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 |
|---|---|---|---|---|
| Triglycerides CPT 84478 | $29.70 | $198.00 | $0.50 – $66.10 | 13 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $2,284.65 | $15,231.00 | $15,231.00 – $15,231.00 | 1 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $4,917.15 | $32,781.00 | $70.00 – $2,056.70 | 22 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $3,627.60 | $24,184.00 | $182.80 – $333.16 | 8 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $481.80 | $3,212.00 | $127.33 – $239.02 | 8 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $8,124.00 | $54,160.00 | $75.00 – $15,336.00 | 22 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $2,573.40 | $17,156.00 | $80.00 – $5,063.58 | 22 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $3,052.95 | $20,353.00 | $328.37 – $7,392.22 | 22 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $1,083.45 | $7,223.00 | $45.00 – $4,194.60 | 22 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $1,083.45 | $7,223.00 | $80.00 – $4,194.60 | 22 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $2,677.65 | $17,851.00 | $288.90 – $4,194.60 | 22 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $299.10 | $1,994.00 | $224.12 – $949.98 | 19 |
| Troponin quantitative CPT 84484 | $95.55 | $637.00 | $12.15 – $220.40 | 13 |
| Tx atrial fib pulm vein isol CPT 93656 | $14,984.10 | $99,894.00 | $1,262.95 – $62,501.76 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $244.95 | $1,633.00 | $250.19 – $1,362.88 | 19 |
| Tx closed tib shaft fx without manip CPT 27750 | $203.40 | $1,356.00 | $184.99 – $728.86 | 19 |
| Tx l/r atrial fib addl CPT 93657 | $5,009.10 | $33,394.00 | $263.80 – $474.84 | 8 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $441.30 | $2,942.00 | $50.00 – $1,110.60 | 19 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $333.45 | $2,223.00 | $50.00 – $861.55 | 19 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $358.65 | $2,391.00 | $15.00 – $1,067.54 | 19 |
| Ugt1a1 gene analy common variants CPT 81350 | $34.82 | $232.13 | $232.13 – $543.18 | 13 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $427.95 | $2,853.00 | $6.23 – $619.78 | 23 |
| Ultrasound breast complete CPT 76641 | $339.15 | $2,261.00 | $7.11 – $605.90 | 23 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $309.00 | $2,060.00 | $6.63 – $463.82 | 23 |
| Ultrasound chest CPT 76604 | $343.05 | $2,287.00 | $3.93 – $323.71 | 23 |
| Ultrasound encephalogram CPT 76506 | $266.55 | $1,777.00 | $4.89 – $303.94 | 23 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $542.85 | $3,619.00 | $5.42 – $464.34 | 23 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $252.90 | $1,686.00 | $5.63 – $407.41 | 23 |
| Ultrasound guidance for vascular access CPT 76937 | $362.55 | $2,417.00 | $2.29 – $111.05 | 23 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $627.00 | $4,180.00 | $4.89 – $377.08 | 23 |
| Ultrasound guide intraoperative CPT 76998 | $321.75 | $2,145.00 | $2.77 – $1,929.00 | 21 |
| Ultrasound hips infant dynamic CPT 76885 | $49.20 | $328.00 | $5.33 – $378.72 | 23 |
| Ultrasound joint complete left CPT 76881 | $403.80 | $2,692.00 | $4.32 – $587.12 | 23 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $318.90 | $2,126.00 | $3.00 – $138.89 | 23 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $478.35 | $3,189.00 | $7.12 – $672.86 | 23 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $59.10 | $394.00 | $6.11 – $192.13 | 23 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $208.35 | $1,389.00 | $6.34 – $238.15 | 23 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $385.65 | $2,571.00 | $4.79 – $337.13 | 23 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $302.85 | $2,019.00 | $5.48 – $388.11 | 23 |
| Ultrasound prostate/transrectal CPT 76872 | $659.10 | $4,394.00 | $5.12 – $337.83 | 23 |
| Ultrasound retroperitoneal limited CPT 76775 | $282.00 | $1,880.00 | $4.26 – $352.65 | 23 |
| Ultrasound scrotum and contents CPT 76870 | $429.60 | $2,864.00 | $4.68 – $340.69 | 23 |
| Ultrasound transvaginal non obstetric CPT 76830 | $315.00 | $2,100.00 | $5.00 – $380.23 | 23 |
| Unlistd noninvas vasc dx std CPT 93998 | $202.35 | $1,349.00 | $38.42 – $696.00 | 8 |
| Unlisted chemotherapy px CPT 96549 | $109.35 | $729.00 | $62.21 – $111.97 | 7 |
| Unlisted CT procedure CPT 76497 | $281.70 | $1,878.00 | $115.61 – $1,060.00 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $93.81 | $625.40 | $82.75 – $1,578.85 | 4 |
| Unlisted misc path test CPT 89240 | $1.40 | $9.35 | $69.23 – $124.61 | 8 |
| Unlisted muscskel px dx nuc CPT 78399 | $1,110.00 | $7,400.00 | $531.08 – $955.95 | 7 |
| Unlisted procedure microbiology CPT 87999 | $66.45 | $443.00 | $443.00 – $3,719.87 | 2 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $55.35 | $369.00 | $49.78 – $89.60 | 6 |
| Unlisted px med radj physics CPT 77399 | $438.00 | $2,920.00 | $178.56 – $321.40 | 7 |
| Unlisted px pelvis/hip joint CPT 27299 | $38.85 | $259.00 | $41.00 – $82.75 | 3 |
| Unlisted transfusion med px CPT 86999 | $9.75 | $65.00 | $38.42 – $69.16 | 7 |
| Unlisted ultrasound procedure CPT 76999 | $427.95 | $2,853.00 | $115.61 – $208.10 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $286.65 | $1,911.00 | $911.74 – $1,911.00 | 8 |
| Upgrade pm system CPT 33214 | $9,070.05 | $60,467.00 | $569.27 – $24,993.18 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,153.55 | $14,357.00 | $18.58 – $3,088.78 | 24 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,536.00 | $10,240.00 | $13.94 – $1,883.90 | 24 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,273.95 | $8,493.00 | $11.61 – $1,741.18 | 24 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $594.00 | $3,960.00 | $20.00 – $1,204.90 | 22 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $574.50 | $3,830.00 | $135.73 – $1,204.90 | 22 |
| Uppr gi scope w/submuc inj CPT 43236 | $77.10 | $514.00 | $35.00 – $732.38 | 19 |
| Urea nitrogen CPT 84520 | $21.45 | $143.00 | $0.12 – $45.57 | 13 |
| Urea nitrogen 24 hour urine CPT 84540 | $27.30 | $182.00 | $4.75 – $54.83 | 13 |
| Urea nitrogen clearance CPT 84545 | $0.88 | $5.88 | $0.42 – $76.21 | 13 |
| Ureteral reflux study CPT 78740 | $383.40 | $2,556.00 | $30.35 – $531.08 | 24 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $402.60 | $2,684.00 | $2.44 – $360.17 | 24 |
| Urethrocystography void s&i CPT 74455 | $437.25 | $2,915.00 | $2.44 – $391.14 | 24 |
| Uric acid blood CPT 84550 | $31.20 | $208.00 | $0.33 – $52.26 | 13 |
| Uric acid urine CPT 84560 | $30.75 | $205.00 | $0.21 – $54.83 | 13 |
| Urinalysis microscopic only CPT 81015 | $27.30 | $182.00 | $3.05 – $35.07 | 13 |
| Urinalysis (with microscopy) CPT 81001 | $40.05 | $267.00 | $0.09 – $35.31 | 13 |
| Urinalysis (without microscopy) CPT 81003 | $24.90 | $166.00 | $0.04 – $25.97 | 13 |
| Urine Culture Test CPT 87086 | $48.90 | $326.00 | $8.07 – $91.92 | 13 |
| Urine pregnancy test CPT 81025 | $66.60 | $444.00 | $0.74 – $58.95 | 13 |
| Urography, antegrade CPT 74425 | $289.05 | $1,927.00 | $71.99 – $1,151.70 | 13 |
| Urography inf drip &/or bolus CPT 74410 | $323.25 | $2,155.00 | $124.10 – $642.68 | 13 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $11.59 | $77.24 | $25.21 – $77.24 | 9 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $71.85 | $479.00 | $201.40 – $479.00 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $68.30 | $455.30 | $115.66 – $455.30 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $17.06 | $113.70 | $21.07 – $113.70 | 9 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $108.84 | $725.61 | $411.10 – $820.61 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $76.54 | $510.25 | $164.79 – $576.91 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $72.00 | $480.00 | $37.75 – $363.38 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $87.45 | $583.00 | $253.94 – $701.99 | 9 |
| Vaccine rabies im CPT 90675 | $207.08 | $1,380.55 | $316.67 – $870.52 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $72.00 | $480.00 | $63.21 – $259.00 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $17.55 | $117.00 | $44.21 – $117.00 | 9 |
| Vaginal Delivery (full care) CPT 59400 | $1,326.90 | $8,846.00 | $1,390.14 – $4,235.41 | 19 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $12.77 | $85.16 | $85.16 – $85.16 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $88.95 | $593.00 | $1.63 – $156.47 | 13 |
| Valvuloplasty aortic CPT 92986 | $5,012.10 | $33,414.00 | $193.18 – $7,561.04 | 22 |
| Valvuloplasty pulmonary CPT 92990 | $6,581.70 | $43,878.00 | $1,174.80 – $27,604.80 | 8 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | $1,594.50 | $10,630.00 | $1,287.41 – $5,169.42 | 19 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $37.13 | $247.54 | $0.07 – $76.82 | 6 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $30.98 | $206.55 | $0.22 – $206.55 | 6 |
| Vancomycin peak therapeutic drug level CPT 80202 | $93.45 | $623.00 | $1.63 – $156.47 | 13 |
| Varicella zoster antibody igg CPT 86787 | $21.00 | $140.00 | $1.40 – $148.85 | 13 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $58.40 | $389.31 | $1.17 – $206.40 | 7 |
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.