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 |
|---|---|---|---|---|
| Mayo tgrp testosterone free CPT 84402 | $0.36 | $5.13 | $5.13 – $45.85 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $17.85 | $255.00 | $6.00 – $322.40 | 11 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $12.25 | $175.00 | $22.17 – $227.50 | 11 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $2.45 | $35.00 | $35.00 – $92.30 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $14.49 | $207.00 | $17.06 – $269.10 | 11 |
| Mayo vitamin k CPT 84597 | $2.45 | $35.00 | $13.72 – $45.50 | 11 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $1.40 | $20.00 | $13.25 – $26.00 | 11 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $174.51 | $2,493.00 | $144.95 – $3,240.90 | 11 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4.97 | $71.00 | $71.00 – $92.30 | 5 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $33.18 | $474.00 | $474.00 – $616.20 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $5.25 | $75.00 | $25.00 – $32.50 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $49.70 | $710.00 | $710.00 – $923.00 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $110.04 | $1,572.00 | $8.46 – $1,792.08 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $160.30 | $2,290.00 | $10.56 – $2,977.00 | 11 |
| Metatarsal joint implant HCPCS L8641 | $130.13 | $1,859.00 | $433.44 – $2,416.70 | 11 |
| Metered dose inhaler drug HCPCS J3535 | $112.21 | $1,603.00 | $18.00 – $23.40 | 5 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $0.70 | $10.00 | $10.00 – $13.00 | 5 |
| Methadone oral 5mg HCPCS S0109 | $5.04 | $72.00 | $30.00 – $39.00 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $11.41 | $163.00 | $163.00 – $211.90 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $73.99 | $1,057.00 | $92.00 – $119.60 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | $1.30 | $18.62 | $18.62 – $69.43 | 11 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $15.82 | $226.00 | $4.00 – $15.71 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $35.42 | $506.00 | $506.00 – $657.80 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $0.14 | $2.00 | $2.00 – $2.60 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $23.10 | $330.00 | $330.00 – $429.00 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $0.12 | $1.71 | $1.71 – $2.22 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1.33 | $19.00 | $19.00 – $24.70 | 5 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $0.21 | $3.00 | $2.00 – $2.60 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $5.32 | $76.00 | $76.00 – $98.80 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $291.76 | $4,168.00 | $20.35 – $5,418.40 | 11 |
| Mopath procedure level 9 CPT 81408 | $112.00 | $1,600.00 | $1,600.00 – $3,600.00 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $27.23 | $389.00 | $32.00 – $41.60 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $11.06 | $158.00 | $158.00 – $205.40 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $6.29 | $89.88 | $89.88 – $393.73 | 11 |
| Mpl gene analysis common variants CPT 81338 | $18.67 | $266.68 | $150.33 – $346.68 | 11 |
| MRA abdomen post contrast CPT 74185 | $841.82 | $12,026.00 | $372.15 – $12,954.50 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $666.75 | $9,525.00 | $371.03 – $11,258.00 | 11 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,067.50 | $15,250.00 | $373.63 – $18,879.90 | 11 |
| MRI breast without cont bi CPT 77047 | $593.67 | $8,481.00 | $306.34 – $11,025.30 | 11 |
| MRI chest without contrast CPT 71550 | $740.60 | $10,580.00 | $306.34 – $13,754.00 | 11 |
| MRI chest without & w/contrast CPT 71552 | $814.66 | $11,638.00 | $447.92 – $15,129.40 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $451.64 | $6,452.00 | $306.34 – $8,387.60 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $512.89 | $7,327.00 | $447.92 – $9,525.10 | 11 |
| MRI orbit/face/neck without contrast CPT 70540 | $986.58 | $14,094.00 | $306.34 – $18,322.20 | 11 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $977.27 | $13,961.00 | $447.92 – $18,149.30 | 11 |
| MRI tmj CPT 70336 | $618.87 | $8,841.00 | $306.34 – $11,493.30 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $641.90 | $9,170.00 | $306.34 – $11,921.00 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $641.90 | $9,170.00 | $447.92 – $11,921.00 | 11 |
| Mthfr gene analy common variants CPT 81291 | $5.78 | $82.50 | $65.34 – $117.61 | 11 |
| Mumps antibody igg CPT 86735 | $1.54 | $22.00 | $2.75 – $23.49 | 11 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $10.22 | $146.00 | $146.00 – $189.80 | 5 |
| Mycoplasma antibody igm CPT 86738 | $0.63 | $9.00 | $6.25 – $23.83 | 11 |
| Myelogphy 2/> spine regions CPT 72270 | $404.81 | $5,783.00 | $1,006.48 – $7,517.90 | 11 |
| Myelography l-s spine CPT 72265 | $294.77 | $4,211.00 | $1,006.48 – $5,474.30 | 11 |
| Myelography neck spine CPT 72240 | $320.11 | $4,573.00 | $1,006.48 – $5,944.90 | 11 |
| Myelography thoracic spine CPT 72255 | $320.11 | $4,573.00 | $1,006.48 – $5,944.90 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $10.42 | $148.84 | $11.53 – $20.75 | 11 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $0.07 | $1.02 | $1.02 – $1.33 | 5 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $40.74 | $582.00 | $582.00 – $756.60 | 5 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $0.28 | $4.03 | $4.03 – $5.24 | 5 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $23.45 | $335.00 | $256.28 – $461.30 | 11 |
| Natriuretic peptide CPT 83880 | $47.46 | $678.00 | $34.00 – $70.67 | 11 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $8.82 | $126.00 | $126.00 – $1,506.00 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $645.89 | $9,227.00 | $447.92 – $11,995.10 | 11 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $729.47 | $10,421.00 | $134.23 – $13,547.30 | 11 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $741.72 | $10,596.00 | $447.92 – $13,774.80 | 11 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $741.72 | $10,596.00 | $306.34 – $13,774.80 | 11 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $694.33 | $9,919.00 | $447.92 – $12,894.70 | 11 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $719.67 | $10,281.00 | $306.34 – $13,365.30 | 11 |
| Neox 100 or clarix 100 HCPCS Q4156 | $21.07 | $301.00 | $144.95 – $391.30 | 11 |
| Nerve conduction studies 1-2 CPT 95907 | $19.11 | $273.00 | $273.00 – $1,506.00 | 14 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $25.97 | $371.00 | $165.20 – $1,506.00 | 14 |
| New Patient Office Visit (level 2) CPT 99202 | $39.90 | $570.00 | $41.59 – $638.30 | 11 |
| New Patient Office Visit (level 3) CPT 99203 | $48.30 | $690.00 | $71.67 – $825.50 | 11 |
| New Patient Office Visit (level 4) CPT 99204 | $91.98 | $1,314.00 | $117.72 – $783.90 | 11 |
| New Patient Office Visit (level 5) CPT 99205 | $178.99 | $2,557.00 | $161.10 – $1,034.80 | 11 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $0.28 | $4.00 | $4.00 – $5.20 | 5 |
| Nintedanib 150 mg capsule HCPCS J8999 | $119.56 | $1,708.00 | $52.00 – $67.60 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $2.52 | $36.00 | $36.00 – $46.80 | 5 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $586.74 | $8,382.00 | $513.27 – $10,896.60 | 11 |
| Nm imaging bone/joint whole body CPT 78306 | $470.33 | $6,719.00 | $513.27 – $8,734.70 | 11 |
| Nm imaging gastric emptying study CPT 78264 | $420.91 | $6,013.00 | $513.27 – $7,816.90 | 11 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $328.09 | $4,687.00 | $513.27 – $6,093.10 | 11 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $499.59 | $7,137.00 | $697.12 – $9,278.10 | 11 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $376.74 | $5,382.00 | $697.12 – $6,996.60 | 11 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $284.55 | $4,065.00 | $697.12 – $5,284.50 | 11 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $407.89 | $5,827.00 | $299.58 – $7,575.10 | 11 |
| Non-card vasc flow imaging CPT 78445 | $257.11 | $3,673.00 | $513.27 – $4,774.90 | 11 |
| Nuclear Stress Test (Heart) CPT 78452 | $647.57 | $9,251.00 | $1,662.20 – $12,026.30 | 11 |
| Nushield 1 square cm HCPCS Q4160 | $51.52 | $736.00 | $144.95 – $414.70 | 11 |
| Observation per hour HCPCS G0378 | $58.38 | $834.00 | $366.00 – $475.80 | 5 |
| Obstetric panel inc HIV tstg CPT 80081 | $162.54 | $2,322.00 | $74.86 – $3,018.60 | 11 |
| Obstetrics panel CPT 80055 | $162.54 | $2,322.00 | $47.81 – $2,647.08 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $3.64 | $52.00 | $25.00 – $32.50 | 5 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $21.56 | $308.00 | $308.00 – $400.40 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $5.11 | $73.00 | $73.00 – $94.90 | 5 |
| Oprelvekin injection HCPCS J2355 | $249.41 | $3,563.00 | $3,563.00 – $4,631.90 | 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.