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 |
|---|---|---|---|---|
| Intra-atrial recording CPT 93602 | $3,909.60 | $26,064.00 | $151.87 – $18,650.88 | 8 |
| Intracard echo interv w/s&i CPT 93662 | $1,311.90 | $8,746.00 | $77.41 – $8,746.00 | 21 |
| Intracran angioplsty w/stent CPT 61635 | $720.90 | $4,806.00 | $1,389.19 – $2,500.54 | 7 |
| Intraop colon lavage add-on CPT 44701 | $88.80 | $592.00 | $60.00 – $365.91 | 19 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $1,239.15 | $8,261.00 | $8,261.00 – $8,261.00 | 1 |
| Intraventricular pacing CPT 93612 | $3,909.60 | $26,064.00 | $151.87 – $18,650.88 | 8 |
| Intro cath dialysis circuit CPT 36901 | $1,311.00 | $8,740.00 | $45.00 – $2,091.21 | 22 |
| Intro cath dialysis circuit w/pta CPT 36902 | $4,277.85 | $28,519.00 | $50.00 – $7,561.04 | 22 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $6,786.15 | $45,241.00 | $284.90 – $16,340.56 | 22 |
| Intro catheter aorta CPT 36200 | $1,699.65 | $11,331.00 | $15.00 – $1,298.97 | 22 |
| Intro cath svc/ivc CPT 36010 | $1,058.10 | $7,054.00 | $84.51 – $1,356.70 | 22 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $448.50 | $2,990.00 | $79.33 – $5,037.12 | 22 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $277.65 | $1,851.00 | $62.82 – $195.46 | 8 |
| Intubation endotracheal emergency procedure CPT 31500 | $305.40 | $2,036.00 | $59.20 – $314.65 | 22 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $3.15 | $21.00 | $0.61 – $11.00 | 10 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $3.15 | $21.00 | $0.20 – $14.00 | 10 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $55.65 | $371.00 | $141.17 – $371.00 | 11 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $70.65 | $471.00 | $196.88 – $471.00 | 11 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $90.90 | $606.00 | $247.01 – $606.00 | 11 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $35.40 | $236.00 | $91.47 – $236.00 | 11 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $92.09 | $613.93 | $3.22 – $393.36 | 10 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $1,650.00 | $11,000.00 | $65.86 – $179.57 | 17 |
| Iron CPT 83540 | $30.45 | $203.00 | $0.37 – $74.81 | 13 |
| Iron binding capacity CPT 83550 | $24.75 | $165.00 | $0.32 – $79.01 | 13 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $148.16 | $987.71 | $0.36 – $494.92 | 10 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $187.95 | $1,253.00 | $33.73 – $78.37 | 20 |
| Ivc venogram s&i CPT 75825 | $2,269.05 | $15,127.00 | $8.37 – $4,194.60 | 24 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $131.25 | $875.00 | $44.54 – $928.00 | 10 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $117.45 | $783.00 | $25.58 – $928.00 | 10 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $198.30 | $1,322.00 | $27.64 – $928.00 | 10 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $369.45 | $2,463.00 | $89.79 – $928.00 | 10 |
| Ivp w/nephrotomography CPT 74415 | $313.05 | $2,087.00 | $3.57 – $522.32 | 24 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $297.00 | $1,980.00 | $3.57 – $416.98 | 24 |
| Jak2 targeted sequence analysis CPT 81279 | $44.25 | $295.00 | $65.08 – $770.91 | 13 |
| John cunningham antibody CPT 86711 | $4.50 | $30.00 | $5.07 – $126.06 | 13 |
| J-tube placement CPT 44015 | $467.40 | $3,116.00 | $128.35 – $310.05 | 20 |
| Ketamine and metabolite screen - quest CPT 80357 | $15.90 | $106.00 | $0.05 – $147.68 | 6 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $56.10 | $374.00 | $0.58 – $93.87 | 13 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $17.27 | $115.13 | $0.37 – $24.88 | 17 |
| Kidney function study CPT 78725 | $463.80 | $3,092.00 | $110.46 – $955.95 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $929.55 | $6,197.00 | $47.87 – $1,099.81 | 24 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $478.65 | $3,191.00 | $5.37 – $489.83 | 23 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $2,877.60 | $19,184.00 | $19,184.00 – $19,184.00 | 1 |
| Kit gene analys d816 variant CPT 81273 | $42.00 | $280.00 | $124.87 – $1,076.95 | 13 |
| Kit hfx iq ipg bundle HCPCS C1822 | $19,875.00 | $132,500.00 | $115,004.00 – $115,004.00 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $19,875.00 | $132,500.00 | $3,750.00 – $3,750.00 | 1 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,021.35 | $6,809.00 | $6,809.00 – $6,809.00 | 1 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $366.45 | $2,443.00 | $477.29 – $1,376.43 | 19 |
| Knee arthroscopy/drainage CPT 29871 | $306.30 | $2,042.00 | $90.00 – $1,154.25 | 19 |
| Knee arthroscopy dx CPT 29870 | $248.10 | $1,654.00 | $95.00 – $1,056.72 | 19 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $321.45 | $2,143.00 | $65.00 – $1,436.04 | 19 |
| Knee arthroscopy/surgery CPT 29873 | $325.20 | $2,168.00 | $90.00 – $1,159.67 | 19 |
| Knee arthroscopy/surgery CPT 29874 | $316.50 | $2,110.00 | $456.07 – $1,211.15 | 19 |
| Knee arthroscopy/surgery CPT 29875 | $295.05 | $1,967.00 | $65.00 – $1,124.44 | 19 |
| Knee arthroscopy/surgery CPT 29876 | $383.85 | $2,559.00 | $90.00 – $1,455.00 | 19 |
| Knee arthroscopy/surgery CPT 29879 | $388.95 | $2,593.00 | $60.00 – $1,473.97 | 19 |
| Knee arthroscopy/surgery CPT 29880 | $332.70 | $2,218.00 | $551.00 – $1,541.71 | 19 |
| Knee arthroscopy/surgery CPT 29882 | $402.75 | $2,685.00 | $95.00 – $1,549.83 | 19 |
| Knee arthroscopy/surgery CPT 29884 | $365.70 | $2,438.00 | $60.00 – $1,371.01 | 19 |
| Knee arthroscopy/surgery CPT 29888 | $560.70 | $3,738.00 | $134.77 – $2,265.14 | 19 |
| Knee MRI (with and without contrast) CPT 73723 | $2,567.55 | $17,117.00 | $15.64 – $3,540.53 | 24 |
| Knee MRI (with contrast) CPT 73722 | $1,372.95 | $9,153.00 | $11.77 – $1,912.65 | 24 |
| Knee MRI (without contrast) CPT 73721 | $1,812.45 | $12,083.00 | $9.80 – $1,725.00 | 24 |
| Knee X-ray CPT 73564 | $360.75 | $2,405.00 | $1.60 – $154.10 | 24 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $14.79 | $98.59 | $0.57 – $84.15 | 7 |
| Lactate dehydrogenase (ldh) CPT 83615 | $38.85 | $259.00 | $0.32 – $69.53 | 13 |
| Lactated ringers intravenous solution HCPCS J7120 | $8.81 | $58.72 | $4.27 – $58.72 | 10 |
| Lactation class HCPCS S9443 | $28.80 | $192.00 | $24.00 – $24.00 | 1 |
| Lactic acid CPT 83605 | $68.25 | $455.00 | $1.09 – $123.34 | 13 |
| Lam facetec & foramot lumbar CPT 63047 | $933.00 | $6,220.00 | $564.00 – $2,742.74 | 19 |
| Laminotomy single cervical CPT 63040 | $765.45 | $5,103.00 | $70.00 – $3,520.61 | 19 |
| Laminotomy single lumbar CPT 63042 | $724.20 | $4,828.00 | $70.00 – $3,305.28 | 19 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $6,750.00 | $45,000.00 | $37.43 – $104.60 | 17 |
| Laparo cholecystectomy/explr CPT 47564 | $615.90 | $4,106.00 | $131.42 – $2,174.46 | 19 |
| Laparo cholecystectomy/graph CPT 47563 | $397.35 | $2,649.00 | $125.00 – $1,868.20 | 19 |
| Laparo partial colectomy 44204 CPT 44204 | $834.60 | $5,564.00 | $1,158.23 – $3,878.39 | 19 |
| Laparoscopy aspiration CPT 49322 | $208.35 | $1,389.00 | $51.75 – $949.41 | 19 |
| Laparoscopy biopsy CPT 49321 | $193.05 | $1,287.00 | $249.44 – $863.10 | 19 |
| Laparoscopye procstom 43659 CPT 43659 | $318.00 | $2,120.00 | $41.00 – $130.00 | 4 |
| Laparoscopy fundoplasty CPT 43280 | $585.00 | $3,900.00 | $40.00 – $2,606.75 | 19 |
| Laparoscopy gastrostomy CPT 43653 | $326.70 | $2,178.00 | $40.00 – $1,350.34 | 19 |
| Laparoscopy lymph node biop CPT 38570 | $290.85 | $1,939.00 | $383.10 – $1,428.29 | 19 |
| Laparoscopy remove adnexa CPT 58661 | $544.50 | $3,630.00 | $130.00 – $1,734.56 | 19 |
| Laparoscopy splenectomy CPT 38120 | $582.75 | $3,885.00 | $155.00 – $2,625.50 | 19 |
| Laparoscopy surg colpopexy CPT 57425 | $86.85 | $579.00 | $125.00 – $1,993.71 | 19 |
| Lap close enterostomy with resect 44227 CPT 44227 | $897.60 | $5,984.00 | $125.00 – $3,457.98 | 19 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $981.45 | $6,543.00 | $238.27 – $4,624.56 | 19 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $727.05 | $4,847.00 | $70.00 – $3,391.16 | 19 |
| Lap colostomy 44188 CPT 44188 | $671.10 | $4,474.00 | $174.24 – $2,477.57 | 19 |
| Lap enterectomy 44202 CPT 44202 | $754.35 | $5,029.00 | $192.11 – $3,460.76 | 19 |
| Lap enterolysis CPT 44180 | $503.40 | $3,356.00 | $456.00 – $2,294.18 | 19 |
| Lap gastric bypass/roux-en-y CPT 43644 | $939.15 | $6,261.00 | $155.00 – $3,539.58 | 19 |
| Lap ing hernia repair init CPT 49650 | $368.40 | $2,456.00 | $160.00 – $1,038.51 | 19 |
| Lap ing hernia repair recur CPT 49651 | $478.95 | $3,193.00 | $64.41 – $1,341.98 | 19 |
| Lap insert tunnel ip cath CPT 49324 | $211.35 | $1,409.00 | $160.00 – $971.69 | 19 |
| Lap jejunostomy 44186 CPT 44186 | $359.70 | $2,398.00 | $479.52 – $1,612.05 | 19 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $98.70 | $658.00 | $105.00 – $416.19 | 19 |
| Lap paraesophag hern repair CPT 43281 | $822.75 | $5,485.00 | $254.65 – $4,912.92 | 19 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $943.35 | $6,289.00 | $1,039.09 – $4,379.55 | 19 |
| Lap rmvl gastr adj all parts CPT 43774 | $526.50 | $3,510.00 | $125.00 – $1,956.36 | 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.