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 |
|---|---|---|---|---|
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $18.45 | $123.00 | $2.12 – $36.71 | 13 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $20.55 | $137.00 | $3.56 – $29.01 | 13 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $0.52 | $3.49 | $0.19 – $36.71 | 13 |
| Blood smear interpretation CPT 85060 | $9.45 | $63.00 | $11.49 – $44.20 | 19 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $13.65 | $91.00 | $3.46 – $39.74 | 13 |
| Blood split unit HCPCS P9011 | $104.52 | $696.80 | $155.84 – $280.51 | 8 |
| Blood typing abo CPT 86900 | $15.60 | $104.00 | $0.75 – $34.45 | 13 |
| Blood typing ag donor ea ag CPT 86902 | $11.10 | $74.00 | $2.86 – $33.52 | 13 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $15.77 | $105.13 | $0.13 – $44.17 | 13 |
| Blood typing rh (d) CPT 86901 | $13.50 | $90.00 | $1.20 – $72.79 | 13 |
| Blood typing rh phenotype complete reference CPT 86906 | $19.50 | $130.00 | $2.09 – $89.51 | 13 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,978.80 | $13,192.00 | $6,890.00 – $6,890.00 | 1 |
| Bone biopsy open superficial CPT 20240 | $78.45 | $523.00 | $35.00 – $528.35 | 19 |
| Bone Density Scan (DEXA) CPT 77080 | $181.50 | $1,210.00 | $10.35 – $707.51 | 24 |
| Bone imaging multiple areas CPT 78305 | $566.40 | $3,776.00 | $41.93 – $859.45 | 24 |
| Bone/joint imaging ltd area CPT 78300 | $542.10 | $3,614.00 | $31.06 – $603.68 | 24 |
| Bone marrow;aspiration only 38220 CPT 38220 | $911.70 | $6,078.00 | $60.68 – $2,194.09 | 22 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $911.70 | $6,078.00 | $17.00 – $2,194.09 | 22 |
| Bone survey-lead poisoning CPT 77074 | $197.25 | $1,315.00 | $22.82 – $248.06 | 24 |
| Boot j walker l HCPCS L4386 | $129.45 | $863.00 | $142.95 – $342.29 | 8 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $54.90 | $366.00 | $240.98 – $668.21 | 8 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $63.90 | $426.00 | $1.76 – $186.10 | 13 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,012.50 | $6,750.00 | $3.23 – $1,350.00 | 10 |
| Bowel imaging CPT 78290 | $711.00 | $4,740.00 | $34.24 – $753.93 | 24 |
| Brace ank air stirrup univ HCPCS L4350 | $26.85 | $179.00 | $102.96 – $246.51 | 8 |
| Brace back t-lso custom HCPCS L0486 | $412.65 | $2,751.00 | $1,942.31 – $4,650.93 | 8 |
| Brach/thor cath 1st CPT 36215 | $2,187.60 | $14,584.00 | $180.19 – $2,160.14 | 22 |
| Brach/thor cath 2nd CPT 36216 | $1,424.70 | $9,498.00 | $43.93 – $2,627.09 | 22 |
| Brach/thor cath 3rd CPT 36217 | $1,217.85 | $8,119.00 | $303.92 – $547.06 | 8 |
| Brach/thor cath addl CPT 36218 | $534.30 | $3,562.00 | $43.19 – $84.89 | 8 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $94.95 | $633.00 | $64.48 – $116.06 | 7 |
| Brachytx isodose complex CPT 77318 | $1,093.80 | $7,292.00 | $172.95 – $1,712.36 | 23 |
| Brachytx isodose intermed CPT 77317 | $64.65 | $431.00 | $109.29 – $368.53 | 19 |
| Brachytx isodose plan simple CPT 77316 | $49.35 | $329.00 | $83.56 – $281.06 | 19 |
| Brachytx, non-str, gold-198 HCPCS C1716 | $1,012.50 | $6,750.00 | $513.57 – $6,750.00 | 8 |
| Braf gene CPT 81210 | $26.31 | $175.40 | $80.00 – $536.92 | 13 |
| Brain image w/flow 4 + views CPT 78606 | $491.55 | $3,277.00 | $31.77 – $949.27 | 24 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,303.70 | $15,358.00 | $13.05 – $3,172.87 | 24 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,393.50 | $9,290.00 | $8.67 – $1,725.00 | 24 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,446.30 | $9,642.00 | $8.73 – $1,725.00 | 24 |
| Brain MRI (with and without contrast) CPT 70553 | $2,317.05 | $15,447.00 | $17.09 – $3,089.98 | 24 |
| Brain MRI (with contrast) CPT 70552 | $1,951.95 | $13,013.00 | $12.93 – $1,879.46 | 24 |
| Brain MRI (without contrast) CPT 70551 | $1,521.30 | $10,142.00 | $10.75 – $1,725.00 | 24 |
| Brca1 dna gene analy known fam var CPT 81215 | $56.29 | $375.25 | $106.73 – $3,509.33 | 13 |
| Brca2 dna gene analy known fam var CPT 81217 | $56.29 | $375.25 | $106.73 – $3,509.33 | 13 |
| Brcassure comprehensive panel-sendout CPT 81162 | $243.32 | $1,622.11 | $1,622.11 – $29,601.56 | 13 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,115.30 | $14,102.00 | $137.21 – $2,194.09 | 22 |
| Breast punct aspir cyst, bil CPT 19000 | $657.75 | $4,385.00 | $35.00 – $1,693.31 | 8 |
| Breast reduction CPT 19318 | $628.80 | $4,192.00 | $197.32 – $2,575.18 | 19 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | $10.20 | $68.00 | $24.15 – $82.75 | 18 |
| Brief comunicaj tech-bsd svc CPT 98016 | $5.25 | $35.00 | $14.07 – $26.92 | 15 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $55.35 | $369.00 | $40.00 – $425.98 | 19 |
| Bronch ebus samplng 3/> node CPT 31653 | $97.95 | $653.00 | $35.00 – $3,989.76 | 19 |
| Bronchial challenge CPT 94070 | $543.30 | $3,622.00 | $443.81 – $3,622.00 | 11 |
| Bronchoscopy clear airways 31645 CPT 31645 | $80.25 | $535.00 | $35.00 – $589.56 | 19 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $174.15 | $1,161.00 | $170.71 – $676.76 | 19 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $75.15 | $501.00 | $35.00 – $1,100.51 | 19 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $62.85 | $419.00 | $35.00 – $605.02 | 19 |
| Br punct aspir ea add, l CPT 19001 | $128.25 | $855.00 | $18.93 – $52.30 | 22 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $6.80 | $45.31 | $0.79 – $33.75 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $115.95 | $773.00 | $25.78 – $425.16 | 13 |
| Bundled special stain group 2 CPT 88313 | $142.92 | $952.80 | $6.47 – $364.26 | 24 |
| Bundle his recording CPT 93600 | $3,909.60 | $26,064.00 | $234.45 – $18,650.88 | 8 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $16.70 | $111.32 | $0.02 – $55.00 | 7 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $8.34 | $55.62 | $7.75 – $55.62 | 10 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $14.77 | $98.47 | $15.65 – $98.47 | 10 |
| Buprenorphine and metabolite - sendout CPT 80348 | $0.60 | $4.00 | $0.05 – $207.95 | 6 |
| Buprenorphine oral 1mg HCPCS J0571 | $4.14 | $27.61 | $0.70 – $27.61 | 10 |
| Bur rotalink 2.15mm HCPCS C1724 | $2,925.00 | $19,500.00 | $530.00 – $530.00 | 1 |
| Bx bone trocar/ndl deep CPT 20225 | $1,660.50 | $11,070.00 | $38.00 – $2,194.09 | 22 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $660.15 | $4,401.00 | $68.65 – $1,364.79 | 22 |
| Bx breast perq without image 19100 CPT 19100 | $2,450.70 | $16,338.00 | $25.00 – $2,194.09 | 22 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $235.35 | $1,569.00 | $14.00 – $1,069.13 | 19 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $144.00 | $960.00 | $39.00 – $626.45 | 19 |
| Bx liver with other CPT 47001 | $186.30 | $1,242.00 | $69.96 – $226.25 | 21 |
| Bx of breast open 19101 CPT 19101 | $5,022.75 | $33,485.00 | $295.31 – $9,362.72 | 8 |
| Bx pancreas pq ndl CPT 48102 | $1,604.40 | $10,696.00 | $378.63 – $3,949.36 | 8 |
| Bx pleura pq ndl CPT 32400 | $1,385.55 | $9,237.00 | $12.00 – $2,194.09 | 22 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,437.30 | $9,582.00 | $136.63 – $3,949.36 | 8 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,437.15 | $9,581.00 | $95.00 – $2,194.09 | 22 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $642.15 | $4,281.00 | $17.00 – $940.73 | 22 |
| Bypass temp external fem-fem CPT 37799 | $118.46 | $789.70 | $41.00 – $82.75 | 3 |
| Cabgsingle artery graft 33533 CPT 33533 | $133.05 | $887.00 | $374.53 – $3,682.82 | 19 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $37.50 | $250.00 | $60.00 – $964.61 | 19 |
| Cable cath 22-pin diag HCPCS C1730 | $1,221.60 | $8,144.00 | $3,050.75 – $3,050.75 | 1 |
| Cacna1a gene full gene seq CPT 81185 | $237.75 | $1,585.00 | $846.27 – $13,413.38 | 13 |
| Cad breast MRI w/r&i HCPCS C8937 | $1,580.70 | $10,538.00 | $0.76 – $1,725.00 | 6 |
| Cadd pump refill CPT 96521 | $257.25 | $1,715.00 | $23.71 – $925.31 | 9 |
| Calcium 24 hour urine CPT 82340 | $35.25 | $235.00 | $0.27 – $69.68 | 13 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $31.30 | $208.67 | $0.07 – $114.73 | 6 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.51 | $103.41 | $0.07 – $103.41 | 7 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $60.22 | $401.46 | $0.20 – $203.12 | 7 |
| Calcium ionized CPT 82330 | $24.75 | $165.00 | $13.68 – $157.87 | 13 |
| Calcium total CPT 82310 | $28.05 | $187.00 | $5.16 – $59.42 | 13 |
| Calculi urinary-sendout CPT 82360 | $19.35 | $129.00 | $11.07 – $148.69 | 13 |
| Calprotectin fecal CPT 83993 | $3.63 | $24.22 | $4.75 – $226.70 | 13 |
| Campylobacter antibody CPT 86625 | $1.75 | $11.66 | $1.53 – $151.88 | 13 |
| Candida dna CPT 87480 | $35.10 | $234.00 | $20.05 – $224.13 | 13 |
| Cannabinoid synthetic 7/more CPT 80352 | $8.55 | $57.00 | $0.05 – $478.63 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $30,750.00 | $205,000.00 | $927.00 – $927.00 | 1 |
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.