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 |
|---|---|---|---|---|
| Hepatitis a antibody igm CPT 86709 | $26.25 | $175.00 | $11.26 – $125.75 | 13 |
| Hepatitis b core antibody igm CPT 86705 | $28.65 | $191.00 | $1.22 – $131.59 | 13 |
| Hepatitis b core antibody total CPT 86704 | $28.50 | $190.00 | $1.08 – $134.77 | 13 |
| Hepatitis b surface antibody CPT 86706 | $25.20 | $168.00 | $0.90 – $120.00 | 13 |
| Hepatitis c antibody CPT 86803 | $29.55 | $197.00 | $1.79 – $159.58 | 13 |
| Hepatitis d quantification CPT 87523 | $33.75 | $225.00 | $42.84 – $178.30 | 11 |
| Hepatobiliary system imaging CPT 78226 | $1,117.20 | $7,448.00 | $37.25 – $2,074.11 | 24 |
| Hereditary colon ca dsordrs CPT 81435 | $351.00 | $2,340.00 | $584.90 – $23,814.73 | 13 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $225.00 | $1,500.00 | $626.00 – $8,162.73 | 13 |
| Hernia Repair (Inguinal) CPT 49505 | $440.85 | $2,939.00 | $266.00 – $1,039.07 | 19 |
| Herpes simplex 1 ag if CPT 87274 | $3.66 | $24.42 | $1.21 – $103.82 | 13 |
| Herpes simplex 2 ag if CPT 87273 | $3.66 | $24.42 | $1.21 – $107.24 | 13 |
| Herpes simplex type 1 antibody igg CPT 86695 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Herpes simplex type 2 antibody igg CPT 86696 | $30.02 | $200.10 | $19.35 – $223.43 | 13 |
| Herpes simplex virus isolation CPT 87255 | $16.20 | $108.00 | $9.17 – $391.10 | 13 |
| Heterophile antibodies screening CPT 86308 | $57.45 | $383.00 | $5.18 – $59.73 | 13 |
| Hexa gene CPT 81255 | $7.72 | $51.45 | $26.47 – $1,633.23 | 13 |
| Hhv-6 dna quant CPT 87533 | $5.57 | $37.12 | $15.50 – $298.87 | 13 |
| Hip X-ray CPT 73502 | $209.85 | $1,399.00 | $2.58 – $297.23 | 24 |
| Histamine CPT 83088 | $3.94 | $26.25 | $7.75 – $341.09 | 13 |
| Histochemical stains add-on CPT 88314 | $79.65 | $531.00 | $62.01 – $4,458.81 | 13 |
| Hla class i&ii antibody qual CPT 86828 | $39.75 | $265.00 | $61.81 – $346.46 | 13 |
| Hla ii typing 1 loc hr CPT 81382 | $37.50 | $250.00 | $123.68 – $931.44 | 13 |
| Hla i low res one antigen equiv ea CPT 81374 | $9.70 | $64.66 | $48.06 – $1,336.23 | 13 |
| Hla i typing 1 locus hr CPT 81380 | $36.75 | $245.00 | $177.25 – $1,186.44 | 13 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $36.75 | $245.00 | $36.26 – $1,336.23 | 13 |
| Home health care supervision HCPCS G0181 | $44.70 | $298.00 | $30.62 – $298.00 | 18 |
| Home/res vst est high mdm 60 CPT 99350 | $61.05 | $407.00 | $80.10 – $310.72 | 21 |
| Home/res vst est mod mdm 40 CPT 99349 | $42.15 | $281.00 | $46.00 – $213.38 | 21 |
| Home/res vst est sf mdm 20 CPT 99347 | $15.00 | $100.00 | $25.20 – $86.37 | 19 |
| Home/res vst new high mdm 75 CPT 99345 | $66.90 | $446.00 | $94.30 – $379.43 | 21 |
| Home/res vst new low mdm 30 CPT 99342 | $25.65 | $171.00 | $49.20 – $161.38 | 19 |
| Home/res vst new mod mdm 60 CPT 99344 | $46.80 | $312.00 | $77.00 – $306.98 | 19 |
| Home/res vst new sf mdm 15 CPT 99341 | $16.35 | $109.00 | $41.20 – $109.73 | 19 |
| Home visit est patient 99348 CPT 99348 | $25.35 | $169.00 | $34.30 – $134.85 | 21 |
| Homocysteine CPT 83090 | $60.00 | $400.00 | $2.69 – $194.73 | 13 |
| Homogenization tissue CPT 87176 | $17.10 | $114.00 | $0.31 – $67.97 | 13 |
| Hpa-1 genotyping CPT 81105 | $16.30 | $108.64 | $108.64 – $1,355.36 | 13 |
| Hpv types 16 & 18 only CPT 87625 | $6.75 | $45.00 | $18.25 – $291.17 | 13 |
| H pylori (c-13) breath CPT 83013 | $114.75 | $765.00 | $40.34 – $738.96 | 13 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $382.50 | $2,550.00 | $779.22 – $12,635.28 | 13 |
| Hrdtry cardmypy gene panel CPT 81439 | $265.50 | $1,770.00 | $584.90 – $10,352.73 | 13 |
| Hrdtry perph neurphy panel CPT 81448 | $225.00 | $1,500.00 | $584.90 – $8,773.50 | 13 |
| Htt gene detc abnor alleles CPT 81271 | $16.44 | $109.60 | $109.60 – $941.86 | 13 |
| Human epididymis protein 4 (he4) CPT 86305 | $21.71 | $144.72 | $20.81 – $293.73 | 13 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $2.55 | $17.01 | $1.73 – $8.32 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $26.28 | $175.17 | $9.22 – $175.17 | 10 |
| Hydration IV infusion each additional hour CPT 96361 | $138.00 | $920.00 | $20.94 – $928.00 | 10 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $234.30 | $1,562.00 | $73.58 – $928.00 | 10 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $37.14 | $247.62 | $6.75 – $197.63 | 10 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $19.25 | $128.30 | $0.31 – $52.15 | 7 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $507.69 | $3,384.57 | $60.71 – $60.71 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $12.32 | $82.13 | $2.79 – $195.82 | 13 |
| Hysterosalpingography s&i CPT 74740 | $295.95 | $1,973.00 | $2.83 – $321.27 | 24 |
| Hysteroscopy dx sep proc CPT 58555 | $84.00 | $560.00 | $60.00 – $598.60 | 19 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $98.92 | $659.45 | $310.07 – $432.00 | 4 |
| I-123 iobenguane diag HCPCS A9582 | $1,662.15 | $11,081.00 | $2,317.50 – $9,995.66 | 15 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $128.85 | $859.00 | $126.34 – $641.21 | 10 |
| I131 iodide cap, rx HCPCS A9517 | $87.75 | $585.00 | $24.07 – $426.96 | 17 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $50.10 | $334.00 | $11.51 – $392.27 | 13 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $21,986.25 | $146,575.00 | $67,303.00 – $67,303.00 | 1 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $20,625.00 | $137,500.00 | $37,500.00 – $37,500.00 | 1 |
| Icd crtp serena MRI HCPCS C2621 | $6,375.00 | $42,500.00 | $25,679.00 – $25,679.00 | 1 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $5,103.11 | $34,020.75 | $436.75 – $436.75 | 1 |
| Icg angiography i&r uni/bi CPT 92240 | $518.70 | $3,458.00 | $106.13 – $516.32 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $545.40 | $3,636.00 | $658.23 – $1,958.97 | 19 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $424.95 | $2,833.00 | $60.00 – $1,191.35 | 19 |
| Idh1 common variants CPT 81120 | $23.19 | $154.60 | $154.60 – $1,735.80 | 13 |
| Idh2 common variants CPT 81121 | $35.49 | $236.63 | $236.63 – $2,656.90 | 13 |
| Igh gene rearrange amp meth CPT 81261 | $31.50 | $210.00 | $197.99 – $931.44 | 13 |
| Igh@ var region somatic mutation analy CPT 81263 | $61.50 | $410.00 | $268.72 – $1,324.87 | 13 |
| Igk rearrangeabn clonal pop CPT 81264 | $28.50 | $190.00 | $172.73 – $2,803.42 | 13 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $69.60 | $464.00 | $15.28 – $392.56 | 24 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $116.25 | $775.00 | $125.00 – $1,049.63 | 13 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $96.90 | $646.00 | $19.02 – $392.56 | 24 |
| Ikbkap gene CPT 81260 | $4.72 | $31.44 | $12.36 – $662.59 | 13 |
| Iliac/fem angio cath insert HCPCS G0278 | $32.40 | $216.00 | $4.72 – $145.00 | 23 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $4,403.25 | $29,355.02 | $58.30 – $158.73 | 14 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $110.03 | $733.50 | $733.50 – $733.50 | 1 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $20.66 | $137.75 | $63.18 – $113.72 | 8 |
| Immobilizer shldr sling med HCPCS L3660 | $20.25 | $135.00 | $94.74 – $246.20 | 8 |
| Immt breast prosthesis 19340 CPT 19340 | $662.10 | $4,414.00 | $40.00 – $1,301.92 | 19 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $41.55 | $277.00 | $20.81 – $240.23 | 13 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $35.85 | $239.00 | $20.81 – $240.23 | 13 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $1.21 | $8.09 | $0.71 – $138.43 | 13 |
| Immunodiffusion nes CPT 86329 | $1.87 | $12.49 | $1.75 – $148.15 | 13 |
| Immunofixation electrophoresis serum CPT 86334 | $33.15 | $221.00 | $3.35 – $258.04 | 13 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $222.24 | $1,481.60 | $48.35 – $616.40 | 13 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $81.00 | $540.00 | $65.38 – $881.69 | 13 |
| Immunoglobulin assay CPT 86023 | $13.34 | $88.90 | $1.38 – $124.04 | 13 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $375.30 | $2,502.00 | $2,334.00 – $2,334.00 | 1 |
| Implant ureth bulk agent HCPCS L8606 | $201.94 | $1,346.25 | $209.55 – $501.73 | 8 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $117.90 | $786.00 | $30.00 – $335.45 | 19 |
| In-111 autol wbc diag per dose HCPCS A9570 | $589.95 | $3,933.00 | $1,103.19 – $25,410.31 | 16 |
| In-111 capromab pendet HCPCS A9507 | $1,929.90 | $12,866.00 | $1,730.29 – $26,533.23 | 17 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $1,555.20 | $10,368.00 | $5,679.68 – $21,125.16 | 10 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $688.95 | $4,593.00 | $334.63 – $12,705.15 | 17 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,378.80 | $9,192.00 | $296.08 – $5,344.68 | 17 |
| In-111 pentetreotide HCPCS A9572 | $2,951.40 | $19,676.00 | $2,000.94 – $26,601.65 | 16 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $308.70 | $2,058.00 | $108.34 – $1,121.73 | 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.