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 |
|---|---|---|---|---|
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $9,755.10 | $65,034.00 | $65,034.00 – $65,034.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,353.00 | $69,020.00 | $482.46 – $15,336.00 | 22 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $7,727.85 | $51,519.00 | $466.20 – $15,336.00 | 22 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $11,616.45 | $77,443.00 | $540.58 – $24,352.90 | 10 |
| Prq trlml c athrc st angiop1 CPT 92933 | $10,588.20 | $70,588.00 | $540.15 – $24,352.90 | 22 |
| Prq trluml c angiop 1art&/br CPT 92920 | $6,729.00 | $44,860.00 | $389.21 – $7,561.04 | 22 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $7,963.80 | $53,092.00 | $471.87 – $15,336.00 | 22 |
| Prq trluml revsc ch occ ant CPT 92943 | $7,963.80 | $53,092.00 | $541.18 – $15,336.00 | 22 |
| Pr removal drug delivery implant CPT 11982 | $39.75 | $265.00 | $40.00 – $242.22 | 19 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $113.25 | $755.00 | $35.00 – $418.40 | 19 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $933.90 | $6,226.00 | $27.00 – $2,091.21 | 22 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $6.45 | $43.00 | $0.01 – $82.75 | 21 |
| PSA (Prostate) Test CPT 84153 | $47.70 | $318.00 | $1.85 – $212.46 | 13 |
| Psychotherapy group therapy CPT 90853 | $104.70 | $698.00 | $23.96 – $331.00 | 8 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $162.90 | $1,086.00 | $75.84 – $424.43 | 8 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $145.65 | $971.00 | $96.33 – $424.43 | 8 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $247.80 | $1,652.00 | $140.60 – $424.43 | 8 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $93.00 | $620.00 | $12.42 – $447.00 | 15 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $106.65 | $711.00 | $21.13 – $711.00 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $54.60 | $364.00 | $13.17 – $447.00 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $37.95 | $253.00 | $10.66 – $447.00 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $63.45 | $423.00 | $15.98 – $447.00 | 15 |
| Pt/caregiver traing home inr CPT 93792 | $16.05 | $107.00 | $94.72 – $170.50 | 8 |
| Pten gene dup/delet variant CPT 81323 | $41.85 | $279.00 | $91.75 – $837.00 | 13 |
| Pten gene full sequence CPT 81321 | $42.00 | $280.00 | $112.92 – $1,680.00 | 13 |
| Pten gene known fam variant CPT 81322 | $5.71 | $38.05 | $17.73 – $139.52 | 13 |
| Pt evaluation high complexity patient/family CPT 97163 | $111.45 | $743.00 | $115.60 – $447.00 | 15 |
| Pt evaluation low complexity patient/family CPT 97161 | $106.05 | $707.00 | $115.60 – $707.00 | 15 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $108.75 | $725.00 | $115.60 – $725.00 | 15 |
| Pt re-evaluation patient/family CPT 97164 | $107.70 | $718.00 | $80.48 – $447.00 | 15 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $58.20 | $388.00 | $16.18 – $447.00 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $47.70 | $318.00 | $14.76 – $447.00 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $36.90 | $246.00 | $36.58 – $447.00 | 15 |
| Pul art balloon repr percut CPT 92997 | $242.40 | $1,616.00 | $544.81 – $1,187.08 | 19 |
| Pul art balloon repr percut CPT 92998 | $120.45 | $803.00 | $277.12 – $591.19 | 19 |
| Pulmonary vent imaging CPT 78579 | $629.70 | $4,198.00 | $24.60 – $1,069.72 | 24 |
| Pulse ox continuous overnight monitoring CPT 94762 | $187.80 | $1,252.00 | $170.94 – $401.21 | 10 |
| Pulse ox multiple CPT 94761 | $119.55 | $797.00 | $5.45 – $271.65 | 10 |
| Pulse ox single CPT 94760 | $39.15 | $261.00 | $5.01 – $105.07 | 11 |
| Punc of shunt for asp or inj CPT 61070 | $539.70 | $3,598.00 | $130.68 – $1,687.93 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $84.60 | $564.00 | $12.66 – $4,735.91 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $392.40 | $2,616.00 | $46.91 – $540.04 | 22 |
| Puncture spinal lumbar diagnostic CPT 62270 | $605.70 | $4,038.00 | $59.50 – $937.74 | 22 |
| Pyruvate CPT 84210 | $1.74 | $11.58 | $1.68 – $125.44 | 13 |
| Pyruvate kinase CPT 84220 | $1.26 | $8.39 | $0.79 – $108.95 | 13 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,158.60 | $7,724.00 | $41.59 – $1,859.35 | 24 |
| Quant diff pulm perf w/imaging CPT 78597 | $674.85 | $4,499.00 | $36.55 – $1,147.29 | 24 |
| Quest t3 uptake CPT 84479 | $7.05 | $47.00 | $0.48 – $74.74 | 13 |
| Rabies ig ht&sol human im/sc CPT 90377 | $2,756.77 | $18,378.45 | $243.20 – $1,052.97 | 16 |
| Radiation physics consult CPT 77336 | $458.25 | $3,055.00 | $79.01 – $868.91 | 12 |
| Radiation therapy dose plan CPT 77300 | $448.95 | $2,993.00 | $37.22 – $334.33 | 23 |
| Radiation therapy management CPT 77431 | $72.75 | $485.00 | $79.34 – $180.04 | 19 |
| Radiation treatment aid(s) CPT 77332 | $226.05 | $1,507.00 | $26.97 – $332.93 | 23 |
| Radiation treatment aid(s) CPT 77333 | $26.40 | $176.00 | $27.44 – $155.34 | 19 |
| Radiation treatment aid(s) CPT 77334 | $624.75 | $4,165.00 | $68.35 – $805.03 | 23 |
| Radiation treatment delivery CPT 77402 | $240.00 | $1,600.00 | $60.82 – $1,153.95 | 12 |
| Radiation treatment delivery CPT 77412 | $1,425.00 | $9,500.00 | $61.97 – $1,523.48 | 12 |
| Radiation tx management x5 CPT 77427 | $128.10 | $854.00 | $114.37 – $1,759.68 | 24 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $581.85 | $3,879.00 | $65.00 – $2,785.37 | 19 |
| Radiology port images(s) CPT 77417 | $289.50 | $1,930.00 | $91.91 – $1,930.00 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $4,208.70 | $28,058.00 | $476.93 – $6,599.06 | 23 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $99.00 | $660.00 | $181.55 – $468.06 | 16 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,084.70 | $13,898.00 | $39.38 – $1,357.79 | 24 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,395.30 | $9,302.00 | $49.73 – $1,075.72 | 24 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,722.90 | $11,486.00 | $54.33 – $8,623.00 | 24 |
| Radphm lcl tumor plr sgl day CPT 78800 | $687.30 | $4,582.00 | $33.33 – $834.02 | 24 |
| Rapid Strep Test CPT 87880 | $59.55 | $397.00 | $10.03 – $103.82 | 13 |
| Rbc count only automated CPT 85041 | $0.40 | $2.67 | $0.08 – $34.76 | 13 |
| Rbc osmotic fragility CPT 85555 | $10.91 | $72.73 | $5.24 – $77.22 | 13 |
| Reconstruct finger joint CPT 26548 | $484.35 | $3,229.00 | $60.00 – $1,820.78 | 19 |
| Reconstruct head of radius CPT 24365 | $378.60 | $2,524.00 | $65.00 – $1,446.87 | 19 |
| Reconstruct head of radius CPT 24366 | $401.55 | $2,677.00 | $92.70 – $1,549.83 | 19 |
| Reconstruction knee CPT 27429 | $733.05 | $4,887.00 | $192.11 – $2,763.69 | 19 |
| Reconstruction of hip socket CPT 27122 | $633.30 | $4,222.00 | $843.26 – $2,517.13 | 19 |
| Reconstruct shoulder joint CPT 23470 | $685.20 | $4,568.00 | $75.00 – $2,796.20 | 19 |
| Reconstruct shoulder joint CPT 23472 | $820.20 | $5,468.00 | $45.00 – $3,446.48 | 19 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $38.25 | $255.00 | $184.91 – $332.84 | 8 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $45.75 | $305.00 | $265.41 – $477.74 | 8 |
| Red blood cells washed each unit HCPCS P9022 | $60.15 | $401.00 | $368.58 – $663.44 | 8 |
| Redo endovas vena cava filtr CPT 37192 | $1,840.95 | $12,273.00 | $80.00 – $5,696.22 | 22 |
| Refill maint impl spine pump CPT 95991 | $226.05 | $1,507.00 | $104.44 – $733.99 | 8 |
| Refill/maint pump/resvr syst CPT 96522 | $213.00 | $1,420.00 | $40.26 – $769.05 | 9 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $289.65 | $1,931.00 | $5.90 – $155.81 | 10 |
| Release of shoulder ligament CPT 23415 | $414.15 | $2,761.00 | $67.39 – $1,677.18 | 19 |
| Release palm contracture CPT 26123 | $500.55 | $3,337.00 | $421.82 – $1,788.27 | 19 |
| Release palm contracture CPT 26125 | $148.20 | $988.00 | $55.00 – $655.70 | 19 |
| Release wrist/forearm tendon CPT 25295 | $317.10 | $2,114.00 | $75.00 – $1,614.86 | 19 |
| Relocation skin pocket aicd CPT 33223 | $2,204.25 | $14,695.00 | $369.32 – $4,933.78 | 8 |
| Relocation skin pocket pm CPT 33222 | $2,821.50 | $18,810.00 | $85.00 – $2,740.99 | 22 |
| Rem/biv cast full arm/leg CPT 29705 | $152.70 | $1,018.00 | $29.04 – $371.56 | 22 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $599.31 | $3,995.40 | $7.51 – $18.79 | 14 |
| Rem endovas vena cava filter CPT 37193 | $4,818.30 | $32,122.00 | $45.00 – $5,429.21 | 22 |
| Rem interrog dev eval icpms CPT 93297 | $10.05 | $67.00 | $21.55 – $58.53 | 19 |
| Rem interrog dev eval scrms CPT 93298 | $10.05 | $67.00 | $25.27 – $84.09 | 19 |
| Rem interrog evl pm/ldls pm CPT 93294 | $14.25 | $95.00 | $31.34 – $104.28 | 19 |
| Rem mntr wrls p-art prs snr CPT 93264 | $20.55 | $137.00 | $32.04 – $151.06 | 19 |
| Remote 30 day ecg rev/report CPT 93228 | $10.35 | $69.00 | $21.55 – $60.07 | 19 |
| Removal anal seton other marker 46030 CPT 46030 | $48.75 | $325.00 | $60.00 – $187.73 | 19 |
| Removal biliary drg cath CPT 47537 | $581.55 | $3,877.00 | $35.00 – $1,634.02 | 22 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,315.05 | $8,767.00 | $135.89 – $833.35 | 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.