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 |
|---|---|---|---|---|
| Cap nerve 2x15mm HCPCS C1763 | $3,264.30 | $21,762.00 | $3,938.00 – $3,938.00 | 1 |
| Capsulectomy/capsulotomy hip CPT 27036 | $590.85 | $3,939.00 | $75.00 – $2,254.30 | 19 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $399.00 | $2,660.00 | $85.00 – $823.14 | 19 |
| Cap trach decann 15mm HCPCS C1750 | $731.25 | $4,875.00 | $1,011.00 – $1,011.00 | 1 |
| Carbamazepine free CPT 80157 | $1.65 | $10.99 | $1.46 – $114.79 | 13 |
| Carbamazepine free -sendout CPT 80161 | $2.80 | $18.64 | $3.47 – $77.61 | 13 |
| Carbamazepine total therapeutic drug level CPT 80156 | $70.05 | $467.00 | $1.84 – $168.21 | 13 |
| Carbohydrate deficient transf - sendout CPT 82373 | $36.58 | $243.84 | $3.26 – $105.75 | 13 |
| Carbohydrate urine - sendout CPT 84377 | $22.77 | $151.80 | $5.50 – $63.30 | 13 |
| Carbon dioxide CPT 82374 | $18.30 | $122.00 | $0.24 – $54.83 | 13 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $4.46 | $29.74 | $5.94 – $352.20 | 10 |
| Carboxyhemoglobin quantitative CPT 82375 | $1.64 | $10.95 | $1.35 – $142.40 | 13 |
| Carcinoembryonic ag (cea) CPT 82378 | $47.70 | $318.00 | $2.13 – $218.76 | 13 |
| Cardiac drug stress test CPT 93024 | $35.55 | $237.00 | $60.08 – $153.74 | 19 |
| Cardiac MRI w/stress img CPT 75559 | $1,402.95 | $9,353.00 | $20.72 – $6,681.00 | 24 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,325.25 | $8,835.00 | $67.51 – $1,719.89 | 24 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,325.25 | $8,835.00 | $50.17 – $1,719.89 | 24 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,722.90 | $11,486.00 | $70.35 – $1,719.89 | 24 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $80.25 | $535.00 | $31.92 – $308.25 | 11 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $77.10 | $514.00 | $20.74 – $308.25 | 11 |
| Cardiac shunt imaging CPT 78428 | $383.40 | $2,556.00 | $309.73 – $1,008.57 | 12 |
| Cardiac Stress Test CPT 93015 | $365.55 | $2,437.00 | $88.49 – $957.03 | 23 |
| Cardioassist internal CPT 92970 | $18,426.00 | $122,840.00 | $163.52 – $294.34 | 8 |
| Cardiolipin antibody iga CPT 86147 | $1.73 | $11.55 | $2.94 – $166.81 | 13 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,168.95 | $7,793.00 | $104.36 – $878.04 | 22 |
| Cardioversion/elective/internal 92961 CPT 92961 | $932.55 | $6,217.00 | $172.78 – $878.04 | 22 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $108.75 | $725.00 | $584.90 – $5,415.99 | 13 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $619.05 | $4,127.00 | $40.77 – $1,161.17 | 23 |
| Carpal Tunnel Release Surgery CPT 64721 | $265.50 | $1,770.00 | $63.29 – $1,044.34 | 19 |
| Car seat/bed test 60 minutes CPT 94780 | $45.30 | $302.00 | $49.62 – $386.51 | 11 |
| Car seat/bed test additional 30 minutes CPT 94781 | $22.80 | $152.00 | $7.53 – $152.00 | 11 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $28.65 | $191.00 | $0.88 – $253.54 | 18 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,316.70 | $8,778.00 | $4,847.50 – $4,847.50 | 1 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $466.20 | $3,108.00 | $3,108.00 – $3,108.00 | 1 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $202.50 | $1,350.00 | $1,012.25 – $1,012.25 | 1 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $3,163.20 | $21,088.00 | $288.00 – $288.00 | 1 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $1,664.85 | $11,099.00 | $4,639.50 – $4,639.50 | 1 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $3,163.20 | $21,088.00 | $288.00 – $288.00 | 1 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $645.08 | $4,300.50 | $4,300.50 – $4,300.50 | 1 |
| Cath bi-dir df smarttouch HCPCS C1732 | $2,776.95 | $18,513.00 | $4,824.00 – $4,824.00 | 1 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,580.40 | $10,536.00 | $6,867.00 – $6,867.00 | 1 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $7,514.70 | $50,098.00 | $325.84 – $4,306.79 | 22 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $628.50 | $4,190.00 | $167.00 – $167.00 | 1 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,112.25 | $7,415.00 | $894.00 – $894.00 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $31.65 | $211.00 | $9.34 – $211.00 | 9 |
| Cath hawkone s directional HCPCS C1714 | $3,888.90 | $25,926.00 | $530.00 – $530.00 | 1 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,096.95 | $7,313.00 | $3,824.00 – $3,824.00 | 1 |
| Cath left heart/lv gram CPT 93452 | $4,606.50 | $30,710.00 | $195.00 – $4,306.79 | 22 |
| Cath left heart transseptal punc CPT 93462 | $3,371.55 | $22,477.00 | $165.14 – $636.96 | 22 |
| Cath lt/rt pulm art CPT 36014 | $386.70 | $2,578.00 | $97.17 – $241.38 | 8 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $666.30 | $4,442.00 | $682.00 – $682.00 | 1 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,213.95 | $88,093.00 | $27,851.50 – $27,851.50 | 1 |
| Cath place 1st order venous 36011 CPT 36011 | $707.85 | $4,719.00 | $70.00 – $1,989.35 | 22 |
| Cath place cardio brachytx CPT 92974 | $61.05 | $407.00 | $139.61 – $310.02 | 19 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $10,096.35 | $67,309.00 | $424.12 – $4,306.79 | 22 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $7,504.35 | $50,029.00 | $320.28 – $4,306.79 | 22 |
| Cath plc art/grft/angio right hrt CPT 93457 | $9,137.85 | $60,919.00 | $360.00 – $4,306.79 | 22 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $2,508.60 | $16,724.00 | $16,724.00 – $16,724.00 | 1 |
| Cath right heart w/o2 sat & card CPT 93451 | $3,638.10 | $24,254.00 | $137.53 – $4,306.79 | 22 |
| Cath right hrt mnpul art CPT 36013 | $257.10 | $1,714.00 | $80.79 – $209.05 | 8 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $120.30 | $802.00 | $15.00 – $302.88 | 22 |
| Cath segmntl pulm art CPT 36015 | $330.00 | $2,200.00 | $113.55 – $277.11 | 8 |
| Cath steerable flex adv 12f HCPCS C1766 | $646.95 | $4,313.00 | $2,037.00 – $2,037.00 | 1 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $750.49 | $5,003.25 | $436.75 – $436.75 | 1 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $246.60 | $1,644.00 | $1,644.00 – $1,644.00 | 1 |
| Cauterization chemical granulation tissue CPT 17250 | $49.50 | $330.00 | $8.00 – $266.54 | 22 |
| #cbg+cort-cbg CPT 84449 | $15.75 | $105.00 | $18.00 – $179.41 | 13 |
| Cdna analysis for variants CPT 81403 | $37.50 | $250.00 | $185.20 – $1,655.16 | 13 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $20.22 | $134.82 | $1.25 – $37.58 | 10 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $51.84 | $345.60 | $1.91 – $155.47 | 10 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $15.60 | $104.00 | $2.79 – $104.00 | 10 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $13.42 | $89.47 | $0.81 – $54.85 | 10 |
| Cell count body fluid CPT 89050 | $12.60 | $84.00 | $3.96 – $54.67 | 13 |
| Cell count w differential body fluid CPT 89051 | $61.80 | $412.00 | $0.27 – $63.69 | 13 |
| Cell enumeration & id CPT 86152 | $42.20 | $281.31 | $250.78 – $3,656.48 | 13 |
| Cell function assay w/stim CPT 86352 | $20.38 | $135.86 | $91.88 – $795.83 | 13 |
| Cell marker study CPT 88182 | $58.05 | $387.00 | $69.23 – $738.77 | 13 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $4,950.00 | $33,000.00 | $29.67 – $78.11 | 17 |
| Cerebrospinal fld flw imag CPT 78645 | $540.90 | $3,606.00 | $28.32 – $843.23 | 24 |
| Cesarean section delivery only 59514 CPT 59514 | $64.35 | $429.00 | $90.00 – $2,467.71 | 19 |
| #cf-97variants CPT 81220 | $83.49 | $556.60 | $165.00 – $4,688.54 | 13 |
| Cftr gene dup/delet variants CPT 81222 | $65.26 | $435.07 | $435.07 – $1,892.86 | 13 |
| Change g-tube to g-j perc CPT 49446 | $526.50 | $3,510.00 | $75.00 – $2,549.20 | 22 |
| Change of windpipe airway 31502 CPT 31502 | $19.05 | $127.00 | $25.00 – $94.66 | 19 |
| Chemo adm cns w/lmbr punct CPT 96450 | $335.25 | $2,235.00 | $187.39 – $789.84 | 13 |
| Chemodenervation anal musc CPT 46505 | $146.85 | $979.00 | $10.00 – $435.74 | 19 |
| Chemo extend IV infus w/pump HCPCS G0498 | $200.70 | $1,338.00 | $438.80 – $1,338.00 | 8 |
| Chest 2 vws w oblique CPT 71048 | $159.90 | $1,066.00 | $4.03 – $261.31 | 24 |
| Chest apical lordotic proj CPT 71047 | $205.95 | $1,373.00 | $3.50 – $253.96 | 24 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,587.75 | $10,585.00 | $10.01 – $1,347.73 | 24 |
| Chest CT scan (with contrast) CPT 71260 | $1,412.85 | $9,419.00 | $9.00 – $1,081.25 | 24 |
| Chest CT scan (without contrast) CPT 71250 | $1,145.10 | $7,634.00 | $8.40 – $1,060.00 | 24 |
| Chest X-ray CPT 71046 | $188.85 | $1,259.00 | $2.69 – $199.25 | 24 |
| Chest X-ray (single view) CPT 71045 | $181.35 | $1,209.00 | $2.25 – $115.61 | 24 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $271.80 | $1,812.00 | $5.48 – $483.41 | 24 |
| Chimerism anal no cell selec CPT 81267 | $31.12 | $207.46 | $171.81 – $6,060.54 | 13 |
| Chimerism anal w/cell select CPT 81268 | $39.12 | $260.79 | $171.81 – $2,847.51 | 13 |
| Chlamydia type CPT 87140 | $7.65 | $51.00 | $0.28 – $64.47 | 13 |
| Chlnggrphy intraop addl s&i CPT 74301 | $111.30 | $742.00 | $1.55 – $530.00 | 22 |
| Chloride CPT 82435 | $23.85 | $159.00 | $0.14 – $53.58 | 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.