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 |
|---|---|---|---|---|
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,022.15 | $13,481.00 | $18.62 – $3,088.78 | 24 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,383.90 | $9,226.00 | $14.00 – $1,883.90 | 24 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,379.40 | $9,196.00 | $11.61 – $1,725.00 | 24 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,355.15 | $15,701.00 | $13.05 – $3,172.87 | 24 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,393.50 | $9,290.00 | $8.67 – $1,725.00 | 24 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,483.95 | $9,893.00 | $8.67 – $1,725.00 | 24 |
| Neck spine disk surgery 63075 CPT 63075 | $748.80 | $4,992.00 | $193.97 – $3,491.01 | 19 |
| Neck spine disk surgery 63076 CPT 63076 | $128.85 | $859.00 | $45.00 – $672.90 | 19 |
| Neisseria meningitidis CPT 86741 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $3.30 | $22.00 | $1.85 – $30.82 | 10 |
| Neurolysis celiac plexus CPT 64680 | $155.10 | $1,034.00 | $118.02 – $534.86 | 19 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $193.50 | $1,290.00 | $175.00 – $826.32 | 19 |
| New Patient Office Visit (level 2) CPT 99202 | $15.45 | $103.00 | $34.30 – $136.72 | 19 |
| New Patient Office Visit (level 3) CPT 99203 | $26.70 | $178.00 | $57.20 – $203.32 | 16 |
| New Patient Office Visit (level 4) CPT 99204 | $43.50 | $290.00 | $68.90 – $278.26 | 16 |
| New Patient Office Visit (level 5) CPT 99205 | $59.25 | $395.00 | $82.70 – $351.09 | 16 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $95.15 | $634.30 | $0.15 – $219.15 | 7 |
| N-invas est c ffr sw aly cta CPT 75580 | $832.65 | $5,551.00 | $38.31 – $5,846.70 | 18 |
| Nipple exploration CPT 19110 | $206.10 | $1,374.00 | $383.84 – $679.91 | 19 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $28.72 | $191.45 | $3.34 – $174.17 | 7 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $3,888.93 | $25,926.22 | $34.22 – $91.39 | 17 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $6,523.49 | $43,489.96 | $201.65 – $548.99 | 14 |
| Njx cath slct p angrph mapca CPT 93575 | $37.05 | $247.00 | $84.01 – $152.69 | 16 |
| Njx cath slct p-art angrp bi CPT 93573 | $2,229.75 | $14,865.00 | $57.01 – $102.62 | 7 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,024.50 | $6,830.00 | $145.43 – $1,964.46 | 22 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,381.20 | $9,208.00 | $50.97 – $1,092.70 | 24 |
| Nm imaging bone/joint whole body CPT 78306 | $992.10 | $6,614.00 | $42.83 – $1,033.44 | 24 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $810.75 | $5,405.00 | $49.73 – $1,191.68 | 24 |
| Nm imaging gastric emptying study CPT 78264 | $1,143.60 | $7,624.00 | $39.46 – $891.29 | 24 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $925.50 | $6,170.00 | $49.82 – $1,208.36 | 24 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,391.10 | $9,274.00 | $45.30 – $2,074.11 | 24 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,043.25 | $6,955.00 | $59.64 – $1,108.50 | 24 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,285.80 | $8,572.00 | $53.35 – $1,922.22 | 24 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $901.65 | $6,011.00 | $24.95 – $1,545.78 | 24 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $943.35 | $6,289.00 | $85.70 – $720.08 | 24 |
| Npm1 gene CPT 81310 | $29.58 | $197.21 | $131.67 – $486.16 | 13 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $6,273.30 | $41,822.00 | $1,788.75 – $9,917.44 | 9 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $11.40 | $76.00 | $31.45 – $61.31 | 19 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $5.10 | $34.00 | $17.07 – $140.49 | 19 |
| Nuclear rx IV admin CPT 79101 | $255.60 | $1,704.00 | $93.19 – $797.47 | 24 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,577.45 | $17,183.00 | $83.09 – $2,951.93 | 24 |
| Observation direct referral from physician office for admission HCPCS G0379 | $365.70 | $2,438.00 | $791.14 – $1,424.05 | 8 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $107.70 | $718.00 | $124.60 – $419.64 | 22 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $31.50 | $210.00 | $74.70 – $255.33 | 19 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $51.90 | $346.00 | $103.50 – $336.44 | 19 |
| Observation per hour HCPCS G0378 | $58.95 | $393.00 | $298.00 – $298.00 | 1 |
| Obstetrics panel CPT 80055 | $116.40 | $776.00 | $47.81 – $349.97 | 13 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $272.85 | $1,819.00 | $8.31 – $439.09 | 23 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $3,739.20 | $24,928.02 | $180.15 – $542.24 | 17 |
| Ocular function screen CPT 99172 | $38.85 | $259.00 | $259.00 – $259.00 | 1 |
| Off/op cnsltj new/est low 30 CPT 99243 | $49.20 | $328.00 | $117.59 – $328.00 | 12 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $70.50 | $470.00 | $189.09 – $470.00 | 12 |
| Off/op consltj new/est hi 55 CPT 99245 | $84.15 | $561.00 | $233.80 – $561.00 | 12 |
| Off/op consltj new/est sf 20 CPT 99242 | $33.60 | $224.00 | $84.07 – $224.00 | 12 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $54.75 | $365.00 | $1.78 – $365.00 | 7 |
| Ol dig e/m svc 11-20 min CPT 99422 | $8.25 | $55.00 | $24.15 – $59.72 | 19 |
| Ol dig e/m svc 21+ min CPT 99423 | $13.20 | $88.00 | $38.06 – $96.48 | 19 |
| Ol dig e/m svc 5-10 min CPT 99421 | $4.20 | $28.00 | $11.86 – $30.08 | 19 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,147.06 | $7,647.05 | $35.03 – $123.88 | 17 |
| Omental flap intra-abdom 49905 CPT 49905 | $185.70 | $1,238.00 | $62.92 – $938.28 | 19 |
| Oncology prostate prob score CPT 81539 | $115.50 | $770.00 | $760.00 – $5,852.00 | 13 |
| Onco (ovar) five proteins CPT 81503 | $68.25 | $455.00 | $455.00 – $6,264.37 | 13 |
| Oncoprotein dcp CPT 83951 | $8.59 | $57.26 | $36.88 – $709.95 | 13 |
| Oncoprotein her-2/neu CPT 83950 | $50.89 | $339.25 | $64.41 – $744.17 | 13 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $6.96 | $46.42 | $0.17 – $16.65 | 10 |
| One-way allow prorated trip HCPCS P9604 | $12.90 | $86.00 | $86.00 – $722.14 | 2 |
| Open bx/exc inguinofem nodes CPT 38531 | $252.00 | $1,680.00 | $229.00 – $815.77 | 19 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $916.20 | $6,108.00 | $50.00 – $2,637.57 | 16 |
| Opn ilac art expos cndt crtj CPT 34833 | $168.60 | $1,124.00 | $344.97 – $620.95 | 8 |
| Opscpy extnd on/mac draw CPT 92202 | $6.15 | $41.00 | $13.01 – $27.96 | 19 |
| Optx clavicular fx w/int fix CPT 23515 | $424.80 | $2,832.00 | $379.37 – $1,297.85 | 19 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $459.90 | $3,066.00 | $35.00 – $1,303.27 | 19 |
| Optx medial ankle fx CPT 27766 | $360.30 | $2,402.00 | $65.00 – $1,476.68 | 19 |
| Optx prox humrl fx w/int fix CPT 23615 | $515.70 | $3,438.00 | $101.27 – $1,828.91 | 19 |
| Optx radial shaft fracture CPT 25515 | $399.15 | $2,661.00 | $67.39 – $1,571.51 | 19 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $467.10 | $3,114.00 | $45.00 – $2,110.70 | 19 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $531.90 | $3,546.00 | $65.00 – $1,999.61 | 19 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $431.70 | $2,878.00 | $505.96 – $1,644.67 | 19 |
| Optx ulnar styloid fracture CPT 25652 | $373.80 | $2,492.00 | $474.68 – $1,371.01 | 19 |
| Oral aprepitant HCPCS J8501 | $93.17 | $621.15 | $6.09 – $621.15 | 10 |
| Organic acids total quant ea spec CPT 83918 | $14.73 | $98.20 | $23.18 – $184.00 | 13 |
| Orthovisc inj per dose HCPCS J7324 | $61.65 | $411.00 | $100.33 – $643.15 | 17 |
| Osmolality blood CPT 83930 | $42.30 | $282.00 | $6.61 – $103.98 | 13 |
| Osmolality urine CPT 83935 | $42.30 | $282.00 | $0.72 – $78.78 | 13 |
| Ot evaluation high complexity patient/family CPT 97167 | $111.45 | $743.00 | $119.12 – $447.00 | 15 |
| Ot evaluation low complexity patient/family CPT 97165 | $106.05 | $707.00 | $119.12 – $707.00 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $108.75 | $725.00 | $119.12 – $725.00 | 15 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $41.25 | $275.00 | $61.67 – $447.00 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $43.65 | $291.00 | $37.98 – $332.00 | 23 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $39.15 | $261.00 | $31.86 – $447.00 | 15 |
| Ot re-evaluation patient/family CPT 97168 | $57.15 | $381.00 | $81.80 – $447.00 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $46.20 | $308.00 | $15.98 – $447.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $34.35 | $229.00 | $20.12 – $447.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $36.45 | $243.00 | $21.44 – $447.00 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $42.00 | $280.00 | $15.72 – $447.00 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $42.60 | $284.00 | $17.53 – $447.00 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $44.40 | $296.00 | $7.62 – $447.00 | 15 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $81.00 | $540.00 | $0.11 – $270.00 | 10 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.62 | $10.80 | $0.18 – $10.80 | 10 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $879.90 | $5,865.98 | $6.59 – $26.42 | 17 |
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.