Skip to main content
States Procedures Methodology Search
Hospital Profile Acute Care Hospital Proprietary 122 Beds · urban Updated: 2026-01-10

Adventist Health Twin Cities

1100 Las Tablas Rd, Templeton, CA 93465 · 88 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.76×vs. Fair Market Price
Position vs. 1.00× Fair Price+76% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +76% above the fair benchmark (1.76×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).67/100 · Caution
67/100Self-Pay Cash Beats Insurance 84% of the Time
File Completeness50Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic40Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment73Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing88Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score61/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait140 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.76× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,362), Adventist Health Twin Cities commands a 1.76× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#218 of 240 in CA · 90th State Percentile#2,925 of 3,385 in U.S. · 86th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 1.57× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 84% of shoppable procedures (99/100 Cash Honesty)
  • 2-Star CMS clinical rating with 57% patient recommendation (61/100 safety score)
  • Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
  • Commercial insurance median sits at 1.74× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Even at low-cost facilities (1.76× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
  • Consolidated metro market (HHI 3,362) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
2.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.71× Divergence
1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail
Q25 1.57× · Q50 1.74× · Q75 1.90×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.
Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×
Front-Door Shoppable CareFront-Door Shoppable
2.4× MedicareFair
Outpatient Surgery & ORBack-Door Captive
3.0× MedicareFair
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
2.7× MedicareFair
Back-Door Captive ER VisitsBack-Door Captive
2.6× MedicareFair
Inpatient Lab & PathologyBack-Door Captive
1.2× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
0.8× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
84% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
2 CMS · 61/100Elevated

Procedure Prices at Adventist Health Twin Cities

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $28,825 1.5×
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $18,466 1.0×
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $11,569 1.4×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,278 2.2×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $806 1.8×
MRI, brain (with and without contrast)
CPT Code: 70553
 $806 1.6×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $551 6.3×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $551 1.8×
MRI, lower back (no contrast)
CPT Code: 72148
 $551 1.6×
MRI, brain (no contrast)
CPT Code: 70551
 $551 1.6×
MRI, knee or other leg joint
CPT Code: 73721
 $551 1.5×
CT scan, sinuses
CPT Code: 70486
 $569 unverified
Breathing treatment (nebulizer)
CPT Code: 94640
 $506 2.5×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $521 1.9×
Rabies immune globulin
HCPCS Code: 90375
 $504 1.6×
CT scan, head (with contrast)
CPT Code: 70460
 $405 1.7×
CT scan, head (with and without contrast)
CPT Code: 70470
 $405 1.6×
Hepatitis B immune globulin
HCPCS Code: 90371
 $302 unverified
X-ray, pelvis
CPT Code: 72170
 $242 2.2×
X-ray, lower back
CPT Code: 72110
 $242 2.2×
Ultrasound, abdomen (limited)
CPT Code: 76705
 $242 1.9×
Ultrasound, pelvis
CPT Code: 76856
 $242 1.9×
Ultrasound, thyroid and neck
CPT Code: 76536
 $242 1.8×
Ultrasound, abdomen (complete)
CPT Code: 76700
 $242 1.8×
CT scan, head (no contrast)
CPT Code: 70450
 $242 1.5×
Showing top 25 high-impact procedures of 88 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Adventist Health Twin Cities (Zero PHI Required)

CMS CCN: 050633
CPT 871
Fair BaseRate™ $19,087
Medicare Rate $14,117
Self-Pay Cash $14,395
Insurer Median $28,825
Pre-filled with Adventist Health Twin Cities’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $191,243 Paying Cash

Self-Pay Cash Rate ($14,395) Beats Your Bill

Adventist Health Twin Cities's published 45 CFR § 180 self-pay cash rate is $14,395 (vs. $28,825 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$186,551 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($205,638) is $186,551 above the denoised Fair BaseRate ($19,087) and 14.6× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Adventist Health Twin Cities as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)
Safety Composite61/100
Would Recommend57%
Rated 9 or 10 (HCAHPS)59%
Median ER Wait140 min
Left ER Before Seen2%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame
Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Adventist Health Twin Cities. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-01-16·administrative_or_closure

    Closure Notice

    Recorded
  • 2024-11-13·cap_corrective_action

    CAP Request

    Recorded

Source: CMS Hospital Care Compare (533 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Adventist Health Twin Cities.

Price Index: 1.41× regional baseline
Quality: 52/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
-67.5%
Blue Cross Blue Shield
+104.1%
Median Household Income$93,398U.S. Census ACS
Local Uninsured Share5.8%Regional ACS estimate
200% FPL (1 Person)$31,920Common free-care ceiling
400% FPL (Family of 4)$128,600Common AGB cap ceiling
45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 67/100 · Caution CMS CCN 050633

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 050633) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileReports.aspx
Publication / Vintage2026-01-10 · 25.44 MB
Validated Rate Rows1,345 (CMS v3.0.0)
File Integrity DigestVerified · CCN 050633

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy