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 |
|---|---|---|---|---|
| Ghs opcc repair cvp without subq port CPT 36575 | $843.00 | $5,620.00 | $45.79 – $1,500.03 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,386.75 | $9,245.00 | $115.04 – $3,764.18 | 8 |
| Ghs ot prosthetic training/15 min CPT 97761 | $38.85 | $259.00 | $48.74 – $447.00 | 14 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $35.25 | $235.00 | $34.67 – $447.00 | 15 |
| Ghs ot work hardening-additional hours CPT 97546 | $19.95 | $133.00 | $133.00 – $447.00 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $356.25 | $2,375.00 | $0.96 – $878.04 | 22 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $3.56 | $23.70 | $15.10 – $213.94 | 13 |
| Ghs picc line insert < 5 CPT 36568 | $418.80 | $2,792.00 | $68.56 – $2,091.21 | 22 |
| Ghs plngl fx pm cl CPT 26725 | $190.35 | $1,269.00 | $12.00 – $734.27 | 22 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,279.05 | $8,527.00 | $1,140.81 – $8,971.98 | 12 |
| Ghs ppd (tb intradermal) CPT 86580 | $22.35 | $149.00 | $4.82 – $302.29 | 13 |
| Ghs protein, misc fluid CPT 84160 | $9.45 | $63.00 | $3.53 – $59.73 | 13 |
| Ghs protoporphyrins fract CPT 84202 | $1.91 | $12.75 | $1.83 – $165.80 | 13 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $1.63 | $10.89 | $1.33 – $141.46 | 13 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $73.35 | $489.00 | $286.00 – $502.72 | 8 |
| Ghs refill of implantable pump CPT 95990 | $205.65 | $1,371.00 | $71.03 – $789.84 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $371.85 | $2,479.00 | $298.58 – $1,400.81 | 19 |
| Ghs reticulocyte count CPT 85044 | $27.45 | $183.00 | $3.79 – $49.69 | 13 |
| Ghs sedimentation rate CPT 85651 | $0.64 | $4.27 | $0.18 – $40.98 | 13 |
| Ghs semen analysis fert CPT 89320 | $44.55 | $297.00 | $12.31 – $297.00 | 13 |
| Ghs sensitivity (per antimicro) CPT 87184 | $37.20 | $248.00 | $0.56 – $79.56 | 13 |
| Ghs sleep study unattended CPT 95800 | $215.25 | $1,435.00 | $137.76 – $1,451.87 | 12 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $56.40 | $376.00 | $26.97 – $447.00 | 14 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $74.55 | $497.00 | $74.52 – $447.00 | 14 |
| Ghs st - re-eval for alt comm CPT 92597 | $135.75 | $905.00 | $82.75 – $447.00 | 14 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $25.35 | $169.00 | $19.41 – $928.00 | 10 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $325.50 | $2,170.00 | $198.54 – $928.00 | 10 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $99.45 | $663.00 | $25.00 – $540.04 | 22 |
| Ghs urine, porphyrins quant CPT 84120 | $1.96 | $13.08 | $1.92 – $169.93 | 13 |
| Ghs vaginal delivery only CPT 59409 | $420.45 | $2,803.00 | $40.00 – $2,467.71 | 19 |
| Ghs windowing of cast CPT 29730 | $39.30 | $262.00 | $28.29 – $215.88 | 22 |
| Giardia lamblia antibody CPT 86674 | $9.45 | $63.00 | $6.33 – $167.98 | 13 |
| Gi inhouse confirmation CPT 87045 | $61.05 | $407.00 | $0.89 – $108.95 | 13 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,581.90 | $10,546.00 | $134.67 – $6,225.59 | 23 |
| Gjb6 gene com variants CPT 81254 | $5.25 | $35.00 | $12.25 – $91.26 | 13 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $312.92 | $2,086.16 | $129.28 – $389.99 | 14 |
| Glucose 1 hr post dose CPT 82950 | $21.00 | $140.00 | $0.20 – $54.83 | 13 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $21.75 | $145.00 | $2.25 – $13.70 | 10 |
| Glucose blood quantitative CPT 82947 | $21.60 | $144.00 | $0.13 – $45.42 | 13 |
| Glucose body fluid CPT 82945 | $34.80 | $232.00 | $0.13 – $45.26 | 13 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $72.75 | $485.00 | $1.45 – $148.69 | 13 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $23.40 | $156.00 | $0.14 – $45.34 | 13 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $19.75 | $131.66 | $0.84 – $55.00 | 7 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,187.52 | $7,916.79 | $11.04 – $67.95 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $81.30 | $542.00 | $2.88 – $214.64 | 13 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $93.75 | $625.00 | $3.61 – $213.94 | 13 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $952.50 | $6,350.00 | $963.93 – $6,350.00 | 10 |
| Graft axiofill 1000mg HCPCS J3590 | $54.09 | $360.62 | $360.62 – $360.62 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $6,795.00 | $45,300.00 | $1,070.50 – $1,070.50 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $15,540.00 | $103,600.00 | $714.50 – $714.50 | 1 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $7,081.95 | $47,213.00 | $274.00 – $274.00 | 1 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,701.58 | $18,010.50 | $436.75 – $436.75 | 1 |
| Granisetron 1 mg tab HCPCS Q0166 | $61.95 | $413.00 | $7.92 – $413.00 | 10 |
| Granisetron hcl injection HCPCS J1626 | $18.05 | $120.32 | $0.33 – $120.32 | 10 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $13.95 | $93.00 | $13.89 – $93.00 | 8 |
| Gstrst open wo constj tube CPT 43830 | $1,201.80 | $8,012.00 | $694.24 – $4,588.56 | 8 |
| G-tube reposition CPT 43761 | $632.40 | $4,216.00 | $79.30 – $597.45 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,235.55 | $8,237.00 | $3.93 – $2,777.00 | 24 |
| Guided cath fluid drainage 10030 CPT 10030 | $943.65 | $6,291.00 | $15.00 – $1,985.07 | 21 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $1,368.90 | $9,126.00 | $681.49 – $1,226.68 | 8 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,044.00 | $6,960.00 | $104.00 – $104.00 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $501.90 | $3,346.00 | $204.00 – $204.00 | 1 |
| Guid loc target vol rad tx CPT 77387 | $749.10 | $4,994.00 | $33.13 – $407.47 | 22 |
| Gw stiffened micro access kit HCPCS C1894 | $731.25 | $4,875.00 | $233.00 – $233.00 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | $254.85 | $1,699.00 | $75.00 – $811.90 | 19 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $61.86 | $412.37 | $8.67 – $216.72 | 10 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $12.21 | $81.37 | $1.61 – $81.37 | 10 |
| Hand X-ray CPT 73130 | $278.40 | $1,856.00 | $1.28 – $131.47 | 24 |
| Haptoglobin quantitative CPT 83010 | $1.61 | $10.70 | $1.35 – $145.27 | 13 |
| Hba1/hba2 full gene sequence CPT 81259 | $70.13 | $467.50 | $467.50 – $4,960.11 | 13 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $24.29 | $161.92 | $161.92 – $1,673.20 | 13 |
| Hbb full gene sequence CPT 81364 | $135.00 | $900.00 | $324.58 – $2,921.22 | 13 |
| Hbb gene dup/del variants CPT 81363 | $24.29 | $161.92 | $161.92 – $1,673.20 | 13 |
| Hcg qualitative CPT 84703 | $68.55 | $457.00 | $0.49 – $86.79 | 13 |
| Hcg quantitative CPT 84702 | $85.35 | $569.00 | $2.00 – $166.43 | 13 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $239.70 | $1,598.00 | $53.38 – $1,078.00 | 10 |
| Hc nm kidney imaging with flow CPT 78701 | $559.95 | $3,733.00 | $25.48 – $870.76 | 24 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,325.25 | $8,835.00 | $47.16 – $6,310.00 | 24 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $2,056.20 | $13,708.00 | $21.97 – $207.11 | 20 |
| Head CT scan (with and without contrast) CPT 70470 | $1,285.05 | $8,567.00 | $9.26 – $1,081.25 | 24 |
| Head CT scan (with contrast) CPT 70460 | $1,233.60 | $8,224.00 | $8.19 – $1,060.00 | 24 |
| Head CT scan (without contrast) CPT 70450 | $1,066.95 | $7,113.00 | $6.17 – $1,060.00 | 24 |
| Heart infarct image CPT 78466 | $469.95 | $3,133.00 | $34.86 – $650.23 | 24 |
| Heavy metal qual any number CPT 83015 | $2.06 | $13.70 | $2.09 – $184.70 | 13 |
| Heinz bodies direct CPT 85441 | $8.51 | $56.75 | $2.38 – $48.45 | 13 |
| Heinz bodies induced CPT 85445 | $8.51 | $56.75 | $3.87 – $78.78 | 13 |
| Hematocrit CPT 85014 | $20.10 | $134.00 | $0.05 – $27.30 | 13 |
| Hemodialysis one evaluation CPT 90935 | $897.15 | $5,981.00 | $81.19 – $1,641.14 | 9 |
| Hemodialysis repeated eval CPT 90937 | $286.65 | $1,911.00 | $95.60 – $710.72 | 9 |
| Hemoglobin CPT 85018 | $19.95 | $133.00 | $0.05 – $27.30 | 13 |
| Hemoglobin urine CPT 83069 | $0.53 | $3.51 | $0.14 – $45.57 | 13 |
| Hemolysins/agglutinins auto CPT 86940 | $1.16 | $7.75 | $0.68 – $94.57 | 13 |
| Hemolysins and agglutinins incubated CPT 86941 | $1.52 | $10.12 | $1.23 – $139.91 | 13 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $116.10 | $774.00 | $77.07 – $357.53 | 19 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $223.50 | $1,490.00 | $30.00 – $740.20 | 19 |
| Heparin assay CPT 85520 | $6.75 | $45.00 | $5.89 – $128.47 | 13 |
| Heparin bolus from bag HCPCS J1644 | $17.70 | $118.00 | $0.40 – $44.80 | 10 |
| Heparin neutralization CPT 85525 | $5.25 | $35.00 | $4.14 – $99.23 | 13 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.50 | $50.00 | $0.03 – $50.00 | 10 |
| Hepatectomy removal of liver 47120 CPT 47120 | $1,266.75 | $8,445.00 | $160.09 – $4,779.17 | 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.