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 |
|---|---|---|---|---|
| Culture body fluid CPT 87070 | $79.20 | $528.00 | $0.65 – $99.39 | 13 |
| Culture fungi definitive id mold CPT 87107 | $82.20 | $548.00 | $3.69 – $119.22 | 13 |
| Culture fungi definitive id yeast CPT 87106 | $86.70 | $578.00 | $0.84 – $119.22 | 13 |
| Culture fungi other (except blood) CPT 87102 | $37.65 | $251.00 | $1.53 – $97.06 | 13 |
| Culture fungi skin/hair/nail CPT 87101 | $45.60 | $304.00 | $7.71 – $89.05 | 13 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $6.75 | $45.00 | $4.38 – $126.45 | 13 |
| Culture mycoplasma any source CPT 87109 | $6.58 | $43.88 | $4.62 – $177.70 | 13 |
| Culture quantitative aerobic other source CPT 87071 | $28.65 | $191.00 | $7.49 – $55.27 | 13 |
| Culture screening strep group a CPT 87081 | $44.10 | $294.00 | $2.66 – $75.98 | 13 |
| Culture typing added method CPT 87158 | $3.08 | $20.56 | $0.44 – $60.43 | 13 |
| Culture typing immunologic CPT 87147 | $12.30 | $82.00 | $0.20 – $54.05 | 13 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $163.50 | $1,090.00 | $218.06 – $2,376.85 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $57.75 | $385.00 | $8.09 – $476.49 | 13 |
| Culture urine each isolate CPT 87088 | $81.00 | $540.00 | $8.09 – $83.14 | 13 |
| Cutter lead HCPCS C1773 | $376.05 | $2,507.00 | $2,089.00 – $2,089.00 | 1 |
| Cv stress test i&r only 93018 CPT 93018 | $9.00 | $60.00 | $15.31 – $204.96 | 23 |
| Cv stress test/supervision only 93016 CPT 93016 | $13.80 | $92.00 | $23.28 – $59.68 | 19 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $70.15 | $467.67 | $1.41 – $90.46 | 10 |
| Cyclic citrullinated peptide antibody CPT 86200 | $3.00 | $20.00 | $0.78 – $146.28 | 13 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $9.54 | $63.57 | $1.02 – $63.57 | 10 |
| Cyclosporine 2 hour CPT 80158 | $26.40 | $176.00 | $2.90 – $208.58 | 13 |
| Cyp2c19 gene com variants CPT 81225 | $19.50 | $130.00 | $90.00 – $1,196.55 | 13 |
| Cyp2c9 gene com variants CPT 81227 | $12.00 | $80.00 | $70.00 – $601.31 | 13 |
| Cyp2d6 gene com variants CPT 81226 | $22.50 | $150.00 | $150.00 – $1,660.29 | 13 |
| Cyp3a5 gene common variants CPT 81231 | $10.50 | $70.00 | $70.00 – $1,445.10 | 13 |
| Cystatin c CPT 82610 | $1.57 | $10.49 | $1.94 – $157.09 | 13 |
| Cystic fibrosis cftr CPT 81223 | $186.54 | $1,243.57 | $499.00 – $8,482.65 | 13 |
| Cystine urine quantitative CPT 82131 | $2.75 | $18.36 | $4.22 – $193.80 | 13 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $457.95 | $3,053.00 | $2.35 – $463.47 | 24 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $418.65 | $2,791.00 | $55.00 – $1,290.62 | 19 |
| Cytogenomic neo microra alys CPT 81277 | $230.25 | $1,535.00 | $1,160.00 – $17,806.00 | 13 |
| Cytogenom microarray copy nmbr var CPT 81228 | $180.00 | $1,200.00 | $516.91 – $4,905.00 | 13 |
| Cyto/molecular report CPT 88291 | $4.80 | $32.00 | $13.62 – $55.34 | 19 |
| Cytopath fl nongyn filter CPT 88106 | $40.05 | $267.00 | $37.04 – $2,242.00 | 13 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $113.40 | $756.00 | $69.23 – $700.14 | 13 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $36.75 | $245.00 | $6.76 – $163.31 | 13 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $42.45 | $283.00 | $31.66 – $2,376.35 | 13 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $53.70 | $358.00 | $37.04 – $3,006.13 | 13 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $17.10 | $114.00 | $31.18 – $957.26 | 13 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $58.65 | $391.00 | $40.58 – $3,283.23 | 13 |
| Cytopath smear oth prep screen & interp CPT 88161 | $51.30 | $342.00 | $29.63 – $2,871.77 | 13 |
| Cytopath tbs c/v manual CPT 88164 | $18.60 | $124.00 | $5.56 – $61.91 | 13 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $67.05 | $447.00 | $226.33 – $3,753.46 | 13 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $74.30 | $495.36 | $0.07 – $495.36 | 10 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $4,950.00 | $33,000.00 | $57.05 – $149.90 | 17 |
| Dark field exam without collj CPT 87166 | $1.56 | $10.42 | $1.18 – $130.42 | 13 |
| Dch glucoscan CPT 82948 | $17.55 | $117.00 | $3.89 – $36.47 | 13 |
| Dch pulmonary stress test CPT 94621 | $409.05 | $2,727.00 | $142.88 – $892.31 | 11 |
| Dch validity tests CPT 81002 | $16.50 | $110.00 | $0.07 – $27.45 | 13 |
| Deamidated gliadin antibody iga CPT 86258 | $1.65 | $11.03 | $1.33 – $48.00 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $96.45 | $643.00 | $9.00 – $1,268.00 | 24 |
| Debridement bone <= 20 sq cm CPT 11044 | $123.60 | $824.00 | $202.53 – $557.36 | 19 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $29.25 | $195.00 | $31.27 – $98.19 | 19 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $99.45 | $663.00 | $31.00 – $540.04 | 22 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $165.45 | $1,103.00 | $282.20 – $876.01 | 19 |
| Debride skin bone at fx site CPT 11012 | $230.40 | $1,536.00 | $20.00 – $1,276.50 | 19 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $302.40 | $2,016.00 | $20.00 – $928.01 | 19 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $106.80 | $712.00 | $45.05 – $739.63 | 19 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $85.65 | $571.00 | $20.00 – $414.59 | 19 |
| Decalcification CPT 88311 | $27.00 | $180.00 | $6.66 – $1,444.28 | 24 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $444.90 | $2,966.00 | $33.51 – $789.84 | 8 |
| Decompression fasct forearm CPT 24495 | $557.25 | $3,715.00 | $30.00 – $1,541.33 | 19 |
| Decompress spinal cord lmbr CPT 63056 | $819.75 | $5,465.00 | $743.00 – $3,765.55 | 19 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $169.05 | $1,127.00 | $75.00 – $866.70 | 19 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $395.64 | $2,637.63 | $0.86 – $12.11 | 17 |
| Delayed breast prosthesis 19342 CPT 19342 | $302.85 | $2,019.00 | $70.00 – $2,009.83 | 19 |
| Delivery of placenta 59414 CPT 59414 | $916.95 | $6,113.00 | $88.91 – $7,740.72 | 8 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,900.00 | $26,000.00 | $582.53 – $1,087.81 | 8 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $169.05 | $1,127.00 | $12.34 – $523.63 | 14 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,794.29 | $18,628.60 | $30.10 – $80.21 | 17 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $5,088.00 | $33,920.00 | $1,294.34 – $2,329.81 | 8 |
| Design mlc device for imrt CPT 77338 | $793.95 | $5,293.00 | $256.24 – $2,178.63 | 23 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $58.82 | $392.16 | $7.50 – $392.16 | 10 |
| Desoxycorticosterone CPT 82633 | $4.76 | $31.75 | $9.84 – $346.23 | 13 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,644.40 | $24,296.00 | $1,088.91 – $1,960.04 | 8 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $717.00 | $4,780.00 | $972.76 – $1,750.97 | 8 |
| Device ablt adv novasure HCPCS C1886 | $337.50 | $2,250.00 | $943.00 – $943.00 | 1 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,250.00 | $15,000.00 | $15,000.00 – $15,000.00 | 1 |
| Device intraute mirena HCPCS J7298 | $1,235.28 | $8,235.21 | $1,795.08 – $8,235.21 | 10 |
| Dev interrog remote 1/2/mlt CPT 93295 | $21.15 | $141.00 | $40.06 – $155.40 | 19 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.25 | $15.00 | $0.02 – $11.52 | 10 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $14.18 | $94.56 | $0.20 – $5.02 | 10 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $13.83 | $92.17 | $2.62 – $92.17 | 10 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $13.94 | $92.95 | $2.15 – $92.95 | 10 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $10.46 | $69.75 | $3.18 – $69.75 | 10 |
| Dextrose 5 % IV bolus HCPCS J7070 | $12.92 | $86.15 | $6.37 – $86.15 | 10 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $61.50 | $410.00 | $6.38 – $256.79 | 13 |
| Diabetes (HbA1c) Test CPT 83036 | $47.85 | $319.00 | $0.83 – $112.14 | 13 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $32.10 | $214.00 | $10.00 – $176.75 | 22 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $212.55 | $1,417.00 | $77.07 – $477.31 | 8 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $233.10 | $1,554.00 | $51.22 – $839.44 | 24 |
| Diagnostic Mammogram (one breast) CPT 77065 | $178.65 | $1,191.00 | $41.66 – $655.71 | 24 |
| Diagnostic radio unlisted proc CPT 76499 | $101.40 | $676.00 | $70.74 – $208.10 | 10 |
| Dialysis one evaluation CPT 90945 | $477.90 | $3,186.00 | $103.51 – $997.77 | 9 |
| Dialysis repeated eval CPT 90947 | $50.10 | $334.00 | $114.44 – $827.07 | 9 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $47.60 | $317.31 | $7.32 – $317.31 | 10 |
| Diffusing capacity CPT 94729 | $299.85 | $1,999.00 | $69.14 – $365.83 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $63.90 | $426.00 | $1.57 – $153.36 | 13 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $106.91 | $712.73 | $61.44 – $712.73 | 10 |
| Dilate esophagus 1/mult pass CPT 43450 | $45.30 | $302.00 | $10.00 – $296.83 | 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.