (with contrast) CPT 73722 | $968.24 | $13,832.00 | $1,006.48 – $17,981.60 | 11 |
| Knee MRI (without contrast) CPT 73721 | $832.09 | $11,887.00 | $306.34 – $15,453.10 | 11 |
| Knee X-ray CPT 73564 | $136.29 | $1,947.00 | $134.23 – $2,531.10 | 11 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $0.14 | $2.00 | $2.00 – $2.60 | 5 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Lactate dehydrogenase (ldh) CPT 83615 | $39.20 | $560.00 | $6.04 – $728.00 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | $66.01 | $943.00 | $45.00 – $58.50 | 5 |
| Lactic acid CPT 83605 | $46.20 | $660.00 | $11.57 – $660.00 | 11 |
| Lactoferrin fecal quant CPT 83631 | $3.50 | $50.00 | $19.63 – $65.00 | 11 |
| Lead capillary CPT 83655 | $0.42 | $6.00 | $6.00 – $21.80 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $521.15 | $7,445.00 | $306.34 – $9,678.50 | 14 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $176.89 | $2,527.00 | $2,527.00 – $3,285.10 | 5 |
| Leuprolide acetate injeciton HCPCS J9218 | $33.46 | $478.00 | $478.00 – $621.40 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $0.35 | $5.00 | $4.00 – $5.20 | 5 |
| Levetiracetam therapeutic drug level CPT 80177 | $1.09 | $15.50 | $13.25 – $23.85 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $66.01 | $943.00 | $943.00 – $1,225.90 | 5 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $6.44 | $92.00 | $92.00 – $119.60 | 5 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $39.48 | $564.00 | $564.00 – $733.20 | 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.