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 |
|---|---|---|---|---|
| Complx repair fccmnaxghf 13131 CPT 13131 | $139.50 | $930.00 | $129.19 – $528.43 | 19 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,006.70 | $13,378.00 | $130.49 – $463.47 | 10 |
| Concentration infection agents any type CPT 87015 | $27.75 | $185.00 | $0.53 – $77.15 | 13 |
| Consultation pathology during surgery CPT 88329 | $37.65 | $251.00 | $46.59 – $2,107.65 | 13 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $40.20 | $268.00 | $27.81 – $2,250.40 | 13 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $92.10 | $614.00 | $63.86 – $5,155.76 | 13 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $50.34 | $335.60 | $50.00 – $419.85 | 13 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $83.10 | $554.00 | $49.62 – $1,763.37 | 13 |
| Consult comp w/report rfrd material CPT 88325 | $36.90 | $246.00 | $145.61 – $2,065.66 | 13 |
| Contrast baths charges CPT 97034 | $26.40 | $176.00 | $11.23 – $447.00 | 15 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,513.30 | $23,422.00 | $8.46 – $4,194.60 | 24 |
| Contrast exam thoracic aorta CPT 75600 | $2,706.15 | $18,041.00 | $3.84 – $4,194.60 | 24 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,488.00 | $29,920.00 | $8.58 – $7,392.22 | 24 |
| Contrast x-ray gallbladder CPT 74290 | $178.05 | $1,187.00 | $2.29 – $233.01 | 24 |
| Contrast x-ray of ankle CPT 73615 | $359.40 | $2,396.00 | $3.99 – $518.35 | 24 |
| Contrast x-ray of hip CPT 73525 | $557.55 | $3,717.00 | $3.99 – $518.35 | 24 |
| Contrast x-ray of knee joint CPT 73580 | $451.65 | $3,011.00 | $3.93 – $649.53 | 24 |
| Contrast x-ray of wrist CPT 73115 | $372.75 | $2,485.00 | $3.93 – $463.47 | 24 |
| Controller infinity pt dbs HCPCS C1787 | $6,067.43 | $40,449.50 | $40,449.50 – $40,449.50 | 1 |
| Conv gtube to jtube CPT 44373 | $106.05 | $707.00 | $50.00 – $541.92 | 19 |
| Coombs direct CPT 86880 | $30.60 | $204.00 | $1.78 – $62.06 | 13 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $41.25 | $275.00 | $5.72 – $66.10 | 13 |
| Coombs indirect titer reference CPT 86886 | $50.85 | $339.00 | $1.55 – $59.73 | 13 |
| Copper cu 64 dotatate diag HCPCS A9592 | $4,222.95 | $28,153.00 | $594.28 – $5,809.42 | 16 |
| Core ndl bx lng/med perq CPT 32408 | $1,743.00 | $11,620.00 | $12.00 – $2,194.09 | 22 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $303.60 | $2,024.00 | $40.00 – $1,408.28 | 19 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $9,140.25 | $60,935.00 | $343.66 – $4,306.79 | 22 |
| Coronary angio/lv gram/lt heart CPT 93458 | $8,260.20 | $55,068.00 | $302.87 – $4,306.79 | 22 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $10,509.90 | $70,066.00 | $384.21 – $4,306.79 | 22 |
| Coronary art/grft angio s&i CPT 93455 | $5,548.80 | $36,992.00 | $286.53 – $4,306.79 | 22 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $5,739.30 | $38,262.00 | $160.00 – $4,306.79 | 22 |
| Correct finger deformity CPT 26567 | $438.15 | $2,921.00 | $60.00 – $1,628.41 | 19 |
| Correct malrotation of bowel 44055 CPT 44055 | $805.95 | $5,373.00 | $40.00 – $3,041.79 | 19 |
| Corrj halux rigdus w/implt CPT 28291 | $279.00 | $1,860.00 | $497.74 – $2,001.53 | 19 |
| Corrj halux rigdus without implt CPT 28289 | $273.75 | $1,825.00 | $319.43 – $1,294.62 | 19 |
| Cortisol acth stimulation test - sendout CPT 80400 | $104.40 | $696.00 | $32.62 – $376.95 | 13 |
| Cortisol total am CPT 82533 | $60.30 | $402.00 | $15.97 – $188.51 | 13 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $129.00 | $860.00 | $44.73 – $860.00 | 10 |
| Counseling smoke cess interm >10mins CPT 99407 | $23.85 | $159.00 | $28.59 – $89.60 | 8 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $1,074.30 | $7,162.00 | $6,000.00 – $6,000.00 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $26.10 | $174.00 | $37.00 – $97.18 | 9 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $1.94 | $12.95 | $1.51 – $152.35 | 13 |
| C-peptide CPT 84681 | $7.01 | $46.75 | $2.47 – $195.90 | 13 |
| Cptr-asst dir ms px CPT 20985 | $78.75 | $525.00 | $22.34 – $281.79 | 19 |
| Crbrospnl fld flw imag cistern CPT 78630 | $732.15 | $4,881.00 | $242.69 – $1,979.14 | 13 |
| C-reactive protein CPT 86140 | $8.40 | $56.00 | $0.24 – $59.73 | 13 |
| C-reactive protein high sensitivity CPT 86141 | $55.65 | $371.00 | $12.95 – $149.47 | 13 |
| Creatine kinase CPT 82550 | $35.40 | $236.00 | $6.51 – $75.75 | 13 |
| Creatine kinase mb CPT 82553 | $60.15 | $401.00 | $1.17 – $133.37 | 13 |
| Creatine - sendout CPT 82540 | $6.28 | $41.88 | $1.94 – $53.04 | 13 |
| Creatinine CPT 82565 | $27.15 | $181.00 | $0.22 – $59.10 | 13 |
| Creatinine 24 hour urine CPT 82570 | $43.05 | $287.00 | $0.42 – $59.73 | 13 |
| Creatinine clearance urine CPT 82575 | $79.35 | $529.00 | $0.79 – $108.95 | 13 |
| #creutz-prot.,western blot CPT 84182 | $24.00 | $160.00 | $5.72 – $207.88 | 13 |
| Critical care 30-74 minutes CPT 99291 | $2,921.70 | $19,478.00 | $121.60 – $1,097.35 | 22 |
| Critical care each additional 30 minutes CPT 99292 | $894.75 | $5,965.00 | $58.90 – $233.13 | 22 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $1.40 | $9.35 | $1.32 – $99.08 | 13 |
| Cryoprecipitate each unit HCPCS P9012 | $78.75 | $525.00 | $59.15 – $129.51 | 8 |
| Crystal identification light microscopy CPT 89060 | $51.00 | $340.00 | $7.33 – $82.51 | 13 |
| CT 3d report other modality w/workstation CPT 76377 | $477.15 | $3,181.00 | $6.02 – $2,272.00 | 24 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,406.75 | $16,045.00 | $13.79 – $1,323.60 | 24 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,029.35 | $13,529.00 | $17.51 – $1,323.60 | 24 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,370.90 | $15,806.00 | $13.85 – $1,161.88 | 24 |
| Cta neck without &/or w/contrast CPT 70498 | $1,875.15 | $12,501.00 | $12.72 – $1,125.81 | 24 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,809.45 | $12,063.00 | $16.73 – $2,011.70 | 24 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,913.70 | $12,758.00 | $13.94 – $1,376.98 | 24 |
| CT Angiogram of the Head CPT 70496 | $2,006.70 | $13,378.00 | $12.72 – $1,125.81 | 24 |
| CT angio hrt w/3d image CPT 75574 | $1,467.60 | $9,784.00 | $17.76 – $1,101.35 | 23 |
| CT angio pelvis CPT 72191 | $1,878.00 | $12,520.00 | $13.14 – $1,323.60 | 24 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,811.15 | $18,741.00 | $13.14 – $1,161.88 | 24 |
| CT cerebral perf w cont & prcssng CPT 70473 | $327.60 | $2,184.00 | $233.01 – $419.43 | 7 |
| CT guidance for needle placement CPT 77012 | $1,114.20 | $7,428.00 | $8.40 – $1,266.05 | 24 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $521.85 | $3,479.00 | $8.61 – $776.45 | 24 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $260.10 | $1,734.00 | $4.28 – $183.90 | 23 |
| CT hrt w/3d image CPT 75572 | $360.00 | $2,400.00 | $13.05 – $727.46 | 23 |
| CT limited or localized follow-up study CPT 76380 | $511.65 | $3,411.00 | $7.09 – $790.21 | 23 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,876.95 | $12,513.00 | $8.40 – $1,060.00 | 24 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,513.20 | $10,088.00 | $7.93 – $1,060.00 | 24 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,350.00 | $9,000.00 | $8.84 – $1,134.48 | 24 |
| CT neck soft tissue w/contrast CPT 70491 | $1,316.70 | $8,778.00 | $10.01 – $1,060.00 | 24 |
| CT neck soft tissue without contrast CPT 70490 | $1,054.35 | $7,029.00 | $9.32 – $1,060.00 | 24 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,219.35 | $8,129.00 | $10.49 – $1,083.03 | 24 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,219.35 | $8,129.00 | $10.49 – $1,083.03 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,254.45 | $8,363.00 | $10.01 – $1,060.00 | 24 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,070.40 | $7,136.00 | $9.32 – $1,060.00 | 24 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,029.05 | $13,527.00 | $14.75 – $1,409.71 | 24 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,668.90 | $11,126.00 | $13.33 – $1,066.30 | 24 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,103.40 | $7,356.00 | $12.70 – $1,060.00 | 24 |
| CT thoracic spine w/contrast CPT 72129 | $1,474.65 | $9,831.00 | $8.84 – $1,080.85 | 24 |
| CT thoracic spine without contrast CPT 72128 | $1,265.55 | $8,437.00 | $8.40 – $1,060.00 | 24 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $165.90 | $1,106.00 | $28.01 – $520.87 | 23 |
| CT t-spine w /wo contrast CPT 72130 | $1,303.95 | $8,693.00 | $9.26 – $1,346.83 | 24 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,278.90 | $8,526.00 | $8.40 – $1,060.00 | 24 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,094.25 | $7,295.00 | $7.93 – $1,060.00 | 24 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,372.20 | $9,148.00 | $8.84 – $1,134.48 | 24 |
| Culture aerobic additional method definitive id each CPT 87077 | $86.85 | $579.00 | $0.57 – $93.25 | 13 |
| Culture afb any source CPT 87116 | $20.25 | $135.00 | $1.58 – $124.59 | 13 |
| Culture anaerobic additional method definitive id each CPT 87076 | $46.05 | $307.00 | $1.66 – $145.51 | 13 |
| Culture anaerobic except blood CPT 87075 | $73.05 | $487.00 | $0.80 – $109.27 | 13 |
| Culture bact stool aero addl path ea CPT 87046 | $23.40 | $156.00 | $0.89 – $55.27 | 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.