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 |
|---|---|---|---|---|
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $9.30 | $62.00 | $0.05 – $214.72 | 6 |
| Analysis gene f2 20210g>a variant CPT 81240 | $5.69 | $37.90 | $24.90 – $349.96 | 13 |
| Analysis gene f5 leiden variant CPT 81241 | $5.70 | $37.99 | $27.87 – $445.62 | 13 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $4.52 | $30.15 | $10.58 – $183.79 | 11 |
| Anastrozole 1 mg HCPCS S0170 | $6.90 | $45.97 | $1.28 – $50.73 | 5 |
| Anca screen with reflex to titer -quest CPT 86021 | $2.01 | $13.38 | $2.01 – $173.89 | 13 |
| An cholangiogram percutaneous compl CPT 47531 | $2,891.55 | $19,277.00 | $13.00 – $4,756.43 | 22 |
| Androstanediol CPT 82154 | $43.16 | $287.75 | $28.83 – $332.62 | 13 |
| An fluoro guide for cvp CPT 77001 | $612.90 | $4,086.00 | $2.77 – $329.08 | 24 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,423.25 | $16,155.00 | $131.04 – $665.67 | 8 |
| Angiotensin ii CPT 82163 | $17.85 | $119.00 | $20.52 – $229.42 | 13 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $805.95 | $5,373.00 | $1.06 – $1.06 | 1 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $89.85 | $599.00 | $154.48 – $2,718.22 | 19 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,533.35 | $36,889.00 | $50.00 – $7,561.04 | 22 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $155.55 | $1,037.00 | $129.74 – $577.07 | 8 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $3,981.75 | $26,545.00 | $267.95 – $7,561.04 | 22 |
| Ankle arthroscopy/surgery CPT 29898 | $327.30 | $2,182.00 | $415.86 – $1,346.62 | 19 |
| Ankle X-ray CPT 73610 | $276.75 | $1,845.00 | $1.28 – $131.47 | 24 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $37.95 | $253.00 | $253.00 – $253.00 | 1 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $44.85 | $299.00 | $119.37 – $209.45 | 12 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $44.70 | $298.00 | $120.69 – $298.00 | 12 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $44.85 | $299.00 | $146.50 – $299.00 | 12 |
| Anora (draw only) CPT 99001 | $31.80 | $212.00 | $14.29 – $209.93 | 6 |
| Anoscopy and biopsy CPT 46606 | $42.75 | $285.00 | $35.00 – $424.00 | 19 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $12.30 | $82.00 | $10.56 – $148.85 | 13 |
| Antibody elution rbc reference CPT 86860 | $39.00 | $260.00 | $19.83 – $407.39 | 13 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $31.50 | $210.00 | $7.31 – $180.04 | 13 |
| Antibody id rbc panel CPT 86870 | $76.20 | $508.00 | $23.70 – $876.98 | 13 |
| Antibody screen rbc CPT 86850 | $43.20 | $288.00 | $3.73 – $124.74 | 13 |
| Antidepressant not specified CPT 80338 | $9.75 | $65.00 | $0.05 – $189.91 | 6 |
| Antidepressants class 6/more CPT 80334 | $0.75 | $5.00 | $0.05 – $227.86 | 6 |
| Antiepileptics nos 7/more CPT 80341 | $0.60 | $4.00 | $0.05 – $176.30 | 6 |
| Anti mog serum - sendout CPT 86362 | $26.25 | $175.00 | $1.45 – $50.16 | 11 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $1.81 | $12.05 | $1.45 – $50.16 | 11 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $382.50 | $2,550.00 | $71.85 – $1,766.59 | 19 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $398.10 | $2,654.00 | $55.00 – $1,834.33 | 19 |
| Antinuclear antibodies CPT 86038 | $628.50 | $4,190.00 | $0.60 – $139.60 | 13 |
| Antinuclear antibodies titer CPT 86039 | $22.65 | $151.00 | $1.11 – $128.79 | 13 |
| Antiphosphatidylserine antibody CPT 86148 | $4.07 | $27.12 | $2.06 – $186.65 | 13 |
| Antipsychotics nos 1-3 CPT 80342 | $25.65 | $171.00 | $0.05 – $165.26 | 6 |
| Antipsychotics nos 7/more CPT 80344 | $0.60 | $4.00 | $0.05 – $198.31 | 6 |
| Antistreptolysin o titer CPT 86060 | $129.15 | $861.00 | $7.30 – $84.30 | 13 |
| Antithrombin iii activity CPT 85300 | $1.87 | $12.44 | $1.47 – $136.87 | 13 |
| Aortic dysfunction/dilation CPT 81410 | $95.40 | $636.00 | $504.00 – $23,814.73 | 13 |
| Aortic dysfunction/dilation CPT 81411 | $255.60 | $1,704.00 | $1,350.19 – $23,814.73 | 13 |
| Apl(pml-rara) quant - sendout CPT 81315 | $31.10 | $207.31 | $134.88 – $590.50 | 13 |
| Appendectomy add-on 44955 CPT 44955 | $45.45 | $303.00 | $35.00 – $184.35 | 19 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $479.25 | $3,195.00 | $65.00 – $1,751.34 | 19 |
| Appendix Removal (Laparoscopic) CPT 44970 | $335.55 | $2,237.00 | $54.73 – $1,388.88 | 19 |
| Application clubfoot cast CPT 29450 | $63.00 | $420.00 | $68.88 – $285.54 | 22 |
| Application finger splntstatic 29130 CPT 29130 | $132.30 | $882.00 | $22.34 – $176.75 | 22 |
| Application long leg splint 29505 CPT 29505 | $232.95 | $1,553.00 | $6.00 – $215.88 | 22 |
| Application lower leg splint 29515 CPT 29515 | $232.95 | $1,553.00 | $6.00 – $215.88 | 22 |
| Application of forearm cast 29075 CPT 29075 | $66.15 | $441.00 | $30.00 – $371.56 | 22 |
| Application of long arm cast 29065 CPT 29065 | $177.30 | $1,182.00 | $73.12 – $371.56 | 22 |
| Application of long leg cast CPT 29355 | $61.05 | $407.00 | $11.00 – $257.81 | 19 |
| Application of long leg cast 29345 CPT 29345 | $66.15 | $441.00 | $101.92 – $371.56 | 22 |
| Application short leg cast 29405 CPT 29405 | $66.15 | $441.00 | $41.00 – $371.56 | 22 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $45.00 | $300.00 | $7.14 – $447.00 | 15 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $32.85 | $219.00 | $14.04 – $447.00 | 15 |
| Appl patllr tdn bearing cast CPT 29435 | $66.15 | $441.00 | $90.69 – $371.56 | 22 |
| Appl unipln uni ext fixj sys CPT 20690 | $344.55 | $2,297.00 | $30.00 – $857.44 | 19 |
| Apply forearm splintdynamic 29126 CPT 29126 | $120.45 | $803.00 | $64.41 – $318.15 | 11 |
| Apply hand/wrist cast 29085 CPT 29085 | $40.20 | $268.00 | $72.07 – $215.88 | 22 |
| Apply interstit radiat compl CPT 77778 | $308.10 | $2,054.00 | $427.48 – $1,118.80 | 19 |
| Apply short leg castambul type 29425 CPT 29425 | $66.15 | $441.00 | $28.00 – $371.56 | 22 |
| Apply srs headframe add-on CPT 61800 | $1,017.30 | $6,782.00 | $145.79 – $267.10 | 8 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $519.59 | $3,463.90 | $1.59 – $8.68 | 17 |
| Aquaporin-4 antibody cba each CPT 86052 | $45.00 | $300.00 | $1.45 – $50.16 | 11 |
| Aquaporin-4 antibody elisa CPT 86051 | $1.29 | $8.60 | $0.99 – $48.00 | 11 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $31.65 | $211.00 | $19.98 – $447.00 | 15 |
| Aquatic exercise - group charge CPT 97150 | $34.95 | $233.00 | $19.42 – $447.00 | 15 |
| Art byp aortofemoral 35647 CPT 35647 | $776.40 | $5,176.00 | $50.00 – $3,074.23 | 19 |
| Art byp aortoiliac 35637 CPT 35637 | $832.20 | $5,548.00 | $303.80 – $3,307.56 | 19 |
| Arterial blood draw/perc 36620 CPT 36620 | $129.75 | $865.00 | $42.07 – $77.76 | 8 |
| Artery-vein nonautograft CPT 36830 | $345.45 | $2,303.00 | $40.00 – $1,277.32 | 19 |
| Artery xray each vessel 7577426 CPT 75774 | $1,399.35 | $9,329.00 | $2.65 – $3,106.09 | 24 |
| Artery xray of abdomen 75726-26 CPT 75726 | $3,205.65 | $21,371.00 | $8.31 – $7,392.22 | 24 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,706.15 | $18,041.00 | $8.58 – $4,194.60 | 24 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,488.95 | $16,593.00 | $9.68 – $4,194.60 | 24 |
| Artery x-rays chest CPT 75756 | $1,933.05 | $12,887.00 | $8.88 – $4,194.60 | 24 |
| Artery x-rays lung CPT 75741 | $1,933.05 | $12,887.00 | $9.59 – $4,194.60 | 24 |
| Artery x-rays lungs CPT 75743 | $1,933.05 | $12,887.00 | $12.03 – $4,194.60 | 24 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,488.00 | $29,920.00 | $8.40 – $7,392.22 | 24 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $705.00 | $4,700.00 | $100.00 – $2,923.55 | 19 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $843.00 | $5,620.00 | $242.00 – $3,386.88 | 19 |
| Arthrd ant ntrbdy cervical CPT 22551 | $934.35 | $6,229.00 | $70.00 – $4,310.81 | 19 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $997.95 | $6,653.00 | $105.00 – $4,598.02 | 19 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $862.35 | $5,749.00 | $782.00 – $3,443.77 | 19 |
| Arthrd wrist with autograft CPT 25825 | $475.20 | $3,168.00 | $30.00 – $1,701.57 | 19 |
| Arthrd wrst iliac/oth agrft CPT 25810 | $511.20 | $3,408.00 | $40.00 – $1,980.64 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $361.50 | $2,410.00 | $34.48 – $407.77 | 22 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $615.90 | $4,106.00 | $39.00 – $407.77 | 22 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $76.35 | $509.00 | $33.77 – $407.77 | 22 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $534.45 | $3,563.00 | $42.31 – $407.77 | 22 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $208.80 | $1,392.00 | $328.74 – $991.68 | 19 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $171.15 | $1,141.00 | $155.00 – $807.43 | 19 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $255.60 | $1,704.00 | $232.00 – $1,216.57 | 19 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $733.65 | $4,891.00 | $191.36 – $2,769.11 | 19 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $206.40 | $1,376.00 | $70.00 – $942.91 | 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.