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 |
|---|---|---|---|---|
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $118.35 | $789.00 | $283.34 – $510.01 | 8 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $22.80 | $152.00 | $25.00 – $1,006.16 | 19 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $222.00 | $1,480.00 | $68.98 – $892.31 | 11 |
| Plmt biliary drainage cath CPT 47534 | $2,152.50 | $14,350.00 | $1,507.82 – $8,561.57 | 8 |
| Plmt nephroureteral catheter CPT 50433 | $137.70 | $918.00 | $25.00 – $4,328.34 | 19 |
| Pm device progr eval dual CPT 93280 | $63.30 | $422.00 | $39.61 – $160.46 | 23 |
| Pm device progr eval multi CPT 93281 | $16.80 | $112.00 | $45.83 – $187.81 | 23 |
| Pmp22 gene dup/delet CPT 81324 | $78.00 | $520.00 | $520.00 – $5,296.07 | 13 |
| Pms2 known familial variants CPT 81318 | $49.65 | $331.00 | $107.80 – $1,095.61 | 13 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $145.50 | $970.00 | $17.00 – $223.51 | 13 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $8,344.98 | $55,633.22 | $143.61 – $372.36 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,386.30 | $9,242.00 | $1,140.81 – $9,542.49 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,455.45 | $9,703.00 | $513.11 – $4,545.04 | 12 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $399.75 | $2,665.00 | $30.00 – $1,842.46 | 19 |
| Post-op hip abduct custom fa HCPCS L1685 | $269.55 | $1,797.00 | $1,369.97 – $3,280.46 | 8 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $402.75 | $2,685.00 | $409.90 – $1,842.46 | 19 |
| Potassium 24 hour urine CPT 84133 | $24.30 | $162.00 | $0.18 – $49.69 | 13 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $24.88 | $165.88 | $0.20 – $44.47 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $26.70 | $178.00 | $0.16 – $53.58 | 13 |
| Pq dr cath chg w cont s&i CPT 75984 | $505.05 | $3,367.00 | $5.21 – $484.35 | 24 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $5,250.45 | $35,003.00 | $87.12 – $21,388.79 | 22 |
| Pq thr inj ext pse CPT 36002 | $589.05 | $3,927.00 | $224.30 – $1,500.03 | 8 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,545.80 | $16,972.00 | $393.89 – $7,824.11 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,890.75 | $32,605.00 | $370.07 – $7,824.11 | 8 |
| Pr application of long arm splint CPT 29105 | $232.95 | $1,553.00 | $36.00 – $215.88 | 22 |
| Pr application splint static short arm CPT 29125 | $189.75 | $1,265.00 | $10.00 – $176.75 | 22 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $18.15 | $121.00 | $10.41 – $49.78 | 22 |
| Prcrd drg 6+yr without anomly CPT 33017 | $127.80 | $852.00 | $35.00 – $598.97 | 19 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $251.10 | $1,674.00 | $13.00 – $1,268.00 | 24 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $26.85 | $179.00 | $37.60 – $133.46 | 19 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $37.95 | $253.00 | $53.40 – $192.93 | 19 |
| Prealbumin CPT 84134 | $46.05 | $307.00 | $14.59 – $168.99 | 13 |
| Pr ecg 12 lead report only CPT 93010 | $5.25 | $35.00 | $9.29 – $97.99 | 23 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $9.30 | $62.00 | $19.82 – $67.86 | 19 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $8.91 | $59.40 | $0.69 – $16.24 | 10 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.89 | $12.58 | $0.02 – $3.74 | 10 |
| Pregabalin - sendout CPT 80366 | $10.31 | $68.75 | $0.05 – $33.59 | 3 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,201.80 | $8,012.00 | $191.19 – $2,549.20 | 22 |
| Pregnancy associated plasma protein-a CPT 84163 | $2.01 | $13.38 | $2.01 – $170.31 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $583.95 | $3,893.00 | $7.24 – $508.14 | 23 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $487.80 | $3,252.00 | $7.24 – $271.98 | 23 |
| Pressure max expiratory/inspiratory CPT 94799 | $337.50 | $2,250.00 | $170.94 – $307.69 | 7 |
| Pressure velocity wire add ves CPT 93572 | $1,213.50 | $8,090.00 | $63.76 – $8,090.00 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $67.50 | $450.00 | $23.88 – $3,778.65 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $64.50 | $430.00 | $19.97 – $207.88 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $26.15 | $174.35 | $4.52 – $166.35 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | $11.44 | $76.25 | $24.79 – $640.27 | 13 |
| Preventive counseling group CPT 99411 | $27.60 | $184.00 | $184.00 – $184.00 | 1 |
| Preventive counseling group CPT 99412 | $48.30 | $322.00 | $322.00 – $322.00 | 1 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $18.15 | $121.00 | $121.00 – $121.00 | 1 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $27.60 | $184.00 | $184.00 – $184.00 | 1 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $43.05 | $287.00 | $287.00 – $287.00 | 1 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $48.30 | $322.00 | $322.00 – $322.00 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $67.50 | $450.00 | $33.00 – $312.85 | 19 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $740.10 | $4,934.00 | $548.03 – $2,601.56 | 19 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $31.20 | $208.00 | $33.89 – $160.46 | 23 |
| Prgrmg dev eval scrms ip CPT 93285 | $10.20 | $68.00 | $28.13 – $69.27 | 19 |
| Prgrmg eval implantable dfb CPT 93282 | $16.65 | $111.00 | $40.87 – $169.44 | 23 |
| Prgrmg eval implantable dfb CPT 93283 | $37.35 | $249.00 | $47.21 – $192.71 | 23 |
| Prgrmg eval implantable dfb CPT 93284 | $40.65 | $271.00 | $49.58 – $218.84 | 23 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,372.85 | $15,819.00 | $55.80 – $15,819.00 | 20 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $56.40 | $376.00 | $80.10 – $355.84 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $42.45 | $283.00 | $73.20 – $243.88 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $26.70 | $178.00 | $34.30 – $174.36 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $38.70 | $258.00 | $45.80 – $186.51 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $25.65 | $171.00 | $37.80 – $130.53 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $16.05 | $107.00 | $27.50 – $73.15 | 19 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,581.70 | $43,878.00 | $35.00 – $24,352.90 | 22 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $328.50 | $2,190.00 | $143.00 – $1,229.87 | 8 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $842.25 | $5,615.00 | $75.76 – $540.04 | 22 |
| Pr incision & drainage abscess simple/single CPT 10060 | $308.70 | $2,058.00 | $30.00 – $266.54 | 22 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $99.45 | $663.00 | $20.00 – $540.04 | 22 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $62.55 | $417.00 | $176.87 – $590.65 | 22 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $65.70 | $438.00 | $132.30 – $419.50 | 22 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $169.80 | $1,132.00 | $11.59 – $227.72 | 22 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $363.15 | $2,421.00 | $30.00 – $1,375.41 | 19 |
| Procalcitonin CPT 84145 | $70.35 | $469.00 | $27.22 – $189.37 | 13 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $10.54 | $70.23 | $5.54 – $70.23 | 10 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,001.70 | $6,678.00 | $85.00 – $3,770.20 | 19 |
| Progesterone CPT 84144 | $81.90 | $546.00 | $3.82 – $241.01 | 13 |
| Prolactin CPT 84146 | $69.45 | $463.00 | $3.28 – $223.82 | 13 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $15.90 | $106.00 | $50.24 – $106.00 | 9 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $16.50 | $110.00 | $39.99 – $110.00 | 12 |
| Prolong service without contact CPT 99358 | $125.40 | $836.00 | $47.00 – $275.00 | 12 |
| Prolong serv without contact add CPT 99359 | $37.65 | $251.00 | $38.00 – $163.00 | 12 |
| Promethazine hcl injection HCPCS J2550 | $7.56 | $50.42 | $2.01 – $50.42 | 10 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $46.41 | $309.43 | $0.20 – $71.00 | 10 |
| _propoxygc/msur CPT 80367 | $27.90 | $186.00 | $0.05 – $1,267.95 | 6 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $81.11 | $540.76 | $2.74 – $159.66 | 10 |
| Protect body sock ea pre ots HCPCS L0984 | $14.48 | $96.50 | $54.65 – $141.44 | 8 |
| Protein c activity CPT 85303 | $1.85 | $12.30 | $1.70 – $159.89 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $16.05 | $107.00 | $0.75 – $124.20 | 13 |
| Protein total 24 hour urine CPT 84156 | $33.30 | $222.00 | $0.12 – $42.46 | 13 |
| Protein total body fluid CPT 84157 | $45.00 | $300.00 | $0.12 – $42.46 | 13 |
| Protein total serum plasma whole blood CPT 84155 | $11.25 | $75.00 | $0.12 – $42.31 | 13 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $38.25 | $255.00 | $0.14 – $45.49 | 13 |
| Prp i/hern init block >5 yr CPT 49507 | $328.95 | $2,193.00 | $40.00 – $1,284.87 | 19 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $24.75 | $165.00 | $69.59 – $266.50 | 22 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $8,193.75 | $54,625.00 | $24,352.90 – $43,835.22 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $5,791.35 | $38,609.00 | $541.18 – $1,841.57 | 22 |
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.