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 |
|---|---|---|---|---|
| Dilate urethra stricture CPT 53600 | $35.10 | $234.00 | $10.00 – $163.78 | 19 |
| Dilator fascial 10fx20cm HCPCS C2627 | $476.70 | $3,178.00 | $321.25 – $321.25 | 1 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $17.54 | $116.92 | $0.07 – $55.00 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $8.25 | $55.00 | $1.32 – $54.74 | 10 |
| Disaccharidases CPT 82657 | $50.52 | $336.80 | $3.93 – $207.72 | 13 |
| Discography cerv/thor spine CPT 72285 | $1,678.80 | $11,192.00 | $8.37 – $2,594.12 | 24 |
| Dmd dup/delet analysis CPT 81161 | $41.85 | $279.00 | $161.94 – $3,042.85 | 13 |
| Dmpk gene detc abnor allele CPT 81234 | $16.44 | $109.60 | $109.60 – $941.86 | 13 |
| Dna antibody native/double stranded CPT 86225 | $19.65 | $131.00 | $1.10 – $158.73 | 13 |
| Dna gardnerella CPT 87510 | $35.10 | $234.00 | $20.05 – $224.13 | 13 |
| Dna probe chlamydia CPT 87490 | $14.72 | $98.10 | $22.32 – $224.13 | 13 |
| Dna probe gc CPT 87590 | $14.72 | $98.10 | $18.09 – $224.13 | 13 |
| Dna trichomonas CPT 87660 | $20.40 | $136.00 | $20.05 – $232.45 | 13 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $34.19 | $227.96 | $16.25 – $162.50 | 10 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $9.21 | $61.41 | $1.43 – $61.41 | 10 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $16.62 | $110.79 | $0.72 – $110.79 | 10 |
| Doppler echo complete CPT 93320 | $333.60 | $2,224.00 | $19.47 – $519.34 | 23 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,690.85 | $17,939.00 | $88.14 – $17,939.00 | 20 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $743.55 | $4,957.00 | $22.80 – $688.78 | 23 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $339.60 | $2,264.00 | $12.55 – $365.01 | 23 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $5.39 | $35.91 | $5.41 – $146.82 | 10 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $37.40 | $249.35 | $0.22 – $249.35 | 6 |
| Dpyd gene common variants CPT 81232 | $26.22 | $174.81 | $139.85 – $1,445.10 | 13 |
| Drainage of arm bursa 23931 CPT 23931 | $403.50 | $2,690.00 | $20.00 – $2,194.09 | 22 |
| Drainage of bone lesion CPT 27303 | $377.85 | $2,519.00 | $677.22 – $1,438.74 | 19 |
| Drainage of kidney lesion CPT 50390 | $974.40 | $6,496.00 | $70.74 – $940.73 | 22 |
| Drainage of pelvis bursa CPT 26991 | $408.00 | $2,720.00 | $45.00 – $1,601.31 | 19 |
| Drainage of pelvis lesion 26990 CPT 26990 | $5,560.05 | $37,067.00 | $45.00 – $4,346.73 | 22 |
| Drain cath image guided visceral pq CPT 49405 | $1,994.25 | $13,295.00 | $65.00 – $2,586.50 | 22 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $415.20 | $2,768.00 | $82.28 – $1,687.93 | 8 |
| Drain lower leg lesion 27603 CPT 27603 | $229.05 | $1,527.00 | $119.88 – $1,137.99 | 19 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,320.95 | $15,473.00 | $40.00 – $3,858.81 | 22 |
| Drain ovarn cyst abd CPT 58805 | $2,712.45 | $18,083.00 | $872.17 – $7,740.72 | 8 |
| Drain thigh/knee lesion 27301 CPT 27301 | $299.25 | $1,995.00 | $271.00 – $1,490.23 | 19 |
| Drng hand tendon sheath 26020 CPT 26020 | $335.70 | $2,238.00 | $50.00 – $940.20 | 19 |
| Drng of finger abscess comp 26011 CPT 26011 | $111.15 | $741.00 | $210.16 – $921.23 | 18 |
| Drng of palm multi bursas 26030 CPT 26030 | $295.65 | $1,971.00 | $50.00 – $1,086.51 | 19 |
| Drng of palm single bursa 26025 CPT 26025 | $252.75 | $1,685.00 | $25.00 – $921.23 | 19 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $605.55 | $4,037.00 | $65.00 – $2,254.11 | 19 |
| Drng ovary abscess perqt 58822 CPT 58822 | $401.70 | $2,678.00 | $121.61 – $1,416.93 | 19 |
| Drng peritoneal abscess open 49020 CPT 49020 | $870.90 | $5,806.00 | $35.00 – $3,228.94 | 19 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $4,606.95 | $30,713.00 | $17.03 – $301.91 | 11 |
| Drug admin & hemodynmic meas CPT 93463 | $907.50 | $6,050.00 | $87.95 – $339.56 | 22 |
| Drug assay posaconazole CPT 80187 | $3.25 | $21.69 | $5.88 – $112.86 | 13 |
| Drug assay rufinamide CPT 80210 | $2.27 | $15.14 | $4.10 – $112.86 | 13 |
| Drug assay vedolizumab CPT 80280 | $30.00 | $200.00 | $38.57 – $160.55 | 13 |
| Drug assay voriconazole CPT 80285 | $3.25 | $21.69 | $5.88 – $112.86 | 13 |
| Drug of abuse screen urine CPT 80305 | $51.30 | $342.00 | $12.60 – $127.77 | 13 |
| Drug screening tapentadol CPT 80372 | $3.23 | $21.51 | $0.05 – $214.72 | 6 |
| Drug screen quant tiagabine CPT 80199 | $10.35 | $69.00 | $18.71 – $120.08 | 13 |
| Drug test prsmv instrmnt CPT 80306 | $34.65 | $231.00 | $17.14 – $170.39 | 13 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $82.65 | $551.00 | $9.13 – $681.49 | 13 |
| Dry needling (97799) CPT 97799 | $29.70 | $198.00 | $66.00 – $447.00 | 7 |
| Ductogram sgl duct CPT 77053 | $227.55 | $1,517.00 | $18.49 – $652.45 | 24 |
| Duplex scan bilateral study 93985 CPT 93985 | $494.25 | $3,295.00 | $316.97 – $1,930.93 | 12 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $528.30 | $3,522.00 | $22.54 – $889.66 | 23 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $331.65 | $2,211.00 | $152.65 – $1,000.58 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $608.10 | $4,054.00 | $40.33 – $1,234.67 | 23 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $1,973.50 | $13,156.69 | $87.95 – $234.88 | 17 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $118.80 | $792.00 | $35.00 – $574.13 | 19 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,758.90 | $11,726.00 | $164.93 – $4,256.15 | 8 |
| Ear irrigation 69209 CPT 69209 | $14.85 | $99.00 | $11.54 – $141.06 | 8 |
| Ecg 12 lead tracing only CPT 93005 | $170.25 | $1,135.00 | $23.52 – $178.56 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $53.55 | $357.00 | $23.05 – $141.06 | 12 |
| Ecg < 30 days transmission & analysis CPT 93271 | $503.10 | $3,354.00 | $114.47 – $2,069.74 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $290.25 | $1,935.00 | $42.77 – $493.21 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $226.95 | $1,513.00 | $78.37 – $869.92 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $19.20 | $128.00 | $20.12 – $167.67 | 12 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $31.80 | $212.00 | $14.03 – $167.67 | 23 |
| Ecg/review interpret only CPT 93272 | $9.75 | $65.00 | $21.75 – $66.97 | 19 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,002.30 | $6,682.00 | $75.48 – $1,929.98 | 23 |
| Echocardiography doppler color flow mapping CPT 93325 | $334.35 | $2,229.00 | $3.81 – $763.91 | 23 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $482.70 | $3,218.00 | $27.61 – $588.34 | 23 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $210.30 | $1,402.00 | $8.14 – $291.52 | 23 |
| Echo exam uterus 76831- CPT 76831 | $301.80 | $2,012.00 | $5.27 – $378.66 | 23 |
| Echograp trans r pros study CPT 76873 | $457.95 | $3,053.00 | $11.50 – $518.70 | 23 |
| Echo guidance radiotherapy CPT 76965 | $44.85 | $299.00 | $9.95 – $134.58 | 19 |
| Echo guide for amniocentesis CPT 76946 | $215.10 | $1,434.00 | $2.83 – $377.08 | 23 |
| Echo guide for artery repair CPT 76936 | $819.45 | $5,463.00 | $14.80 – $3,902.00 | 23 |
| Echo stress CPT 93350 | $909.75 | $6,065.00 | $75.48 – $725.89 | 23 |
| Echo tee guidance CPT 93355 | $1,596.90 | $10,646.00 | $205.26 – $2,149.22 | 11 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,346.85 | $8,979.00 | $117.70 – $985.61 | 23 |
| Echo transesophageal CPT 93317 | $55.05 | $367.00 | $95.73 – $367.00 | 19 |
| Echo transthoracic CPT 93303 | $422.10 | $2,814.00 | $218.96 – $1,387.09 | 12 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $643.95 | $4,293.00 | $48.31 – $1,165.67 | 23 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $219.30 | $1,462.00 | $293.74 – $1,318.21 | 19 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $322.65 | $2,151.00 | $58.55 – $4,482.99 | 13 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $617.25 | $4,115.00 | $108.41 – $852.49 | 13 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $470.70 | $3,138.00 | $93.25 – $1,560.20 | 13 |
| Eeg recording awake and asleep CPT 95819 | $705.60 | $4,704.00 | $93.25 – $1,024.01 | 13 |
| E equine encephalitis igg CPT 86652 | $1.76 | $11.72 | $1.55 – $152.35 | 13 |
| Egd control bleeding any CPT 43255 | $111.00 | $740.00 | $193.21 – $794.58 | 19 |
| Egd dilate stricture CPT 43245 | $97.05 | $647.00 | $20.00 – $1,168.51 | 19 |
| Egd endoscopic stent place CPT 43266 | $119.55 | $797.00 | $55.00 – $658.05 | 19 |
| Egd lesion ablation CPT 43270 | $124.05 | $827.00 | $25.00 – $2,234.04 | 19 |
| Egd remove foreign body CPT 43247 | $894.90 | $5,966.00 | $20.00 – $1,204.90 | 22 |
| Egd remove lesion snare CPT 43251 | $108.45 | $723.00 | $35.00 – $936.07 | 19 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $93.90 | $626.00 | $165.12 – $853.40 | 19 |
| Egd varices ligation CPT 43244 | $135.15 | $901.00 | $40.00 – $779.70 | 19 |
| Egfr gene com variants CPT 81235 | $47.25 | $315.00 | $71.98 – $936.56 | 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.