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 |
|---|---|---|---|---|
| Chloride 24 hour urine CPT 82436 | $23.10 | $154.00 | $0.25 – $58.02 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $262.20 | $1,748.00 | $2.65 – $1,250.00 | 21 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,469.80 | $23,132.00 | $340.34 – $4,756.43 | 22 |
| Cholesterol CPT 82465 | $24.00 | $160.00 | $0.41 – $50.24 | 13 |
| Cholesterol body fluid CPT 84999 | $66.60 | $444.00 | $10.03 – $84.22 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $56.85 | $379.00 | $1.55 – $154.68 | 13 |
| Cholinesterase CPT 82480 | $1.05 | $7.00 | $0.55 – $90.99 | 13 |
| Chrom analysis CPT 88273 | $24.02 | $160.13 | $34.81 – $2,194.95 | 13 |
| Chromatography CPT 83021 | $4.32 | $28.80 | $2.78 – $207.72 | 13 |
| Chromogenic substrate assay CPT 85130 | $21.15 | $141.00 | $11.89 – $136.33 | 13 |
| Chromo high res and frag x - sendout CPT 81243 | $8.56 | $57.04 | $32.54 – $541.27 | 13 |
| Chromosome analys amniotic CPT 88269 | $29.74 | $198.25 | $173.66 – $1,921.13 | 13 |
| Chromosome analysis 100 CPT 88249 | $66.15 | $441.00 | $173.17 – $1,991.43 | 13 |
| Chromosome analysis 15-20 cell count CPT 88262 | $91.43 | $609.50 | $125.49 – $1,439.74 | 13 |
| Chromosome analysis 5 CPT 88261 | $16.52 | $110.13 | $110.13 – $1,733.08 | 13 |
| Chromosome karyotype study CPT 88280 | $6.75 | $45.00 | $12.05 – $289.92 | 13 |
| Chylomicron screen, bf - sendout CPT 82664 | $11.25 | $75.00 | $21.00 – $336.90 | 13 |
| Cine/video x-rays CPT 76120 | $141.15 | $941.00 | $75.62 – $379.23 | 13 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $14.84 | $98.94 | $3.18 – $98.94 | 10 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $2.49 | $16.57 | $4.64 – $118.29 | 10 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $37.50 | $250.00 | $250.00 – $2,841.91 | 13 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $3,936.30 | $26,242.00 | $4,241.00 – $4,241.00 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $20.20 | $134.68 | $2.58 – $55.00 | 7 |
| Clip ligating vesolock lg HCPCS C1760 | $253.35 | $1,689.00 | $1,411.00 – $1,411.00 | 1 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $374.55 | $2,497.00 | $189.00 – $189.00 | 1 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $202.50 | $1,350.00 | $15.00 – $680.08 | 22 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $398.55 | $2,657.00 | $10.00 – $2,136.16 | 22 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $343.20 | $2,288.00 | $11.00 – $1,300.56 | 19 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $132.90 | $886.00 | $20.00 – $426.92 | 22 |
| Clostridium toxin a w/optic CPT 87803 | $109.50 | $730.00 | $14.49 – $116.80 | 13 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $137.10 | $914.00 | $75.00 – $3,335.08 | 19 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $88.65 | $591.00 | $590.47 – $2,075.35 | 19 |
| Clot factor fletcher fact CPT 85292 | $17.27 | $115.13 | $18.93 – $211.69 | 13 |
| Clot factor wght kininogen CPT 85293 | $26.78 | $178.50 | $18.93 – $211.69 | 13 |
| Clot factor xii hageman CPT 85280 | $2.58 | $17.20 | $3.33 – $223.51 | 13 |
| Clot factor xiii fibrin scrn CPT 85291 | $1.19 | $7.91 | $0.72 – $102.66 | 13 |
| Clot factor xiii fibrin stab CPT 85290 | $2.18 | $14.52 | $2.37 – $188.75 | 13 |
| Clotting assay whole blood CPT 85396 | $76.05 | $507.00 | $17.08 – $4,257.28 | 13 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $194.40 | $1,296.00 | $45.00 – $693.63 | 22 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $146.70 | $978.00 | $92.93 – $449.78 | 22 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $123.15 | $821.00 | $32.00 – $376.62 | 22 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $59.70 | $398.00 | $81.92 – $327.69 | 21 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $90.90 | $606.00 | $62.17 – $327.69 | 22 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $210.60 | $1,404.00 | $157.38 – $612.35 | 22 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $310.65 | $2,071.00 | $271.41 – $1,305.98 | 19 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $281.40 | $1,876.00 | $53.24 – $1,132.57 | 19 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $165.90 | $1,106.00 | $10.00 – $552.74 | 19 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $211.65 | $1,411.00 | $409.46 – $734.27 | 18 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $142.80 | $952.00 | $12.00 – $463.32 | 22 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $185.70 | $1,238.00 | $138.83 – $555.45 | 21 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $188.40 | $1,256.00 | $183.17 – $674.67 | 22 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $130.65 | $871.00 | $15.00 – $396.42 | 22 |
| Clsd tx pelvic ring fx CPT 27197 | $79.20 | $528.00 | $50.00 – $406.43 | 19 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $398.55 | $2,657.00 | $419.58 – $2,136.16 | 22 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $122.40 | $816.00 | $73.68 – $401.01 | 19 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $155.55 | $1,037.00 | $95.79 – $482.29 | 22 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $249.00 | $1,660.00 | $484.92 – $818.27 | 18 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $265.95 | $1,773.00 | $50.00 – $1,078.38 | 19 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $157.65 | $1,051.00 | $142.50 – $531.06 | 19 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $193.35 | $1,289.00 | $32.00 – $669.25 | 19 |
| #cmvcul-virus inoculation shell CPT 87254 | $3.65 | $24.34 | $4.76 – $114.55 | 13 |
| Cmv pcr-sendout CPT 87496 | $9.83 | $65.51 | $22.99 – $392.27 | 13 |
| Co2 monitor per day CPT 94681 | $337.50 | $2,250.00 | $117.62 – $892.31 | 11 |
| Coagulation time activated teg CPT 85347 | $54.30 | $362.00 | $4.28 – $49.15 | 13 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $44.21 | $294.75 | $294.75 – $294.75 | 1 |
| Cold agglutinin titer CPT 86157 | $30.15 | $201.00 | $8.06 – $93.17 | 13 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $895.50 | $5,970.00 | $177.21 – $3,382.57 | 19 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $730.95 | $4,873.00 | $151.90 – $2,759.68 | 19 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $896.25 | $5,975.00 | $70.00 – $3,460.77 | 19 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $677.70 | $4,518.00 | $95.00 – $2,527.85 | 19 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $986.40 | $6,576.00 | $45.00 – $3,505.47 | 19 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $956.40 | $6,376.00 | $843.26 – $3,480.33 | 19 |
| Collagenase, clost hist inj HCPCS J0775 | $13.95 | $93.00 | $78.30 – $206.23 | 17 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $447.75 | $2,985.00 | $403.54 – $966.24 | 8 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $23.70 | $158.00 | $30.55 – $73.19 | 8 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $38.85 | $259.00 | $55.30 – $132.41 | 8 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $150.45 | $1,003.00 | $176.75 – $2,871.77 | 12 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $126.90 | $846.00 | $176.75 – $7,053.48 | 12 |
| Collection of venous blood by venipuncture CPT 36415 | $9.30 | $62.00 | $5.32 – $57.00 | 12 |
| Collj & interpj data ea 30 d CPT 99091 | $172.35 | $1,149.00 | $48.32 – $92.25 | 8 |
| Colonoscopy (diagnostic) CPT 45378 | $102.15 | $681.00 | $178.85 – $722.22 | 19 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $136.95 | $913.00 | $15.00 – $1,054.62 | 19 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $124.80 | $832.00 | $10.00 – $1,022.91 | 19 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $109.05 | $727.00 | $20.00 – $799.39 | 19 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $123.90 | $826.00 | $55.00 – $899.62 | 19 |
| Colonoscopy submucous njx CPT 45381 | $111.00 | $740.00 | $10.00 – $842.19 | 19 |
| Colonoscopy thru stoma spx CPT 44388 | $86.25 | $575.00 | $152.11 – $644.42 | 19 |
| Colonoscopy w/ablation CPT 45388 | $148.35 | $989.00 | $30.00 – $1,248.96 | 19 |
| Colonoscopy w/band ligation CPT 45398 | $128.70 | $858.00 | $30.00 – $1,257.49 | 19 |
| Colonoscopy w/control bleed CPT 45382 | $142.80 | $952.00 | $246.72 – $1,084.99 | 19 |
| Colonoscopy (with biopsy) CPT 45380 | $111.00 | $740.00 | $10.00 – $833.38 | 19 |
| Colonoscopy with biopsy CPT 44389 | $94.95 | $633.00 | $55.00 – $724.28 | 19 |
| Colonoscopy (with polyp removal) CPT 45385 | $139.95 | $933.00 | $30.00 – $1,073.50 | 19 |
| Colonoscopy w/resection CPT 45390 | $182.70 | $1,218.00 | $15.00 – $1,168.63 | 19 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $659.55 | $4,397.00 | $45.00 – $2,430.08 | 19 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $303.15 | $2,021.00 | $121.61 – $1,064.01 | 19 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $69.30 | $462.00 | $133.15 – $579.39 | 12 |
| Compatibility test each unit immediate spin technique CPT 86920 | $84.15 | $561.00 | $124.14 – $4,710.72 | 12 |
| Complement antigen each component c3 CPT 86160 | $19.05 | $127.00 | $1.26 – $138.66 | 13 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $135.00 | $900.00 | $41.00 – $486.12 | 19 |
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.