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 |
|---|---|---|---|---|
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $1,655.10 | $11,034.00 | $594.75 – $594.75 | 1 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $1,642.95 | $10,953.00 | $9,127.75 – $9,127.75 | 1 |
| Stereotactic radiation trmt CPT 77432 | $281.70 | $1,878.00 | $284.32 – $766.54 | 19 |
| Sterile water/saline, 10 ml HCPCS A4216 | $13.66 | $91.05 | $0.63 – $17.63 | 8 |
| St evaluate speech sound production CPT 92522 | $165.90 | $1,106.00 | $91.96 – $447.00 | 15 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $160.20 | $1,068.00 | $187.30 – $693.66 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $291.30 | $1,942.00 | $57.30 – $447.00 | 14 |
| St evaluation swallow function CPT 92610 | $291.30 | $1,942.00 | $64.82 – $447.00 | 14 |
| Stimulants synthetic CPT 80371 | $22.50 | $150.00 | $0.05 – $164.87 | 6 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $39.30 | $262.00 | $11.00 – $215.88 | 22 |
| Strapping of hand or finger CPT 29280 | $16.20 | $108.00 | $18.13 – $97.03 | 22 |
| Strep b assay w/optic CPT 87802 | $58.95 | $393.00 | $12.73 – $103.82 | 13 |
| Strep b dna amp probe CPT 87653 | $4.58 | $30.52 | $10.71 – $396.62 | 13 |
| Stress test pulmonary CPT 94618 | $190.20 | $1,268.00 | $43.20 – $318.15 | 11 |
| Stress tte complete CPT 93351 | $1,140.45 | $7,603.00 | $90.79 – $1,760.95 | 23 |
| Str markers specimen anal CPT 81265 | $45.00 | $300.00 | $191.15 – $2,638.08 | 13 |
| St treatment speech individual CPT 92507 | $149.25 | $995.00 | $80.91 – $447.00 | 15 |
| St treatment swallow dysfunction/oral CPT 92526 | $138.15 | $921.00 | $48.51 – $447.00 | 14 |
| Sulfonylurea screen qn-sendout CPT 80377 | $18.84 | $125.59 | $0.05 – $229.42 | 6 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $18.58 | $123.84 | $54.55 – $515.92 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $20.36 | $135.75 | $51.61 – $160.06 | 8 |
| Surg dx exam anorectal CPT 45990 | $59.10 | $394.00 | $47.00 – $226.25 | 19 |
| Surgical pathology level 1 gross examination only CPT 88300 | $32.85 | $219.00 | $12.01 – $1,838.94 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $81.45 | $543.00 | $30.04 – $4,559.57 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $98.55 | $657.00 | $43.72 – $5,516.83 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $138.60 | $924.00 | $20.33 – $3,469.64 | 24 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $233.10 | $1,554.00 | $125.71 – $13,048.94 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $396.30 | $2,642.00 | $237.04 – $22,184.87 | 13 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $252.45 | $1,683.00 | $138.50 – $720.65 | 19 |
| Susceptibility agar dilution per agent CPT 87181 | $0.71 | $4.75 | $0.23 – $26.05 | 13 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $8.40 | $56.00 | $0.57 – $33.29 | 13 |
| Susceptibility mic per plate CPT 87186 | $102.30 | $682.00 | $0.60 – $99.86 | 13 |
| Suscept studies macrobroth dilution ea CPT 87188 | $0.89 | $5.90 | $0.39 – $76.60 | 13 |
| Suspend bowel w/prosthesis CPT 44700 | $551.25 | $3,675.00 | $30.00 – $2,114.45 | 19 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $571.05 | $3,807.00 | $75.00 – $2,175.90 | 19 |
| Svc venogram s&i CPT 75827 | $1,488.60 | $9,924.00 | $8.25 – $3,106.20 | 24 |
| Synvisc or synvisc-one HCPCS J7325 | $15.15 | $101.00 | $6.02 – $43.26 | 17 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $16.35 | $109.00 | $0.43 – $50.86 | 13 |
| System cardiomems hosp electronics HCPCS C2624 | $13,556.25 | $90,375.00 | $90,375.00 – $90,375.00 | 1 |
| System pacing micra av HCPCS C1786 | $6,375.00 | $42,500.00 | $12,000.00 – $12,000.00 | 1 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $8,371.05 | $55,807.00 | $12,000.00 – $12,000.00 | 1 |
| T3 (triiodothyronine) free CPT 84481 | $55.50 | $370.00 | $2.54 – $195.74 | 13 |
| T3 (triiodothyronine) total CPT 84480 | $40.20 | $268.00 | $1.79 – $163.70 | 13 |
| T4 (thyroxine) free CPT 84439 | $57.30 | $382.00 | $0.71 – $104.13 | 13 |
| T4 (thyroxine) total CPT 84436 | $58.35 | $389.00 | $0.55 – $79.40 | 13 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $5.89 | $39.29 | $0.40 – $22.42 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $24.15 | $161.00 | $1.68 – $171.40 | 13 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,952.26 | $19,681.72 | $14.43 – $38.78 | 17 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $3.38 | $22.50 | $0.51 – $22.50 | 5 |
| Tap block uni by cont infusion 64487 CPT 64487 | $31.95 | $213.00 | $8.00 – $455.04 | 19 |
| Target gsa panel hmtlmph neop CPT 81450 | $367.50 | $2,450.00 | $759.53 – $23,814.73 | 13 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $369.75 | $2,465.00 | $1,964.13 – $57,344.74 | 13 |
| Target gsa panel organ neop CPT 81445 | $465.00 | $3,100.00 | $597.91 – $23,814.73 | 13 |
| Tavr perq femoral CPT 33361 | $8,910.30 | $59,402.00 | $1,078.93 – $3,661.17 | 22 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $101.40 | $676.00 | $100.00 – $676.00 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $82.95 | $553.00 | $24.79 – $700.31 | 13 |
| Tc-99m bicisate HCPCS A9557 | $471.75 | $3,145.00 | $486.75 – $22,129.06 | 17 |
| Tc-99m diag per dose HCPCS A4641 | $112.35 | $749.00 | $588.00 – $588.00 | 1 |
| Tc-99m disofenin HCPCS A9510 | $69.00 | $460.00 | $110.74 – $422.50 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $474.30 | $3,162.00 | $1,730.28 – $10,345.09 | 10 |
| Tc-99m labeled rbc HCPCS A9560 | $107.55 | $717.00 | $166.40 – $563.76 | 10 |
| Tc-99m maa HCPCS A9540 | $114.75 | $765.00 | $44.15 – $518.00 | 10 |
| Tc-99m mebrofenin HCPCS A9537 | $110.55 | $737.00 | $122.10 – $495.00 | 10 |
| Tc-99m medronate HCPCS A9503 | $122.40 | $816.00 | $61.59 – $549.00 | 10 |
| Tc-99m mertiatide HCPCS A9562 | $250.05 | $1,667.00 | $913.61 – $4,676.38 | 10 |
| Tc-99m oxidronate HCPCS A9561 | $24.75 | $165.00 | $67.32 – $265.55 | 10 |
| Tc-99m pentetate dtpa HCPCS A9539 | $62.55 | $417.00 | $33.32 – $282.00 | 10 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $45.00 | $300.00 | $20.60 – $300.00 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $0.80 | $5.30 | $3.55 – $32.72 | 10 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $62.85 | $419.00 | $50.65 – $386.57 | 10 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $294.30 | $1,962.00 | $236.43 – $1,226.71 | 10 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $554.40 | $3,696.00 | $145.30 – $3,617.94 | 17 |
| Tc-99m sulfur colloid HCPCS A9541 | $46.05 | $307.00 | $109.10 – $2,045.69 | 10 |
| Tc-99m tilmanocept diag HCPCS A9520 | $268.65 | $1,791.00 | $501.46 – $3,993.12 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $6.23 | $41.55 | $9.40 – $455.80 | 13 |
| T cells absolute cd 4 count CPT 86361 | $3.57 | $23.80 | $6.37 – $311.08 | 13 |
| T cells total count CPT 86359 | $5.06 | $33.75 | $6.04 – $436.52 | 13 |
| Team conf without pat by hc pro CPT 99368 | $19.05 | $127.00 | $45.46 – $127.00 | 11 |
| Team conf without pat by phys CPT 99367 | $24.00 | $160.00 | $69.07 – $160.00 | 11 |
| Team conf w/pat by hc prof CPT 99366 | $19.80 | $132.00 | $52.12 – $132.00 | 11 |
| Telethx isodose plan cplx CPT 77307 | $389.40 | $2,596.00 | $172.95 – $1,138.31 | 23 |
| Telethx isodose plan simple CPT 77306 | $49.35 | $329.00 | $84.00 – $192.69 | 19 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $6,720.78 | $44,805.20 | $110.96 – $44,805.20 | 17 |
| Tenotomy hip flexor open CPT 27005 | $2,649.00 | $17,660.00 | $65.00 – $1,658.21 | 19 |
| Test for chlorohydrocarbons CPT 82441 | $17.55 | $117.00 | $6.01 – $69.37 | 13 |
| Testicular imaging w/vasc flow CPT 78761 | $505.50 | $3,370.00 | $36.18 – $787.36 | 24 |
| Test stress cardiovascular tracing only CPT 93017 | $562.50 | $3,750.00 | $75.31 – $586.84 | 12 |
| Theophylline therapeutic drug level CPT 80198 | $58.20 | $388.00 | $14.14 – $163.47 | 13 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $41.70 | $278.00 | $29.99 – $53.98 | 8 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $10.80 | $72.00 | $24.95 – $44.91 | 8 |
| Ther radiology tx plng cplx CPT 77263 | $111.45 | $743.00 | $144.24 – $301.60 | 19 |
| Ther radiology tx plng intrm CPT 77262 | $72.45 | $483.00 | $92.79 – $202.95 | 19 |
| Ther radiology tx plng smpl CPT 77261 | $47.40 | $316.00 | $61.12 – $135.05 | 19 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $15.96 | $106.38 | $1.87 – $46.60 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $246.60 | $1,644.00 | $92.33 – $1,976.78 | 22 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,511.60 | $16,744.00 | $82.03 – $338.06 | 22 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $4,942.95 | $32,953.00 | $50.00 – $7,561.04 | 22 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $7,169.10 | $47,794.00 | $15.00 – $15,336.00 | 22 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $10,588.20 | $70,588.00 | $459.70 – $24,352.90 | 22 |
| Thrombin time CPT 85670 | $1.44 | $9.63 | $0.56 – $66.80 | 13 |
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.