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 |
|---|---|---|---|---|
| Resp virus 6-11 targets CPT 87632 | $324.00 | $2,160.00 | $154.59 – $1,868.56 | 13 |
| Resuscitation cardiopulmonary CPT 92950 | $474.30 | $3,162.00 | $164.96 – $516.32 | 8 |
| Resuscitation delivery/birthing room CPT 99465 | $278.55 | $1,857.00 | $175.00 – $1,580.47 | 8 |
| Reticulated platelet assay CPT 85055 | $4.29 | $28.59 | $10.22 – $310.45 | 13 |
| Reticulocyte automated CPT 85045 | $25.80 | $172.00 | $0.14 – $46.19 | 13 |
| Reticulocyte direct measurement automated CPT 85046 | $0.69 | $4.61 | $0.26 – $64.24 | 13 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | $5,670.75 | $37,805.00 | $7,561.04 – $37,805.00 | 8 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $5,670.75 | $37,805.00 | $7,561.04 – $37,805.00 | 8 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | $11,616.45 | $77,443.00 | $50.00 – $77,443.00 | 12 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | $11,616.45 | $77,443.00 | $50.00 – $77,443.00 | 12 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | $11,616.45 | $77,443.00 | $24,352.90 – $77,443.00 | 8 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | $8,434.80 | $56,232.00 | $15,336.00 – $56,232.00 | 8 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | $8,434.80 | $56,232.00 | $15,336.00 – $56,232.00 | 8 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $7,315.35 | $48,769.00 | $15,336.00 – $48,769.00 | 8 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $7,315.35 | $48,769.00 | $15,336.00 – $48,769.00 | 8 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | $5,138.25 | $34,255.00 | $7,561.04 – $34,255.00 | 8 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | $8,556.15 | $57,041.00 | $15,336.00 – $57,041.00 | 8 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $8,556.15 | $57,041.00 | $50.00 – $57,041.00 | 12 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | $7,315.35 | $48,769.00 | $15,336.00 – $48,769.00 | 8 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $7,382.40 | $49,216.00 | $15,336.00 – $49,216.00 | 8 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | $11,616.30 | $77,442.00 | $24,352.90 – $77,442.00 | 8 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | $11,616.30 | $77,442.00 | $24,352.90 – $77,442.00 | 8 |
| Revasc intra lithotrip-ather HCPCS C9766 | $11,891.10 | $79,274.00 | $24,352.90 – $43,835.22 | 7 |
| Revasc intra lithotrip-stent HCPCS C9765 | $11,437.80 | $76,252.00 | $24,352.90 – $43,835.22 | 7 |
| Revasc intravasc lithotripsy HCPCS C9764 | $5,521.80 | $36,812.00 | $15,336.00 – $27,604.80 | 7 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $11,217.60 | $74,784.00 | $24,352.90 – $43,835.22 | 7 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $14,045.40 | $93,636.00 | $24,352.90 – $43,835.22 | 7 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $6,926.25 | $46,175.00 | $15,336.00 – $27,604.80 | 7 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $10,909.20 | $72,728.00 | $24,352.90 – $43,835.22 | 7 |
| Revise arm/leg nerve CPT 64708 | $305.55 | $2,037.00 | $51.00 – $1,154.70 | 19 |
| Revise hand/finger tendon CPT 26390 | $524.85 | $3,499.00 | $35.00 – $1,975.23 | 19 |
| Revise hip joint replacement CPT 27134 | $1,066.05 | $7,107.00 | $967.00 – $4,489.64 | 19 |
| Revise hip joint replacement CPT 27138 | $858.30 | $5,722.00 | $1,472.43 – $3,552.15 | 18 |
| Revise hip joint replacement CPT 27137 | $827.25 | $5,515.00 | $750.00 – $3,411.26 | 19 |
| Revise/implant finger joint CPT 26536 | $460.35 | $3,069.00 | $80.04 – $1,457.71 | 19 |
| Revise kneecap CPT 27437 | $389.70 | $2,598.00 | $353.00 – $1,490.23 | 19 |
| Revise kneecap with implant CPT 27438 | $489.45 | $3,263.00 | $444.00 – $1,896.65 | 19 |
| Revise/replace knee joint CPT 27486 | $799.65 | $5,331.00 | $1,387.28 – $3,216.18 | 18 |
| Revise/replace knee joint CPT 27487 | $989.10 | $6,594.00 | $285.55 – $4,069.67 | 19 |
| Revise ulnar nerve at wrist CPT 64719 | $245.70 | $1,638.00 | $35.00 – $979.74 | 19 |
| Revise wrist/forearm tendon CPT 25280 | $338.85 | $2,259.00 | $40.00 – $1,717.82 | 19 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | $651.00 | $4,340.00 | $65.00 – $2,377.01 | 19 |
| Revision of knee joint CPT 27440 | $466.05 | $3,107.00 | $40.00 – $1,641.96 | 19 |
| Revision of knee joint CPT 27442 | $506.25 | $3,375.00 | $178.70 – $1,977.94 | 19 |
| Revision of knee joint CPT 27446 | $655.95 | $4,373.00 | $55.00 – $2,571.32 | 19 |
| Revision of scrotum CPT 55180 | $391.95 | $2,613.00 | $537.23 – $1,206.39 | 19 |
| Revision of thigh muscles CPT 27430 | $434.85 | $2,899.00 | $65.00 – $1,674.47 | 19 |
| Rheumatoid factor qualitative CPT 86430 | $42.15 | $281.00 | $6.14 – $64.55 | 13 |
| Rheumatoid factor quantitative CPT 86431 | $80.70 | $538.00 | $0.28 – $64.55 | 13 |
| Right ventric recording CPT 93603 | $929.70 | $6,198.00 | $228.51 – $2,911.43 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $268.65 | $1,791.00 | $716.57 – $1,791.00 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $2,790.38 | $18,602.50 | $73.28 – $277.55 | 17 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $2,511.28 | $16,741.89 | $34.56 – $249.71 | 17 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $617.70 | $4,118.00 | $25.00 – $2,484.61 | 19 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $133.35 | $889.00 | $205.88 – $546.64 | 19 |
| Rmvl icd by tv extr CPT 33244 | $3,212.10 | $21,414.00 | $546.16 – $8,935.96 | 8 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $17,533.95 | $116,893.00 | $60.00 – $29,549.80 | 22 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $21,443.85 | $142,959.00 | $60.00 – $41,699.00 | 22 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $18,655.35 | $124,369.00 | $60.00 – $29,549.80 | 22 |
| Rmvl icd pulse gen only CPT 33241 | $3,863.55 | $25,757.00 | $85.00 – $4,964.42 | 22 |
| Rmvl perm pm pulse gen CPT 33233 | $6,598.95 | $43,993.00 | $85.00 – $10,993.60 | 22 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $12,164.55 | $81,097.00 | $50.00 – $25,588.50 | 22 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $8,361.60 | $55,744.00 | $278.11 – $10,993.60 | 22 |
| Rmvl pq iabp CPT 33968 | $297.00 | $1,980.00 | $20.00 – $64.95 | 22 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $7,575.30 | $50,502.00 | $165.82 – $574.91 | 22 |
| Rmvl sq defib electrode CPT 33272 | $2,287.65 | $15,251.00 | $316.08 – $8,935.96 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,609.80 | $10,732.00 | $76.44 – $940.73 | 22 |
| Rmvl tv pm lead dual CPT 33235 | $5,188.05 | $34,587.00 | $323.53 – $8,935.96 | 8 |
| Rmvl tv pm lead sgl CPT 33234 | $4,026.60 | $26,844.00 | $85.00 – $4,964.42 | 22 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $1,064.71 | $7,098.08 | $12.73 – $32.97 | 17 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $35.14 | $234.26 | $0.11 – $94.39 | 10 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,802.85 | $12,019.00 | $71.87 – $3,764.18 | 8 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $744.60 | $4,964.00 | $36.45 – $1,040.38 | 24 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,593.15 | $10,621.00 | $53.44 – $6,849.46 | 24 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,083.45 | $7,223.00 | $63.30 – $3,764.18 | 8 |
| Rpl tun-cvad w subq port CPT 36582 | $3,236.70 | $21,578.00 | $330.28 – $7,550.28 | 8 |
| Rpl tun cvc wo subq port CPT 36581 | $802.80 | $5,352.00 | $174.98 – $4,194.60 | 22 |
| Rpr fem hernia init blocked CPT 49553 | $352.80 | $2,352.00 | $40.00 – $1,268.11 | 19 |
| Rsv assay w/optic CPT 87807 | $48.30 | $322.00 | $12.29 – $105.14 | 13 |
| Rubella antibody igg CPT 86762 | $40.80 | $272.00 | $1.57 – $165.73 | 13 |
| Rubeola antibody igg CPT 86765 | $21.00 | $140.00 | $9.27 – $148.85 | 13 |
| Russell viper venom diluted CPT 85613 | $5.25 | $35.00 | $0.81 – $110.51 | 13 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $2,076.44 | $13,842.90 | $37.64 – $100.68 | 17 |
| Salmonella antibody CPT 86768 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Sars-cov-2 antb quantitative CPT 86413 | $44.10 | $294.00 | $46.31 – $154.84 | 13 |
| Sbrt management CPT 77435 | $425.40 | $2,836.00 | $536.14 – $1,254.60 | 19 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $25.05 | $167.00 | $27.50 – $108.87 | 19 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $36.15 | $241.00 | $40.00 – $156.91 | 19 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $13.50 | $90.00 | $13.70 – $67.69 | 19 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $701.10 | $4,674.00 | $57.94 – $1,241.61 | 23 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $444.45 | $2,963.00 | $40.87 – $990.92 | 23 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $548.10 | $3,654.00 | $39.69 – $1,203.23 | 23 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $471.30 | $3,142.00 | $24.58 – $800.25 | 23 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $527.40 | $3,516.00 | $25.02 – $770.85 | 23 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $509.85 | $3,399.00 | $22.29 – $861.49 | 23 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $485.70 | $3,238.00 | $39.89 – $1,166.89 | 23 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $480.60 | $3,204.00 | $23.97 – $779.02 | 23 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $497.10 | $3,314.00 | $24.41 – $821.07 | 23 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $74.85 | $499.00 | $3.11 – $613.53 | 18 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $101.10 | $674.00 | $3.11 – $680.51 | 18 |
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.