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 |
|---|---|---|---|---|
| Arthro, loose body + chondro HCPCS G0289 | $33.90 | $226.00 | $1.70 – $226.00 | 18 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $399.90 | $2,666.00 | $103.50 – $1,509.19 | 19 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | $398.55 | $2,657.00 | $224.50 – $2,136.16 | 22 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | $287.40 | $1,916.00 | $30.00 – $1,051.29 | 19 |
| Arthrotomy hip w/drainage CPT 27030 | $538.95 | $3,593.00 | $70.00 – $2,159.47 | 19 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $475.50 | $3,170.00 | $45.00 – $1,809.95 | 19 |
| Arthrp ntrcrpl/crp/mtcrp ssp CPT 25448 | $388.65 | $2,591.00 | $921.97 – $1,506.04 | 15 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | $421.50 | $2,810.00 | $35.00 – $1,620.28 | 19 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $93.75 | $625.00 | $90.00 – $1,533.58 | 19 |
| Ashkenazi jewish assoc dis CPT 81412 | $367.28 | $2,448.56 | $2,448.56 – $59,954.46 | 13 |
| Aspa gene CPT 81200 | $7.09 | $47.25 | $22.33 – $1,157.67 | 13 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,015.25 | $13,435.00 | $45.00 – $2,777.00 | 22 |
| Aspirate pleura without imaging 32554 CPT 32554 | $47.40 | $316.00 | $17.00 – $1,717.85 | 19 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $884.70 | $5,898.00 | $17.00 – $940.73 | 21 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $656.70 | $4,378.00 | $84.14 – $1,693.31 | 8 |
| Assay dir meas fr estradiol CPT 82681 | $4.19 | $27.94 | $7.81 – $116.29 | 13 |
| Assay of breath ethanol CPT 82075 | $36.45 | $243.00 | $0.05 – $243.00 | 13 |
| Assay of corticosterone CPT 82528 | $3.00 | $20.02 | $4.51 – $251.58 | 13 |
| Assay of feces porphyrins CPT 84126 | $4.16 | $27.73 | $10.85 – $294.28 | 13 |
| Assay of fluoride CPT 82735 | $16.20 | $108.00 | $18.54 – $214.18 | 13 |
| Assay of glutathione CPT 82978 | $10.20 | $68.00 | $10.51 – $164.64 | 13 |
| Assay of interleukin-6 (il-6) CPT 83529 | $2.59 | $17.27 | $2.98 – $71.87 | 11 |
| Assay of leflunomide CPT 80193 | $5.79 | $38.57 | $14.88 – $160.55 | 13 |
| Assay of procainamide w/metab CPT 80192 | $2.23 | $14.89 | $2.49 – $192.87 | 13 |
| Assay of prostaglandin CPT 84150 | $412.50 | $2,750.00 | $38.97 – $288.29 | 13 |
| Assay of PSA complexed CPT 84152 | $2.45 | $16.35 | $3.01 – $212.31 | 13 |
| Assay of salicylate CPT 80179 | $21.00 | $140.00 | $14.91 – $77.61 | 13 |
| Assay of semen fructose CPT 82757 | $2.60 | $17.34 | $3.01 – $201.03 | 13 |
| Assay of silica CPT 84285 | $15.60 | $104.00 | $25.21 – $271.96 | 13 |
| Assay of somatostatin CPT 84307 | $29.10 | $194.00 | $18.28 – $204.38 | 13 |
| Assay of tyrosine CPT 84510 | $1.39 | $9.25 | $0.98 – $120.15 | 13 |
| Assay of urine sulfate CPT 84392 | $0.66 | $4.39 | $0.24 – $55.06 | 13 |
| Assay toxin or antitoxin CPT 87230 | $13.89 | $92.60 | $3.46 – $228.10 | 13 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $167.25 | $1,115.00 | $73.44 – $447.00 | 14 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $39.60 | $264.00 | $4.27 – $49.31 | 13 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $184.65 | $1,231.00 | $112.00 – $527.55 | 19 |
| Ast/sgot CPT 84450 | $37.35 | $249.00 | $0.42 – $59.73 | 13 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $4,950.00 | $33,000.00 | $96.55 – $255.67 | 17 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $17.72 | $118.16 | $0.13 – $118.16 | 10 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $495.15 | $3,301.00 | $194.58 – $350.24 | 8 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,250.45 | $35,003.00 | $669.66 – $17,351.32 | 8 |
| Autopsy (necropsy) complete CPT 88020 | $361.20 | $2,408.00 | $1,773.76 – $20,219.98 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $780.53 | $5,203.54 | $108.64 – $285.83 | 17 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | $393.15 | $2,621.00 | $55.00 – $1,670.52 | 19 |
| Azacitidine injection HCPCS J9025 | $36.45 | $243.00 | $0.58 – $243.00 | 10 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $21.89 | $145.94 | $4.29 – $145.94 | 10 |
| Azithromycin dihydrate, oral HCPCS Q0144 | $0.32 | $2.11 | $2.11 – $71.70 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $55.85 | $372.35 | $4.91 – $372.35 | 3 |
| Bacterial meningitis antigen CPT 86403 | $18.90 | $126.00 | $11.54 – $114.32 | 13 |
| Bacterial vaginosis pcr CPT 87801 | $39.60 | $264.00 | $55.65 – $411.19 | 13 |
| Bactericidal level serum CPT 87197 | $2.00 | $13.36 | $2.01 – $135.16 | 13 |
| #bac vag cand-c. albicans naa CPT 87481 | $41.25 | $275.00 | $5.77 – $392.27 | 13 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $2,530.65 | $16,871.00 | $144.00 – $144.00 | 1 |
| Bartonella dna pcr-sendout CPT 87471 | $4.68 | $31.19 | $10.94 – $392.27 | 13 |
| Bausch health Ultrasound surg HCPCS V2788 | $454.35 | $3,029.00 | $2,160.00 – $2,160.00 | 1 |
| B cells total count CPT 86355 | $6.14 | $40.95 | $5.74 – $426.25 | 13 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $15.44 | $102.96 | $11.60 – $76.78 | 17 |
| #_benzodiazconfur CPT 80346 | $92.85 | $619.00 | $0.05 – $196.21 | 6 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $3.07 | $20.47 | $2.55 – $293.73 | 13 |
| Beta-amyloid 1-42 CPT 82234 | $48.00 | $320.00 | $128.92 – $412.54 | 9 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $16.35 | $109.00 | $9.76 – $29.00 | 10 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $1,893.53 | $12,623.53 | $74.82 – $200.46 | 17 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,650.00 | $11,000.00 | $24.53 – $222.04 | 17 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | $135.95 | $906.30 | $423.61 – $1,335.03 | 11 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $85.50 | $570.00 | $60.00 – $357.53 | 19 |
| Bilicheck CPT 88720 | $15.15 | $101.00 | $5.02 – $55.37 | 13 |
| Bilirubin direct CPT 82248 | $30.00 | $200.00 | $0.52 – $57.78 | 13 |
| Bilirubin total CPT 82247 | $26.25 | $175.00 | $0.21 – $57.78 | 13 |
| Biopsy abdominal mass CPT 49180 | $1,356.45 | $9,043.00 | $74.50 – $2,194.09 | 22 |
| Biopsy, bone open deep CPT 20245 | $189.60 | $1,264.00 | $23.00 – $1,417.07 | 19 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,566.45 | $10,443.00 | $18.00 – $2,194.09 | 22 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $2,475.15 | $16,501.00 | $30.53 – $3,858.81 | 22 |
| Biopsy knee joint lining CPT 27330 | $255.90 | $1,706.00 | $89.35 – $888.72 | 19 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,276.35 | $8,509.00 | $20.00 – $2,194.09 | 22 |
| Biopsy needle liver percutaneous CPT 47000 | $1,685.85 | $11,239.00 | $82.50 – $2,194.09 | 22 |
| Biopsy needle lymph node superficial CPT 38505 | $1,276.35 | $8,509.00 | $70.74 – $2,194.09 | 22 |
| Biopsy of heart lining CPT 93505 | $1,840.95 | $12,273.00 | $237.76 – $4,194.60 | 22 |
| Biopsy of salivary gland 42400 CPT 42400 | $680.70 | $4,538.00 | $50.26 – $1,693.31 | 8 |
| Biopsy/removal lymph nodes CPT 38525 | $374.85 | $2,499.00 | $19.00 – $1,038.51 | 19 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,531.65 | $10,211.00 | $20.00 – $2,194.09 | 22 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,123.85 | $14,159.00 | $50.00 – $2,194.09 | 22 |
| Biopsy thigh soft tissues CPT 27324 | $2,156.55 | $14,377.00 | $277.15 – $6,945.86 | 8 |
| Bivalirudin HCPCS J0583 | $110.81 | $738.70 | $0.35 – $738.70 | 10 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $283.65 | $1,891.00 | $78.56 – $597.45 | 8 |
| Blepharoplasty upper 15822 CPT 15822 | $358.80 | $2,392.00 | $13.00 – $671.76 | 19 |
| Blink reflex test CPT 95933 | $67.65 | $451.00 | $78.37 – $451.00 | 11 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $7,560.15 | $50,401.00 | $531.00 – $531.00 | 1 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $469.80 | $3,132.00 | $1,163.00 – $1,163.00 | 1 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,666.80 | $11,112.00 | $5,717.75 – $5,717.75 | 1 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $997.73 | $6,651.50 | $626.50 – $626.50 | 1 |
| Blood Clotting (PT/INR) Test CPT 85610 | $31.80 | $212.00 | $0.15 – $45.49 | 13 |
| Blood Clotting (PTT) Test CPT 85730 | $49.20 | $328.00 | $0.32 – $69.37 | 13 |
| Blood Count (CBC) Test CPT 85025 | $41.40 | $276.00 | $7.77 – $89.82 | 13 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $42.15 | $281.00 | $0.37 – $74.74 | 13 |
| Blood count spun microhematocrit CPT 85013 | $15.60 | $104.00 | $2.91 – $27.30 | 13 |
| Blood Culture Test CPT 87040 | $96.15 | $641.00 | $0.93 – $119.22 | 13 |
| Blood draw capillary 36416 CPT 36416 | $11.85 | $79.00 | $79.00 – $663.36 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $185.70 | $1,238.00 | $34.86 – $324.76 | 13 |
| Blood gases ph venous CPT 82800 | $33.60 | $224.00 | $9.57 – $97.76 | 13 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $18.00 | $120.00 | $2.25 – $93.16 | 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.