California / Adventist Health Twin Cities
CMS certification 050633 · Templeton, CA · 2 entries in CMS's price-transparency list
Adventist Health Twin Cities: charges and Medicare payments
Adventist Health Twin Cities reported 878 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 11.89 times what it was paid — among the higher ratios in California, number 14 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 166 stays at an average charge of $218,360, 142% above the national average. It also billed 556 outpatient services, charging 13.81 times what Medicare paid.
- 1Medicare inpatient stays 878
- 2Charge ÷ paid, inpatient 11.89×
- 3Rank in CA (highest ratio = 1) 14 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 29 DRGs that can be compared with the national average, Adventist Health Twin Cities charged more than the national average in 29 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 166 | $218,360 | +142% | $18,321 |
| 291 Heart Failure and Shock with MCC | 110 | $127,685 | +126% | $11,779 |
| 193 Simple Pneumonia and Pleurisy with MCC | 55 | $146,916 | +146% | $13,279 |
| 177 Respiratory Infections and Inflammations with MCC | 38 | $169,653 | +140% | $15,733 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $116,856 | +215% | $7,603 |
| 481 Hip and Femur Procedures except Major Joint with CC | 35 | $224,522 | +123% | $19,898 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 35 | $140,909 | +187% | $11,006 |
| 683 Renal Failure with CC | 28 | $120,820 | +197% | $8,824 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 27 | $176,217 | +140% | $14,745 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $140,852 | +145% | $11,920 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $132,601 | +138% | $9,699 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $158,440 | +163% | $13,600 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $118,276 | +130% | $10,934 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $128,604 | +240% | $8,315 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $460,366 | +101% | $43,126 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 21 | $221,127 | +116% | $20,007 |
| 682 Renal Failure with MCC | 20 | $156,165 | +137% | $14,011 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $121,605 | +150% | $9,607 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $260,888 | +161% | $18,373 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $299,616 | +116% | $27,206 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $214,321 | +151% | $15,472 |
| 389 Gastrointestinal Obstruction with CC | 15 | $115,960 | +198% | $8,690 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $106,515 | +165% | $8,253 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $216,223 | +132% | $18,100 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $104,899 | +183% | $8,450 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $144,237 | +121% | $13,721 |
| 637 Diabetes with MCC | 12 | $185,277 | +179% | $13,430 |
| 638 Diabetes with CC | 11 | $117,594 | +182% | $8,863 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $233,254 | +391% | $14,649 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 229 | $59,672 | $3,339 |
| Level 4 Musculoskeletal Procedures | 83 | $91,578 | $8,706 |
| Level 5 Musculoskeletal Procedures | 78 | $172,852 | $16,148 |
| Level 2 Upper GI Procedures | 44 | $19,952 | $2,339 |
| Level 2 Musculoskeletal Procedures | 23 | $25,636 | $1,976 |
| Level 6 Musculoskeletal Procedures | 20 | $188,046 | $22,851 |
| Level 1 Laparoscopy and Related Services | 20 | $68,829 | $7,094 |
| Level 5 Urology and Related Services | 20 | $54,469 | $6,362 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $38,678 | $3,493 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $22,391 | $1,993 |
| Level 3 Musculoskeletal Procedures | 12 | $54,517 | $3,980 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Twin Cities charged $218,360 on average, 53% more than the California average of $143,063, and was paid $18,321 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Twin Cities charged $127,685 on average, 27% more than the California average of $100,739, and was paid $11,779 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Twin Cities charged $146,916 on average, 42% more than the California average of $103,761, and was paid $13,279 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventist Health Twin Cities charged $169,653 on average, 36% more than the California average of $124,302, and was paid $15,733 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $59,672 was 43% above the state average of $41,628. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $91,578 was 32% above the state average of $69,476. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $172,852 was 58% above the state average of $109,149. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,952 was 5% above the state average of $19,034.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Twin Cities in Templeton, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-11-13 (CMS case 2922)
- Closure Notice — 2025-01-16 (CMS case 2922)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.