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 |
|---|---|---|---|---|
| Fluoroguide needle placement CPT 77002 | $498.15 | $3,321.00 | $3.84 – $417.04 | 24 |
| Fluoroscopy up to 1 hour CPT 76000 | $380.55 | $2,537.00 | $1.22 – $316.97 | 24 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $23.73 | $158.22 | $4.16 – $85.00 | 10 |
| Fna bx w/ct gdn 1st les CPT 10009 | $884.70 | $5,898.00 | $22.00 – $940.73 | 21 |
| Folic acid CPT 82746 | $50.55 | $337.00 | $1.92 – $169.85 | 13 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.83 | $5.50 | $0.11 – $5.50 | 6 |
| Follow-up angiography CPT 75898 | $1,137.60 | $7,584.00 | $12.09 – $4,194.60 | 24 |
| Foot X-ray CPT 73630 | $270.30 | $1,802.00 | $1.28 – $131.47 | 24 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $343.85 | $2,292.35 | $0.23 – $2,292.35 | 10 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $55.31 | $368.74 | $0.67 – $368.74 | 17 |
| Freeing of bowel adhesion 44005 CPT 44005 | $593.40 | $3,956.00 | $122.11 – $2,228.97 | 19 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $11.25 | $75.00 | $73.77 – $132.79 | 8 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $13.20 | $88.00 | $85.98 – $154.76 | 8 |
| Fresh frozen plasma thawing ea un CPT 86927 | $23.85 | $159.00 | $70.18 – $1,335.12 | 12 |
| Fructosamine glycated protein CPT 82985 | $2.01 | $13.41 | $2.25 – $174.12 | 13 |
| Fundus photography with i&r 92250 CPT 92250 | $120.15 | $801.00 | $60.43 – $318.15 | 8 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $8.25 | $55.00 | $0.04 – $48.00 | 6 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $276.60 | $1,844.00 | $1,275.13 – $6,083.59 | 19 |
| Fusion/graft of finger joint CPT 26862 | $466.20 | $3,108.00 | $56.00 – $1,720.53 | 19 |
| Fusion of finger jnt add-on CPT 26861 | $55.95 | $373.00 | $56.00 – $249.27 | 19 |
| Fusion of finger joint CPT 26860 | $379.95 | $2,533.00 | $26.00 – $1,357.46 | 19 |
| Fusion of foot bones CPT 28740 | $360.30 | $2,402.00 | $35.00 – $1,569.07 | 19 |
| Fusion of knuckle CPT 26850 | $447.30 | $2,982.00 | $329.11 – $1,663.63 | 19 |
| Fusion of knuckle with graft CPT 26852 | $504.60 | $3,364.00 | $56.00 – $1,874.97 | 19 |
| Fusion of thumb CPT 26841 | $470.85 | $3,139.00 | $338.42 – $1,763.88 | 19 |
| G6pd full gene sequence CPT 81249 | $135.00 | $900.00 | $600.00 – $4,960.11 | 13 |
| G6pd gene alys cmn variant CPT 81247 | $26.22 | $174.81 | $174.81 – $1,445.10 | 13 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $199.95 | $1,333.00 | $36.75 – $900.00 | 10 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $27.75 | $185.00 | $49.63 – $348.69 | 15 |
| Gabapentin non-blood CPT 80355 | $2.40 | $16.00 | $0.05 – $140.30 | 6 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $5.55 | $37.00 | $0.56 – $17.00 | 10 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $5.25 | $35.00 | $2.51 – $17.00 | 10 |
| Galectin-3 CPT 82777 | $6.64 | $44.25 | $19.58 – $113.39 | 13 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $366.30 | $2,442.00 | $466.12 – $1,798.59 | 19 |
| Gammaglobulin iga CPT 82784 | $18.64 | $124.26 | $0.57 – $89.51 | 13 |
| Gammaglobulin ige CPT 82785 | $4.41 | $29.40 | $0.82 – $190.22 | 13 |
| Gamma glutamyltransferase CPT 82977 | $51.30 | $342.00 | $0.46 – $83.52 | 13 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $114.00 | $760.00 | $71.49 – $619.20 | 10 |
| Gated heart multiple CPT 78473 | $1,093.05 | $7,287.00 | $75.56 – $1,990.35 | 24 |
| Gba gene CPT 81251 | $7.09 | $47.25 | $22.33 – $1,244.54 | 13 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $73.39 | $489.24 | $6.02 – $489.24 | 10 |
| General health panel CPT 80050 | $100.95 | $673.00 | $214.08 – $5,651.18 | 6 |
| Generator barostim neo2 2014 HCPCS C1767 | $17,007.75 | $113,385.00 | $56,125.00 – $56,125.00 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | $20,625.00 | $137,500.00 | $37,500.00 – $37,500.00 | 1 |
| Genetic tstg severe inh cond CPT 81443 | $255.38 | $1,702.50 | $1,702.50 – $41,686.73 | 13 |
| Genome sequence analysis CPT 81425 | $465.00 | $3,100.00 | $0.05 – $155,967.20 | 12 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $7.18 | $47.88 | $4.44 – $34.38 | 10 |
| Gentamicin peak therapeutic drug level CPT 80170 | $70.20 | $468.00 | $2.38 – $171.48 | 13 |
| Ghs abscess perianal iandd CPT 46050 | $227.10 | $1,514.00 | $55.00 – $1,235.42 | 22 |
| Ghs abscess postoperative iandd complex CPT 10180 | $712.80 | $4,752.00 | $32.00 – $3,858.81 | 22 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $19.80 | $132.00 | $11.12 – $185.63 | 13 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $117.00 | $780.00 | $102.26 – $1,089.47 | 13 |
| Ghs antibodies (torch) igm CPT 86694 | $1.56 | $10.41 | $1.50 – $165.73 | 13 |
| Ghs bladder cath - complex-foley CPT 51703 | $255.15 | $1,701.00 | $108.11 – $307.69 | 8 |
| Ghs bleeding time (ivy) CPT 85002 | $26.40 | $176.00 | $4.82 – $52.11 | 13 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $172.50 | $1,150.00 | $12.00 – $937.74 | 22 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,083.45 | $7,223.00 | $83.99 – $4,194.60 | 22 |
| Ghs change cysto/gastrost CPT 43762 | $14.70 | $98.00 | $35.07 – $818.82 | 19 |
| Ghs chemo >8 hrs CPT 96416 | $333.45 | $2,223.00 | $66.25 – $1,366.13 | 15 |
| Ghs chemo IV push, ea addtl CPT 96411 | $123.75 | $825.00 | $25.76 – $589.00 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $54.75 | $365.00 | $10.94 – $392.27 | 13 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $260.10 | $1,734.00 | $15.00 – $1,037.74 | 19 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $278.10 | $1,854.00 | $167.91 – $867.04 | 22 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $294.30 | $1,962.00 | $272.52 – $1,173.21 | 19 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $457.50 | $3,050.00 | $40.00 – $1,251.99 | 19 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $194.10 | $1,294.00 | $8.00 – $666.54 | 22 |
| Ghs community re-entry 15 minutes CPT 97537 | $62.10 | $414.00 | $37.90 – $447.00 | 15 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $66.15 | $441.00 | $10.00 – $371.56 | 22 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $706.35 | $4,709.00 | $96.05 – $937.74 | 22 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $0.80 | $5.32 | $0.37 – $72.79 | 13 |
| Ghs fish cytogen CPT 88271 | $16.01 | $106.75 | $5.48 – $1,959.78 | 13 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $26.12 | $174.10 | $24.57 – $3,023.66 | 13 |
| Ghs flow volume loop CPT 94375 | $168.00 | $1,120.00 | $33.31 – $516.32 | 11 |
| Ghs gastric intub aspiration lavage CPT 43753 | $231.45 | $1,543.00 | $24.80 – $516.32 | 8 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $6.45 | $43.00 | $9.88 – $192.40 | 13 |
| Ghs histoplasma antigen CPT 87385 | $1.52 | $10.10 | $1.34 – $103.82 | 13 |
| Ghs HIV antibody CPT 86703 | $30.15 | $201.00 | $13.71 – $163.24 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $175.20 | $1,168.00 | $165.72 – $940.73 | 21 |
| Ghs inf midline insertion CPT 36140 | $1,279.05 | $8,527.00 | $20.00 – $981.44 | 22 |
| Ghs inhibitor screen CPT 85335 | $42.30 | $282.00 | $12.87 – $148.69 | 13 |
| Ghs inj tendon origin/insertion CPT 20551 | $73.50 | $490.00 | $35.20 – $407.77 | 22 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $139.05 | $927.00 | $43.00 – $570.38 | 19 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $103.80 | $692.00 | $471.00 – $1,268.00 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $54.75 | $365.00 | $62.21 – $111.97 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $264.00 | $1,760.00 | $248.32 – $789.84 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $89.85 | $599.00 | $40.00 – $325.65 | 19 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $99.45 | $663.00 | $42.00 – $540.04 | 22 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $117.00 | $780.00 | $99.03 – $414.10 | 19 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $78.75 | $525.00 | $103.87 – $411.84 | 19 |
| Ghs low level laser therapy CPT 97039 | $67.80 | $452.00 | $286.00 – $452.00 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $144.45 | $963.00 | $22.66 – $99.88 | 8 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $99.00 | $660.00 | $84.74 – $152.53 | 8 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $147.75 | $985.00 | $74.57 – $134.23 | 8 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $151.20 | $1,008.00 | $14.47 – $28.35 | 8 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $147.75 | $985.00 | $48.19 – $234.64 | 22 |
| Ghs nerve blk intercostal, single level CPT 64420 | $172.50 | $1,150.00 | $7.00 – $937.74 | 22 |
| Ghs nerve block celiac plexus CPT 64530 | $628.95 | $4,193.00 | $17.00 – $1,174.99 | 22 |
| Ghs o2 saturation CPT 82810 | $44.40 | $296.00 | $9.77 – $100.79 | 13 |
| Ghs o2 uptake rest & indirect CPT 94690 | $135.60 | $904.00 | $21.32 – $360.93 | 11 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $85.20 | $568.00 | $62.21 – $928.00 | 9 |
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.