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 |
|---|---|---|---|---|
| Exc hand les sc < 1.5 cm CPT 26115 | $202.95 | $1,353.00 | $60.00 – $1,444.16 | 19 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $327.75 | $2,185.00 | $68.00 – $1,511.90 | 19 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $315.75 | $2,105.00 | $287.04 – $1,056.71 | 19 |
| Exchange drainage catheter CPT 49423 | $1,201.80 | $8,012.00 | $63.70 – $2,549.20 | 22 |
| Exchange nephrostomy cath CPT 50435 | $1,423.80 | $9,492.00 | $95.29 – $2,777.00 | 23 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $204.60 | $1,364.00 | $174.24 – $737.61 | 19 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $353.55 | $2,357.00 | $45.00 – $1,043.16 | 19 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $378.90 | $2,526.00 | $554.35 – $1,839.75 | 19 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $399.75 | $2,665.00 | $61.00 – $1,888.52 | 19 |
| Excise anal ext tag/papilla CPT 46220 | $293.55 | $1,957.00 | $15.00 – $1,589.69 | 22 |
| Excise intrspinl lesion lmbr CPT 63267 | $761.10 | $5,074.00 | $40.00 – $3,380.65 | 19 |
| Excise parotid gland/lesion CPT 42415 | $604.35 | $4,029.00 | $122.11 – $2,418.91 | 19 |
| Excise submaxillary gland CPT 42440 | $242.85 | $1,619.00 | $65.00 – $991.59 | 19 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $195.15 | $1,301.00 | $65.00 – $1,205.73 | 19 |
| Excision addl breast lesion 19126 CPT 19126 | $84.15 | $561.00 | $120.63 – $368.59 | 19 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $403.50 | $2,690.00 | $33.00 – $2,194.09 | 22 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $69.45 | $463.00 | $14.00 – $245.47 | 19 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $144.30 | $962.00 | $33.00 – $425.57 | 19 |
| Excision breast lesion CPT 19125 | $262.65 | $1,751.00 | $50.00 – $928.96 | 19 |
| Excision of stomach lesion CPT 43611 | $670.80 | $4,472.00 | $133.28 – $2,461.64 | 19 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $268.20 | $1,788.00 | $77.07 – $1,281.59 | 19 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $271.95 | $1,813.00 | $45.00 – $1,666.34 | 19 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $181.35 | $1,209.00 | $45.00 – $1,029.61 | 19 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $256.05 | $1,707.00 | $22.00 – $1,230.11 | 19 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $181.80 | $1,212.00 | $20.00 – $904.97 | 19 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $242.70 | $1,618.00 | $68.88 – $1,148.83 | 19 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $267.60 | $1,784.00 | $33.00 – $1,278.88 | 19 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $194.85 | $1,299.00 | $35.00 – $1,333.07 | 19 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $186.75 | $1,245.00 | $70.00 – $959.16 | 19 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $293.55 | $1,957.00 | $92.70 – $1,589.69 | 22 |
| Exercise w/hemodynamic meas CPT 93464 | $57.00 | $380.00 | $98.73 – $313.87 | 19 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $1,337.66 | $8,917.75 | $833.22 – $1,499.80 | 8 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,215.00 | $8,100.00 | $2,772.00 – $2,772.00 | 1 |
| Exploration of knee joint CPT 27310 | $430.20 | $2,868.00 | $101.27 – $1,625.70 | 19 |
| Exploration of sinuses CPT 31090 | $1,001.10 | $6,674.00 | $29.00 – $2,413.90 | 19 |
| Explore chest vessels 35820 CPT 35820 | $142.65 | $951.00 | $75.00 – $3,252.24 | 19 |
| Explore inner ear CPT 69806 | $536.10 | $3,574.00 | $148.92 – $1,674.51 | 19 |
| Explore parathyroid glands CPT 60500 | $540.45 | $3,603.00 | $490.00 – $2,572.60 | 19 |
| Explore/treat finger joint CPT 26080 | $245.85 | $1,639.00 | $35.00 – $839.95 | 19 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $9.30 | $62.00 | $21.06 – $251.50 | 19 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $10.35 | $69.00 | $23.17 – $277.09 | 23 |
| External chromosome analysis 20-25 cells CPT 88264 | $27.85 | $185.65 | $144.61 – $1,433.36 | 13 |
| External newborn metabolic screening panel HCPCS S3620 | $33.75 | $225.00 | $21.00 – $210.76 | 3 |
| External ocular photography CPT 92285 | $76.95 | $513.00 | $33.48 – $513.00 | 11 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $107.85 | $719.00 | $90.00 – $1,238.63 | 13 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $12.83 | $85.50 | $0.90 – $175.91 | 13 |
| F-18 fdg pet diag HCPCS A9552 | $255.00 | $1,700.00 | $647.79 – $1,901.02 | 10 |
| F-18 fluciclovine per mci HCPCS A9588 | $177.45 | $1,183.00 | $322.27 – $3,314.21 | 15 |
| Facial bones <3 CPT 70140 | $156.15 | $1,041.00 | $1.38 – $153.46 | 24 |
| Factor viii CPT 85240 | $27.00 | $180.00 | $3.27 – $206.87 | 13 |
| Family therapy without pt 50min 90846 CPT 90846 | $97.95 | $653.00 | $124.28 – $424.43 | 7 |
| Family therapy with patient 50 min 90847 CPT 90847 | $189.30 | $1,262.00 | $128.59 – $424.43 | 7 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $17.50 | $116.66 | $0.02 – $54.54 | 6 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,427.44 | $9,516.25 | $32.87 – $85.22 | 17 |
| Fancc gene CPT 81242 | $5.49 | $36.62 | $13.41 – $534.90 | 13 |
| Fatty acids nonesterified CPT 82725 | $4.50 | $30.00 | $2.72 – $153.83 | 13 |
| Feeding tube reposition CPT 74355 | $387.45 | $2,583.00 | $308.16 – $1,845.00 | 6 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $2.27 | $15.14 | $2.82 – $77.61 | 13 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $10.95 | $73.01 | $1.60 – $73.01 | 10 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,242.50 | $8,283.33 | $1.13 – $8.02 | 17 |
| Ferritin CPT 82728 | $56.25 | $375.00 | $1.37 – $157.40 | 13 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $393.60 | $2,624.00 | $7.83 – $1,326.00 | 23 |
| Fetal chrmoml microdeltj CPT 81422 | $41.25 | $275.00 | $45.00 – $5,415.99 | 13 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $67.50 | $450.00 | $275.00 – $3,456.37 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $305.25 | $2,035.00 | $50.67 – $483.44 | 8 |
| Fetal fibronectin CPT 82731 | $367.95 | $2,453.00 | $36.19 – $1,555.38 | 13 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $0.94 | $6.28 | $0.49 – $89.36 | 13 |
| Fetal hemoglobin rosette CPT 85461 | $31.20 | $208.00 | $5.98 – $176.69 | 13 |
| Fetal non stress test CPT 59025 | $345.60 | $2,304.00 | $22.80 – $483.44 | 8 |
| #_fet/norfentcnfrmur CPT 80354 | $92.85 | $619.00 | $0.05 – $206.40 | 6 |
| Fibrin degradation d dimer quantitative CPT 85379 | $77.25 | $515.00 | $0.92 – $117.51 | 13 |
| Fibrin degradation products CPT 85362 | $30.00 | $200.00 | $0.41 – $79.48 | 13 |
| Fibrinogen activity CPT 85384 | $51.60 | $344.00 | $0.74 – $97.52 | 13 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $6.00 | $40.00 | $5.63 – $35.21 | 19 |
| Fibrinolytic antiplasmin CPT 85410 | $1.03 | $6.85 | $0.53 – $86.25 | 13 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $0.87 | $5.81 | $0.38 – $75.59 | 13 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $394.99 | $2,633.26 | $0.32 – $7.14 | 17 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $501.76 | $3,345.05 | $0.35 – $6.99 | 17 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $1,959.00 | $13,060.00 | $9,381.00 – $9,381.00 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $1,556.70 | $10,378.00 | $2,004.00 – $2,004.00 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $405.15 | $2,701.00 | $37.00 – $940.73 | 21 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $457.65 | $3,051.00 | $17.00 – $101.68 | 21 |
| Fine needle asp without image guide 10021 CPT 10021 | $258.45 | $1,723.00 | $17.00 – $540.04 | 21 |
| Fixation of knee joint CPT 27570 | $1,014.00 | $6,760.00 | $25.00 – $2,136.16 | 22 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $402.60 | $2,684.00 | $520.10 – $1,528.16 | 19 |
| Flecainide (tambocor)-sendout CPT 80181 | $2.80 | $18.64 | $3.47 – $77.61 | 13 |
| Fl exam g/colon tube w contrast CPT 49465 | $151.20 | $1,008.00 | $15.00 – $321.71 | 22 |
| Flexible Sigmoidoscopy CPT 45330 | $42.15 | $281.00 | $45.00 – $253.54 | 19 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $270.90 | $1,806.00 | $686.38 – $4,142.80 | 14 |
| Flow cytometry marker each additional CPT 88185 | $20.38 | $135.86 | $8.67 – $265.08 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $45.00 | $300.00 | $42.18 – $857.13 | 13 |
| Flt3 gene CPT 81245 | $39.30 | $262.00 | $132.40 – $693.00 | 13 |
| Flt3 gene analysis CPT 81246 | $9.96 | $66.40 | $31.54 – $1,287.15 | 13 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.46 | $143.08 | $4.62 – $240.23 | 10 |
| Fluidotherapy charges pt CPT 97022 | $54.90 | $366.00 | $15.98 – $447.00 | 15 |
| Fluorescein angioscopy i&r CPT 92230 | $322.65 | $2,151.00 | $66.61 – $892.31 | 8 |
| Fluorescein angrph mltiframe CPT 92235 | $202.80 | $1,352.00 | $117.23 – $516.32 | 8 |
| Fluorescent antibody titer dna CPT 86256 | $33.75 | $225.00 | $1.25 – $139.28 | 13 |
| Fluoroestradiol f 18 HCPCS A9591 | $301.20 | $2,008.00 | $80.84 – $4,642.51 | 15 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $263.40 | $1,756.00 | $4.14 – $318.58 | 24 |
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.