5/100
#2,498 nationally
Adventist Health Twin Cities
1100 Las Tablas Rd, Templeton, CA 93465 · (805) 434-3500
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventist Health Twin Cities billed $11.85 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 11.9x
- volume-weighted across all its priced work
- Procedures priced
- 40
- inpatient and outpatient combined
- Rank in CA
- #215
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 3% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 5% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
229 | $59,672 | $3,339 | +207% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
166 | $218,360 | $18,321 | +235% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
110 | $127,685 | $11,779 | +194% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
83 | $91,578 | $8,706 | +130% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
78 | $172,852 | $16,148 | +177% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $146,916 | $13,279 | +215% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
44 | $19,952 | $2,339 | +70% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
38 | $169,653 | $15,733 | +208% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
37 | $116,856 | $7,603 | +282% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
35 | $224,522 | $19,898 | +169% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (with complications)
MS-DRG 699 · Inpatient stay |
$233,254 | $14,649 | +518% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$128,604 | $8,315 | +332% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$116,856 | $7,603 | +282% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$115,960 | $8,690 | +270% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$120,820 | $8,824 | +267% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$140,909 | $11,006 | +259% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$260,888 | $18,373 | +242% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$117,594 | $8,863 | +240% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$19,952 | $2,339 | +70% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$68,829 | $7,094 | +96% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$54,469 | $6,362 | +98% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$38,678 | $3,493 | +119% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$22,391 | $1,993 | +122% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$188,046 | $22,851 | +126% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$25,636 | $1,976 | +128% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$91,578 | $8,706 | +130% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.