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 |
|---|---|---|---|---|
| Lipase CPT 83690 | $78.82 | $1,126.00 | $6.89 – $1,463.80 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $19.67 | $281.00 | $8.19 – $365.30 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $0.25 | $3.50 | $3.50 – $18.90 | 11 |
| Listeria monocytogenes CPT 86723 | $8.89 | $127.00 | $13.19 – $165.10 | 11 |
| Lithium therapeutic drug level CPT 80178 | $50.19 | $717.00 | $6.61 – $932.10 | 11 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $12.95 | $185.00 | $176.19 – $317.14 | 11 |
| Liver Function Test CPT 80076 | $106.40 | $1,520.00 | $8.17 – $1,976.00 | 11 |
| Liver/spleen imag static only CPT 78215 | $384.93 | $5,499.00 | $513.27 – $7,148.70 | 11 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $532.21 | $7,603.00 | $513.27 – $9,883.90 | 11 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $1.96 | $28.00 | $28.00 – $36.40 | 5 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $50.54 | $722.00 | $517.00 – $672.10 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,188.74 | $16,982.00 | $225.20 – $22,076.60 | 11 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $695.24 | $9,932.00 | $447.92 – $12,911.60 | 11 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $714.84 | $10,212.00 | $134.23 – $13,275.60 | 11 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $863.31 | $12,333.00 | $447.92 – $16,032.90 | 11 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $863.31 | $12,333.00 | $306.34 – $16,032.90 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $137.34 | $1,962.00 | $134.23 – $2,550.60 | 11 |
| Lung Function Test (Spirometry) CPT 94010 | $131.39 | $1,877.00 | $277.22 – $2,440.10 | 14 |
| Lung perfusion imaging CPT 78580 | $242.55 | $3,465.00 | $513.27 – $4,504.50 | 11 |
| Lymphatics/lymph node imaging CPT 78195 | $284.55 | $4,065.00 | $697.12 – $5,284.50 | 11 |
| Magnesium CPT 83735 | $34.37 | $491.00 | $6.00 – $12.06 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $32.83 | $469.00 | $170.82 – $1,645.00 | 17 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $42.07 | $601.00 | $601.00 – $781.30 | 5 |
| Mastectomy form HCPCS L8020 | $499.45 | $7,135.00 | $255.91 – $9,275.50 | 11 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $13.23 | $189.00 | $18.00 – $260.91 | 11 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $1.89 | $27.00 | $14.46 – $35.10 | 11 |
| Mayo aathr protein s free CPT 85306 | $3.36 | $48.00 | $15.32 – $27.58 | 11 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $4.55 | $65.00 | $65.00 – $84.50 | 5 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $0.84 | $12.00 | $12.00 – $15.60 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $1.82 | $26.00 | $14.78 – $33.80 | 11 |
| Mayo alpha 1 antitrypsin CPT 82103 | $4.62 | $66.00 | $6.00 – $24.19 | 11 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $18.67 | $266.66 | $121.63 – $346.66 | 11 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $12.25 | $175.00 | $91.66 – $227.50 | 11 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $70.53 | $1,007.50 | $1,007.50 – $2,088.00 | 11 |
| Mayo androstenedione CPT 82157 | $1.05 | $15.00 | $15.00 – $52.70 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $0.36 | $5.08 | $5.08 – $26.28 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $0.63 | $9.00 | $9.00 – $19.46 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $1.09 | $15.56 | $15.05 – $27.09 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $0.43 | $6.12 | $6.12 – $18.32 | 11 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $1.02 | $14.50 | $13.19 – $23.74 | 11 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $1.82 | $26.00 | $26.00 – $33.80 | 5 |
| Mayo ceruloplasmin CPT 82390 | $0.40 | $5.75 | $5.75 – $19.33 | 11 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $2.45 | $35.00 | $14.12 – $26.00 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $1.05 | $15.00 | $12.88 – $23.18 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $0.39 | $5.50 | $5.50 – $21.28 | 11 |
| Mayo chromium CPT 82495 | $2.03 | $29.00 | $20.28 – $37.70 | 11 |
| Mayo coccidioides antibody CPT 86635 | $13.23 | $189.00 | $11.47 – $245.70 | 11 |
| Mayo cortisol free CPT 82530 | $0.70 | $10.00 | $10.00 – $30.08 | 11 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $2.95 | $42.13 | $42.13 – $75.83 | 11 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $0.77 | $11.00 | $11.00 – $45.49 | 11 |
| Mayo dihydrotestosterone CPT 82642 | $2.10 | $30.00 | $29.28 – $52.70 | 11 |
| Mayo efpo chloride stool CPT 82438 | $10.22 | $146.00 | $5.00 – $189.80 | 11 |
| Mayo estrone CPT 82679 | $0.72 | $10.25 | $10.25 – $44.91 | 11 |
| Mayo everolimus therapeutic drug level CPT 80169 | $4.55 | $65.00 | $13.73 – $84.50 | 11 |
| Mayo factor v CPT 85220 | $3.15 | $45.00 | $17.65 – $58.50 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $3.71 | $53.00 | $22.94 – $68.90 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $2.87 | $40.96 | $22.94 – $53.25 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $3.99 | $57.00 | $22.94 – $74.10 | 11 |
| Mayo factor x CPT 85260 | $3.15 | $45.00 | $17.90 – $58.50 | 11 |
| Mayo fat/lipids feces quantitative CPT 82710 | $1.75 | $25.00 | $16.80 – $32.50 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $33.95 | $485.00 | $20.46 – $630.50 | 11 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $112.00 | $1,600.00 | $28.75 – $37.38 | 5 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $1.28 | $18.25 | $11.00 – $48.91 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $18.01 | $257.25 | $7.73 – $31.09 | 11 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $0.12 | $1.65 | $1.65 – $26.98 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $0.47 | $6.75 | $6.50 – $37.46 | 11 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $17.36 | $248.00 | $16.07 – $36.40 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $2.66 | $38.00 | $11.98 – $49.40 | 11 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $4.90 | $70.00 | $42.84 – $91.00 | 11 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $9.45 | $135.00 | $72.19 – $175.50 | 11 |
| Mayo insulin antibodies CPT 86337 | $2.52 | $36.00 | $21.41 – $46.80 | 11 |
| Mayo iodine CPT 83789 | $1.38 | $19.75 | $19.75 – $43.40 | 11 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $4.55 | $65.00 | $27.11 – $84.50 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $4.76 | $68.00 | $27.11 – $88.40 | 11 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $0.54 | $7.73 | $7.73 – $23.85 | 11 |
| Mayo legionella antibody CPT 86713 | $0.84 | $12.00 | $12.00 – $27.54 | 11 |
| Mayo manganese CPT 83785 | $6.56 | $93.75 | $26.65 – $65.00 | 11 |
| Mayo metanephrines plasma CPT 83835 | $1.40 | $20.00 | $13.75 – $30.49 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $5.60 | $80.00 | $7.50 – $26.19 | 11 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $3.50 | $50.00 | $18.64 – $46.80 | 11 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $2.45 | $35.00 | $18.05 – $45.50 | 11 |
| Mayo myoglobin CPT 83874 | $0.46 | $6.50 | $6.50 – $23.26 | 11 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $1.82 | $26.00 | $26.00 – $33.80 | 5 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $0.70 | $10.00 | $10.00 – $38.18 | 11 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $1.93 | $27.50 | $13.00 – $27.05 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $0.35 | $5.00 | $5.00 – $21.69 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $3.68 | $52.50 | $35.09 – $68.25 | 11 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $1.46 | $20.88 | $17.98 – $32.36 | 11 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $1.13 | $16.20 | $13.76 – $24.77 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $0.98 | $14.00 | $8.44 – $18.20 | 11 |
| Mayo pregnenolone CPT 84140 | $1.58 | $22.50 | $20.67 – $37.21 | 11 |
| Mayo proinsulin CPT 84206 | $2.31 | $33.00 | $26.69 – $48.04 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $0.25 | $3.50 | $3.50 – $33.10 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $8.89 | $127.00 | $18.40 – $36.40 | 11 |
| Mayo renin CPT 84244 | $0.36 | $5.13 | $5.13 – $39.58 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $0.39 | $5.50 | $4.50 – $32.09 | 11 |
| Mayo selenium CPT 84255 | $1.12 | $16.00 | $16.00 – $45.95 | 11 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $0.91 | $13.00 | $13.00 – $24.71 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $54.04 | $772.00 | $2.25 – $1,003.60 | 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.