Supplies, drugs & other prices at Adventist Health St. Helena

Saint Helena, CA · every code in this section with a posted price and a Medicare benchmark.

38 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Brief chkin by md/qhp, 11-20 (G2252) $10.20 $68 0.4×
Ca screen;flexi sigmoidscope (G0104) $28.65 $191 0.0×
Catheterize for urine spec (P9612) $31.65 $211 3.4×
Chemo extend iv infus w/pump (G0498) $200.70 $1,338 0.5×
Colon ca scrn not hi rsk ind (G0121) $74.85 $499 0.1×
Colorectal scrn; hi risk ind (G0105) $101.10 $674 0.1×
Direct refer hospital observ (G0379)
range across 2 matching MRF lines
$155.70–$365.70 $1,038–$2,438 varies
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T)
unusually low: confirm this is the full procedure
$17,956.65 $119,711 0.3×
Fecal blood scrn immunoassay (G0328) $16.20 $108 0.9×
Group mnt 2 or more 30 mins (G0271) $13.95 $93 0.8×
Mnt subs tx for change dx (G0270) $10.80 $72 0.3×
Mra w/cont, lwr ext (C8912)
range across 2 matching MRF lines
$1,033.50–$1,446.90 $6,890–$9,646 varies
Mra w/o cont, lwr ext (C8913)
range across 2 matching MRF lines
$706.65–$989.25 $4,711–$6,595 varies
Mra w/o fol w/cont, lwr ext (C8914)
range across 2 matching MRF lines
$1,384.20–$1,938 $9,228–$12,920 varies
Onc Merkel Cll Carc Srm Quan (0058U) $51.21 $341.38 0.2×
Pemivibart infusion (M0224) $233.85 $1,559 0.4×
Perc d-e cor revasc chro sin (C9607)
unusually low: confirm this is the full procedure
$9,755.10 $65,034 0.4×
Perc d-e cor revasc t cabg s (C9604) $10,144.80 $67,632 0.7×
Perc d-e cor stent ather s (C9602)
unusually low: confirm this is the full procedure
$9,290.40 $61,936 0.4×
Perc drug-el cor stent sing (C9600) $9,114.30 $60,762 0.6×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T)
likely a partial charge, not the full procedure
$3,362.25 $22,415 0.2×
Psa screening (G0103)
range across 3 matching MRF lines
$1.91–$49.35 $12.70–$329 varies
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $36 $240 0.1×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$11,891.10 $79,274 0.5×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$11,437.80 $76,252 0.5×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$5,521.80 $36,812 0.4×
Revasc lith-sten-ath tib/per (C9775)
unusually low: confirm this is the full procedure
$10,909.20 $72,728 0.4×
Revasc lithotr-ather tib/per (C9774)
unusually low: confirm this is the full procedure
$11,217.60 $74,784 0.5×
Revasc lithotrip tibi/perone (C9772)
unusually low: confirm this is the full procedure
$6,926.25 $46,175 0.5×
Revasc lithotrip-stent-ather (C9767) $14,045.40 $93,636 0.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$12,122.40 $80,816 0.5×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $1,983.15 $13,221 0.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T)
unusually low: confirm this is the full procedure
$12,122.40 $80,816 0.5×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T)
unusually low: confirm this is the full procedure
$3,559.65 $23,731 0.5×
Tomosynthesis, mammo (G0279)
range across 2 matching MRF lines
$38.40–$53.70 $256–$358 varies
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $525 $3,500 0.2×
Trluml Perip Athrc Iliac Art (0238T) $12,261.45 $81,743 0.5×
Unsched dialysis esrd pt hos (G0257) $286.65 $1,911 0.3×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.