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 |
|---|---|---|---|---|
| Mayo chikv chikungunya antibodies igg CPT 86790 | $19.31 | $128.75 | $1.47 – $148.85 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $1.84 | $12.25 | $1.00 – $149.08 | 13 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $1.40 | $9.30 | $1.07 – $149.08 | 13 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $58.50 | $390.00 | $97.50 – $1,142.50 | 13 |
| Mayo chromium CPT 82495 | $14.85 | $99.00 | $20.08 – $234.24 | 13 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $2.51 | $16.75 | $0.05 – $160.83 | 6 |
| Mayo coccidioides antibody CPT 86635 | $1.53 | $10.20 | $1.17 – $134.38 | 13 |
| Mayo cocou cortisone urine CPT 82542 | $78.00 | $520.00 | $5.26 – $207.72 | 13 |
| Mayo cortisol free CPT 82530 | $13.50 | $90.00 | $15.04 – $195.90 | 13 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $14.25 | $95.00 | $11.59 – $327.64 | 13 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $1.62 | $10.78 | $1.31 – $145.82 | 13 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $3.85 | $25.68 | $0.05 – $215.81 | 6 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $4.05 | $27.00 | $0.05 – $247.69 | 6 |
| Mayo cyanide CPT 82600 | $8.10 | $54.00 | $10.48 – $224.13 | 13 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $67.05 | $447.00 | $226.33 – $3,753.46 | 13 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $3.37 | $22.47 | $5.68 – $291.94 | 13 |
| Mayo efpo chloride stool CPT 82438 | $12.30 | $82.00 | $0.44 – $56.46 | 13 |
| Mayo estriol CPT 82677 | $4.68 | $31.20 | $7.54 – $280.51 | 13 |
| Mayo estrone CPT 82679 | $4.83 | $32.20 | $8.03 – $288.29 | 13 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $2.18 | $14.52 | $2.37 – $188.75 | 13 |
| Mayo everolimus therapeutic drug level CPT 80169 | $1.83 | $12.21 | $1.68 – $91.30 | 13 |
| Mayo factor ii CPT 85210 | $1.73 | $11.54 | $1.50 – $150.02 | 13 |
| Mayo factor viii vw factor antigen CPT 85246 | $3.06 | $20.39 | $4.68 – $265.04 | 13 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $3.06 | $20.39 | $4.68 – $265.04 | 13 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $3.06 | $20.39 | $4.68 – $265.04 | 13 |
| Mayo fbl culture fungi blood CPT 87103 | $68.25 | $455.00 | $11.49 – $104.13 | 13 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $12.07 | $80.46 | $12.29 – $144.83 | 13 |
| Mayo ffspg allergen clam igg CPT 86001 | $4.76 | $31.73 | $0.13 – $60.35 | 13 |
| Mayo fibrinogen antigen CPT 85385 | $1.39 | $9.25 | $1.34 – $97.52 | 13 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $442.50 | $2,950.00 | $14.00 – $237.11 | 3 |
| Mayo hemosiderin qualitative urine CPT 83070 | $0.63 | $4.22 | $0.20 – $54.83 | 13 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $13.50 | $90.00 | $15.79 – $392.27 | 13 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $6.75 | $45.00 | $15.79 – $392.27 | 13 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $3.44 | $22.94 | $5.92 – $274.45 | 13 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $17.10 | $114.00 | $1.65 – $102.58 | 13 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $4.17 | $27.77 | $3.75 – $158.65 | 13 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $27.75 | $185.00 | $6.18 – $313.80 | 13 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $39.00 | $260.00 | $1.77 – $149.55 | 13 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $40.80 | $272.00 | $2.00 – $173.19 | 13 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $36.45 | $243.00 | $1.87 – $240.23 | 13 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $24.75 | $165.00 | $3.85 – $240.38 | 13 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $42.60 | $284.00 | $1.35 – $103.82 | 13 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $4.28 | $28.52 | $3.42 – $104.99 | 13 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $5.20 | $34.66 | $10.94 – $396.62 | 13 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $16.22 | $108.15 | $35.09 – $146.06 | 13 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $59.25 | $395.00 | $10.94 – $392.27 | 13 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $58.50 | $390.00 | $35.09 – $146.06 | 11 |
| Mayo infliximab therapeutic drug level CPT 80230 | $32.40 | $216.00 | $11.90 – $160.55 | 13 |
| Mayo insulin antibodies CPT 86337 | $16.95 | $113.00 | $21.41 – $209.98 | 13 |
| Mayo iodine CPT 83789 | $14.40 | $96.00 | $22.18 – $207.72 | 13 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $4.07 | $27.11 | $7.35 – $112.86 | 13 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $2.27 | $15.14 | $4.10 – $112.86 | 13 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $1.71 | $11.37 | $1.45 – $147.61 | 13 |
| Mayo leptospira antibody igm CPT 86720 | $1.83 | $12.23 | $1.98 – $99.23 | 13 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $28.50 | $190.00 | $2.13 – $249.48 | 13 |
| Mayo manganese CPT 83785 | $13.80 | $92.00 | $24.52 – $284.01 | 13 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $10.81 | $72.07 | $2.22 – $76.61 | 11 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $1.84 | $12.27 | $2.26 – $76.61 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $26.25 | $175.00 | $1.88 – $169.15 | 13 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $35.10 | $234.00 | $2.35 – $168.21 | 13 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $14.25 | $95.00 | $95.00 – $349.96 | 13 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $33.15 | $221.00 | $148.16 – $770.91 | 13 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $44.25 | $295.00 | $18.40 – $76.61 | 11 |
| Mayo myoglobin CPT 83874 | $46.80 | $312.00 | $12.92 – $149.63 | 13 |
| Mayo nickel CPT 83885 | $3.27 | $21.79 | $3.19 – $283.08 | 13 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $92.85 | $619.00 | $0.05 – $206.40 | 6 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $0.90 | $6.00 | $0.05 – $206.40 | 6 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $2.20 | $14.68 | $3.11 – $190.07 | 13 |
| Mayo oxalate 24 hour urine CPT 83945 | $1.73 | $11.56 | $1.12 – $148.69 | 13 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $3.03 | $20.20 | $2.33 – $105.14 | 13 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $46.50 | $310.00 | $1.29 – $139.28 | 13 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $4.68 | $31.19 | $10.94 – $392.27 | 13 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $2.40 | $15.98 | $2.87 – $157.64 | 13 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $2.21 | $14.75 | $2.45 – $191.78 | 13 |
| Mayo psaft prostate specific antigen free CPT 84154 | $43.35 | $289.00 | $2.22 – $211.53 | 13 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $46.50 | $310.00 | $2.26 – $156.08 | 13 |
| Mayo receptor assay transferrin soluble CPT 84238 | $3.39 | $22.58 | $8.26 – $408.68 | 13 |
| Mayo repu protein electrophoresis urine CPT 84166 | $2.38 | $15.85 | $2.83 – $201.81 | 13 |
| Mayo selenium CPT 84255 | $13.80 | $92.00 | $23.49 – $294.98 | 13 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $2.32 | $15.48 | $3.00 – $223.43 | 13 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $40.80 | $272.00 | $23.16 – $165.65 | 9 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $15.90 | $106.00 | $0.16 – $49.31 | 13 |
| Mayo tau phosphorylated 217 each CPT 84393 | $56.25 | $375.00 | $128.92 – $483.45 | 9 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $39.00 | $260.00 | $208.92 – $1,227.43 | 13 |
| Mayo tgrp testosterone free CPT 84402 | $3.40 | $22.64 | $5.77 – $300.42 | 13 |
| Mayo tgrp testosterone total CPT 84403 | $46.50 | $310.00 | $5.88 – $298.17 | 13 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $2.66 | $17.74 | $3.93 – $116.13 | 11 |
| Mayo thyroglobulin CPT 84432 | $6.37 | $42.45 | $2.29 – $189.21 | 13 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $4.78 | $31.88 | $0.92 – $117.43 | 13 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $2.70 | $18.01 | $1.36 – $141.70 | 13 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $13.65 | $91.00 | $0.05 – $206.40 | 6 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $1.81 | $12.04 | $1.63 – $112.45 | 13 |
| Mayo vasoactive intestinal peptide CPT 84586 | $5.30 | $35.33 | $12.48 – $135.24 | 13 |
| Mayo vitamin b3 (niacin) CPT 84591 | $14.70 | $98.00 | $13.65 – $133.84 | 13 |
| Mayo vitamin k CPT 84597 | $1.83 | $12.20 | $1.67 – $153.20 | 13 |
| #mec-opiates CPT 80356 | $1.05 | $7.00 | $0.05 – $206.40 | 6 |
| Medical services after hrs CPT 99050 | $9.30 | $62.00 | $22.42 – $62.00 | 11 |
| Medical testimony CPT 99075 | $50.55 | $337.00 | $82.75 – $337.00 | 4 |
| Med serv eve/wkend/holiday CPT 99051 | $8.40 | $56.00 | $11.64 – $56.00 | 11 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $6.75 | $45.00 | $0.73 – $45.00 | 5 |
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.