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 |
|---|---|---|---|---|
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $11.25 | $75.00 | $1.29 – $75.00 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $31.20 | $208.02 | $0.74 – $150.16 | 10 |
| Metabolic Blood Panel (Basic) CPT 80048 | $78.00 | $520.00 | $8.46 – $97.76 | 13 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $92.40 | $616.00 | $1.34 – $122.25 | 13 |
| Methadone oral 5mg HCPCS S0109 | $2.10 | $14.00 | $0.68 – $7.47 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.46 | $23.08 | $0.33 – $23.08 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $12.00 | $80.00 | $14.88 – $160.55 | 13 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $575.70 | $3,838.00 | $0.57 – $26.71 | 16 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $194.23 | $1,294.87 | $0.86 – $1,294.87 | 10 |
| Methylphenidate CPT 80360 | $15.00 | $100.00 | $0.05 – $164.87 | 6 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $2.66 | $17.76 | $0.31 – $17.76 | 10 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $22.05 | $147.00 | $0.26 – $8.99 | 7 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $106.69 | $711.25 | $0.43 – $2.27 | 7 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $8.15 | $54.32 | $1.80 – $54.32 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $8.24 | $54.92 | $0.26 – $54.92 | 6 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $8.24 | $54.96 | $0.07 – $54.96 | 7 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $74.30 | $495.36 | $0.55 – $247.68 | 10 |
| Microbe susceptible mlc CPT 87187 | $6.03 | $40.17 | $16.14 – $101.88 | 13 |
| Microdissection manual CPT 88381 | $16.92 | $112.83 | $112.83 – $1,396.96 | 13 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $112.35 | $749.00 | $36.86 – $412.45 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $11.19 | $74.57 | $0.23 – $69.20 | 10 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $46.78 | $311.84 | $0.40 – $311.84 | 7 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $17.74 | $118.24 | $2.57 – $118.24 | 10 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $3.61 | $24.09 | $2.55 – $24.09 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $413.10 | $2,754.00 | $34.11 – $352.78 | 17 |
| Mlh1 gene CPT 81288 | $54.00 | $360.00 | $192.32 – $1,702.52 | 13 |
| Mnl appl strs jt radiography CPT 77071 | $40.05 | $267.00 | $24.56 – $569.19 | 24 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $116.25 | $775.00 | $43.00 – $438.94 | 19 |
| Mnt subs tx for change dx HCPCS G0270 | $10.80 | $72.00 | $24.95 – $72.00 | 8 |
| Mobilization of colon 44139 CPT 44139 | $63.45 | $423.00 | $35.00 – $262.56 | 19 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $750.00 | $5,000.00 | $5,000.00 – $5,000.00 | 1 |
| Monovisc inj per dose HCPCS J7327 | $100.50 | $670.00 | $565.28 – $2,879.46 | 17 |
| Mopath procedure level 1 CPT 81400 | $60.75 | $405.00 | $63.96 – $349.96 | 13 |
| Mopath procedure level 3 CPT 81402 | $33.15 | $221.00 | $150.33 – $822.64 | 13 |
| Mopath procedure level 5 CPT 81404 | $135.00 | $900.00 | $274.83 – $1,988.32 | 13 |
| Mopath procedure level 6 CPT 81405 | $116.10 | $774.00 | $41.40 – $2,606.51 | 13 |
| Mopath procedure level 7 CPT 81406 | $135.00 | $900.00 | $38.00 – $2,658.77 | 13 |
| Mopath procedure level 8 CPT 81407 | $126.94 | $846.27 | $112.00 – $21,433.29 | 13 |
| Mopath procedure level 9 CPT 81408 | $291.45 | $1,943.00 | $442.00 – $25,047.84 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $35.00 | $233.31 | $1.44 – $74.02 | 10 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $48.75 | $325.00 | $50.00 – $1,723.83 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $169.65 | $1,131.00 | $82.00 – $857.13 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $86.25 | $575.00 | $22.76 – $419.85 | 24 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $72.00 | $480.00 | $140.00 – $1,603.91 | 13 |
| M/phmtrc alysishquant/semiq CPT 88369 | $30.00 | $200.00 | $94.48 – $1,679.40 | 13 |
| Mpl gene analysis common variants CPT 81338 | $22.55 | $150.33 | $120.26 – $625.75 | 13 |
| MRA abdomen post contrast CPT 74185 | $1,937.85 | $12,919.00 | $13.05 – $1,725.00 | 24 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,937.85 | $12,919.00 | $13.20 – $1,725.00 | 24 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $55.20 | $368.00 | $13.20 – $495.61 | 19 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,287.75 | $8,585.00 | $12.93 – $1,725.00 | 24 |
| MRA w/cont, lwr ext HCPCS C8912 | $1,446.90 | $9,646.00 | $463.47 – $6,890.00 | 12 |
| MRA without cont, lwr ext HCPCS C8913 | $989.25 | $6,595.00 | $316.97 – $4,711.00 | 12 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,938.00 | $12,920.00 | $463.47 – $9,228.00 | 12 |
| MRI breast c- unilateral CPT 77046 | $1,540.50 | $10,270.00 | $14.63 – $2,216.84 | 24 |
| MRI breast c-+ w/cad uni CPT 77048 | $2,713.20 | $18,088.00 | $21.16 – $1,725.00 | 24 |
| MRI breast without cont bi CPT 77047 | $1,580.70 | $10,538.00 | $16.20 – $1,725.00 | 24 |
| MRI breast w IV cont bi CPT 77049 | $1,669.50 | $11,130.00 | $23.15 – $1,725.00 | 24 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,108.95 | $7,393.00 | $16.18 – $5,280.00 | 24 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,796.10 | $11,974.00 | $17.90 – $2,074.15 | 24 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,749.65 | $18,331.00 | $21.60 – $13,093.00 | 24 |
| MRI chest without contrast CPT 71550 | $1,278.90 | $8,526.00 | $10.54 – $1,725.00 | 24 |
| MRI chest without & w/contrast CPT 71552 | $2,115.75 | $14,105.00 | $16.39 – $3,525.38 | 24 |
| MRI chest w IV cont CPT 71551 | $1,377.45 | $9,183.00 | $12.57 – $1,917.02 | 24 |
| MRI guid ndl plc s&i CPT 77021 | $834.15 | $5,561.00 | $11.08 – $1,725.00 | 24 |
| MRI loex nonjt w IV cont CPT 73719 | $1,669.50 | $11,130.00 | $11.71 – $1,912.65 | 24 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,105.05 | $7,367.00 | $9.80 – $1,725.00 | 24 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,069.85 | $13,799.00 | $15.60 – $1,725.00 | 24 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,382.55 | $9,217.00 | $9.80 – $1,725.00 | 24 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,274.00 | $15,160.00 | $15.64 – $3,540.53 | 24 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,662.60 | $11,084.00 | $11.71 – $1,912.65 | 24 |
| MRI tmj CPT 70336 | $974.25 | $6,495.00 | $10.75 – $4,639.00 | 24 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,142.70 | $7,618.00 | $9.80 – $1,725.00 | 24 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,931.85 | $12,879.00 | $15.64 – $1,725.00 | 24 |
| MRI upper extremity w/dye CPT 73219 | $1,379.70 | $9,198.00 | $11.77 – $1,922.66 | 24 |
| Mr spectroscopy CPT 76390 | $950.25 | $6,335.00 | $115.61 – $4,525.00 | 13 |
| Msh2 gene known variants CPT 81296 | $50.66 | $337.73 | $107.80 – $1,140.62 | 13 |
| Msh6 gene known variants CPT 81299 | $46.20 | $308.00 | $107.80 – $948.64 | 13 |
| Mthfr gene analy common variants CPT 81291 | $9.80 | $65.34 | $42.69 – $505.65 | 13 |
| Mucopolysaccharides CPT 83864 | $22.54 | $150.25 | $22.86 – $222.50 | 13 |
| Multiple sleep latency test CPT 95805 | $970.65 | $6,471.00 | $280.74 – $2,568.14 | 12 |
| Mumps antibody igg CPT 86735 | $21.15 | $141.00 | $1.51 – $152.35 | 13 |
| Muscle test cran nerv unilat CPT 95867 | $91.95 | $613.00 | $69.18 – $516.32 | 11 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $1.57 | $10.47 | $0.31 – $10.47 | 10 |
| Mycophenolic acid HCPCS J7518 | $11.31 | $75.38 | $0.70 – $41.25 | 10 |
| Mycoplasma antibody igm CPT 86738 | $13.20 | $88.00 | $1.44 – $152.35 | 13 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $45.00 | $300.00 | $175.40 – $1,205.81 | 13 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $823.05 | $5,487.00 | $112.77 – $1,041.41 | 20 |
| Myelography via inj w/s&i cervical CPT 62302 | $795.75 | $5,305.00 | $108.34 – $1,041.41 | 22 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $987.60 | $6,584.00 | $43.00 – $1,041.41 | 21 |
| Myelography via inj w/s&i thoracic CPT 62303 | $727.05 | $4,847.00 | $43.00 – $1,041.41 | 22 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $42.94 | $286.25 | $0.99 – $202.69 | 24 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $51.08 | $340.56 | $0.15 – $113.53 | 6 |
| Naltrexone, depot form HCPCS J2315 | $1,369.18 | $9,127.85 | $4.31 – $11.55 | 17 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $135.15 | $901.00 | $59.94 – $477.31 | 8 |
| Natriuretic peptide CPT 83880 | $97.20 | $648.00 | $11.84 – $392.19 | 13 |
| Natural killer cells total count CPT 86357 | $18.04 | $120.25 | $5.74 – $426.25 | 13 |
| Navigational bronchoscopy 31627 CPT 31627 | $511.80 | $3,412.00 | $90.24 – $3,995.33 | 19 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,515.15 | $10,101.00 | $9.26 – $1,346.83 | 24 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,492.50 | $9,950.00 | $8.84 – $1,080.85 | 24 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,245.90 | $8,306.00 | $8.40 – $1,060.00 | 24 |
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.