ST HELENA HOSPITAL
10 Woodland Rd Saint Helena CA 94574|525 Oregon St, Vallejo, CA · Adventisthealth · · NPI 1720078082
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 |
|---|---|---|---|---|
| Ehrlicha chaffeensis amp prb CPT 87484 | $4.52 | $30.15 | $10.58 – $183.79 | 11 |
| EKG (Electrocardiogram) CPT 93000 | $47.85 | $319.00 | $18.26 – $231.91 | 23 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $298.80 | $1,992.00 | $34.25 – $734.44 | 8 |
| Electrd sq emblem s-icd HCPCS C1896 | $2,246.40 | $14,976.00 | $436.75 – $436.75 | 1 |
| Electrical stimulation/unattended 97014 CPT 97014 | $35.55 | $237.00 | $57.85 – $447.00 | 8 |
| Electrolyte panel CPT 80051 | $36.90 | $246.00 | $0.44 – $81.04 | 13 |
| Electron microscopy diagnostic CPT 88348 | $230.64 | $1,537.60 | $287.90 – $5,883.19 | 13 |
| Electro-oculography w/i&r CPT 92270 | $96.30 | $642.00 | $47.75 – $318.15 | 11 |
| Electrophysiologic study CPT 93624 | $3,909.60 | $26,064.00 | $409.69 – $18,650.88 | 8 |
| Electrophysiology evaluation CPT 93619 | $5,004.30 | $33,362.00 | $855.56 – $18,650.88 | 8 |
| Electrophysiology evaluation CPT 93620 | $5,437.50 | $36,250.00 | $1,003.13 – $18,650.88 | 8 |
| Electrophysiology evaluation CPT 93621 | $3,436.20 | $22,908.00 | $22,908.00 – $22,908.00 | 1 |
| Electrophysiology evaluation CPT 93622 | $5,078.55 | $33,857.00 | $33,857.00 – $33,857.00 | 1 |
| Electrophysiology evaluation CPT 93641 | $2,331.45 | $15,543.00 | $319.51 – $15,543.00 | 20 |
| Electrophysiology evaluation CPT 93642 | $867.60 | $5,784.00 | $752.84 – $2,911.43 | 8 |
| Electrophys map 3d add-on CPT 93613 | $2,787.75 | $18,585.00 | $250.47 – $450.85 | 8 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $1,650.00 | $11,000.00 | $8.19 – $21.90 | 17 |
| Embolization s&i CPT 75894 | $2,272.80 | $15,152.00 | $384.88 – $7,932.28 | 12 |
| Embo or occlude vascular arterial s&i CPT 37242 | $7,320.45 | $48,803.00 | $50.00 – $24,352.90 | 22 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $8,556.15 | $57,041.00 | $45.00 – $18,317.88 | 22 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $9,465.30 | $63,102.00 | $80.00 – $26,330.60 | 22 |
| Embo or occlude vascular venous s&i CPT 37241 | $6,581.70 | $43,878.00 | $50.00 – $15,336.00 | 22 |
| Emb without cervical dilation 58100 CPT 58100 | $188.10 | $1,254.00 | $41.04 – $483.44 | 8 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $82.05 | $547.00 | $141.15 – $318.15 | 11 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $91.95 | $613.00 | $159.86 – $388.15 | 11 |
| Emg cranial nerve bilateral CPT 95868 | $137.85 | $919.00 | $116.77 – $516.32 | 11 |
| Emg needle test 1-extremity CPT 95860 | $87.30 | $582.00 | $94.10 – $318.15 | 11 |
| Emg needle test 4-extremities CPT 95864 | $155.25 | $1,035.00 | $170.94 – $734.37 | 11 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $91.95 | $613.00 | $37.64 – $516.32 | 11 |
| Encephalitis, california igg/igm CPT 86651 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Encephalitis, st louis igg/igm CPT 86653 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,369.00 | $22,460.00 | $2,853.06 – $7,550.28 | 8 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,813.25 | $18,755.00 | $97.65 – $18,755.00 | 20 |
| Endoluminl ivus oct c ea CPT 92979 | $2,414.40 | $16,096.00 | $77.62 – $16,096.00 | 20 |
| Endoscopic vein harvest 33508 CPT 33508 | $1.05 | $7.00 | $7.00 – $31.27 | 19 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $884.40 | $5,896.00 | $1,276.62 – $3,892.10 | 22 |
| Endovenous rf abl vein addl CPT 36476 | $1,881.00 | $12,540.00 | $117.56 – $381.61 | 8 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $3,353.55 | $22,357.00 | $1,968.74 – $13,306.00 | 8 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $1,006.05 | $6,707.00 | $79.39 – $142.90 | 8 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $48.67 | $324.46 | $1.12 – $56.14 | 10 |
| Entamoeb hist dispr ag ia CPT 87336 | $3.03 | $20.20 | $3.23 – $107.24 | 13 |
| Enterectomy small intestine addl 44121 CPT 44121 | $126.60 | $844.00 | $40.21 – $527.91 | 19 |
| Enterectomy small intestine single 44120 CPT 44120 | $662.40 | $4,416.00 | $139.61 – $2,466.40 | 19 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $753.90 | $5,026.00 | $35.00 – $2,742.92 | 19 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $871.95 | $5,813.00 | $40.00 – $3,125.59 | 19 |
| Enzyme cell activity ra CPT 82658 | $70.19 | $467.92 | $28.20 – $207.72 | 13 |
| Enzyme histochemistry CPT 88319 | $32.55 | $217.00 | $62.12 – $1,926.58 | 13 |
| Ep & ablate supravent arrhyt CPT 93653 | $15,129.75 | $100,865.00 | $945.93 – $62,501.76 | 8 |
| Ep & ablate ventric tachy CPT 93654 | $17,646.45 | $117,643.00 | $867.45 – $34,723.20 | 22 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $28.20 | $188.00 | $7.00 – $231.95 | 19 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,239.15 | $8,261.00 | $253.77 – $2,911.43 | 8 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $21.27 | $141.80 | $6.60 – $141.80 | 6 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $23.16 | $154.39 | $3.04 – $154.39 | 6 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $22.58 | $150.50 | $2.44 – $150.50 | 6 |
| Epstein barr early antigen antibody CPT 86663 | $1.61 | $10.70 | $1.40 – $152.35 | 13 |
| Epstein barr nuclear antigen antibody CPT 86664 | $1.61 | $10.70 | $1.64 – $179.34 | 13 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $1.61 | $10.70 | $1.94 – $186.26 | 13 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $355.78 | $2,371.88 | $3.87 – $375.94 | 17 |
| Ercp biliary & pancreas CPT 74330 | $512.25 | $3,415.00 | $6.55 – $3,085.00 | 22 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $39.73 | $264.83 | $20.15 – $264.83 | 10 |
| ER Visit (level 1, minor) CPT 99281 | $174.00 | $1,160.00 | $21.77 – $201.64 | 8 |
| ER Visit (level 2) CPT 99282 | $307.20 | $2,048.00 | $24.38 – $203.98 | 22 |
| ER Visit (level 3) CPT 99283 | $535.05 | $3,567.00 | $35.12 – $362.64 | 22 |
| ER Visit (level 4) CPT 99284 | $1,058.85 | $7,059.00 | $53.83 – $554.32 | 22 |
| ER Visit (level 5, high severity) CPT 99285 | $1,527.60 | $10,184.00 | $108.08 – $791.14 | 22 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $97.50 | $650.00 | $0.86 – $650.00 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $109.02 | $726.80 | $0.46 – $71.87 | 7 |
| Esophageal dilat s&i CPT 74360 | $17.40 | $116.00 | $4.05 – $210.07 | 19 |
| Esophageal recording CPT 93615 | $1,239.15 | $8,261.00 | $117.62 – $2,911.43 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $311.55 | $2,077.00 | $20.00 – $1,625.76 | 19 |
| Esophagus motility study CPT 91010 | $26.40 | $176.00 | $69.11 – $259.66 | 19 |
| Esoph egd dilation <30 mm CPT 43249 | $85.20 | $568.00 | $149.35 – $2,104.80 | 19 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $1,865.55 | $12,437.00 | $45.00 – $12,036.12 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $10.20 | $68.00 | $8.32 – $47.78 | 22 |
| Established Patient Office Visit (level 2) CPT 99212 | $11.55 | $77.00 | $18.10 – $81.74 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $21.60 | $144.00 | $24.00 – $129.25 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $31.80 | $212.00 | $37.50 – $173.42 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $47.40 | $316.00 | $57.20 – $246.21 | 16 |
| Estradiol total CPT 82670 | $71.85 | $479.00 | $6.90 – $322.82 | 13 |
| Ethylene glycol -sendout CPT 82693 | $1.99 | $13.25 | $1.97 – $169.93 | 13 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1.34 | $8.95 | $1.63 – $38.86 | 10 |
| Euflexxa inj per dose HCPCS J7323 | $42.15 | $281.00 | $98.14 – $376.70 | 17 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $88.80 | $592.00 | $137.66 – $447.00 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $152.55 | $1,017.00 | $98.11 – $795.00 | 13 |
| Evaluation heart device CPT 93640 | $1,243.65 | $8,291.00 | $8,291.00 – $8,291.00 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $111.45 | $743.00 | $107.55 – $447.00 | 15 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $1,129.80 | $7,532.00 | $1,030.15 – $3,139.18 | 22 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $1,125.00 | $7,500.00 | $1,919.44 – $3,653.05 | 8 |
| Event monitor CPT 93270 | $105.60 | $704.00 | $42.77 – $489.94 | 12 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $321.45 | $2,143.00 | $55.00 – $1,043.16 | 19 |
| Exc abd les sc 3 cm/> CPT 22903 | $251.25 | $1,675.00 | $38.00 – $1,205.73 | 19 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $213.15 | $1,421.00 | $74.09 – $991.68 | 19 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $106.80 | $712.00 | $99.03 – $340.50 | 19 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $155.70 | $1,038.00 | $14.00 – $488.72 | 19 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $63.75 | $425.00 | $65.52 – $216.77 | 19 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $175.20 | $1,168.00 | $19.00 – $940.73 | 22 |
| Exc face tum deep < 2 cm CPT 21013 | $163.20 | $1,088.00 | $83.02 – $1,398.10 | 19 |
| Exc forearm les sc 3 cm/> CPT 25071 | $247.35 | $1,649.00 | $52.00 – $1,170.50 | 19 |
| Exc forearm tum deep < 3 cm CPT 25076 | $309.90 | $2,066.00 | $55.00 – $1,254.50 | 19 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $317.10 | $2,114.00 | $87.86 – $1,465.84 | 19 |
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.