ST HELENA HOSPITAL — price list
← Hospital overviewVerified from ST HELENA HOSPITAL’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
194 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Adapter/extension, pacing lead or neurostimulator lead (implantable) Outpatient | 10113889_1 CDM | $1,252 | $188 | $453 – $1,252 | $563 | |
| Adapter/extension, pacing lead or neurostimulator lead (implantable) Outpatient | 10113896_1 CDM | $4,114 | $617 | $1,358 – $4,114 | $2,139 | |
| Adapter/extension, pacing lead or neurostimulator lead (implantable) Outpatient | 10113897_1 CDM | $7,005 | $1,051 | $2,311 – $7,005 | $5,253 | |
| Adapter/extension, pacing lead or neurostimulator lead (implantable) Outpatient | 10113909_1 CDM | $9,872 | $1,481 | $3,258 – $9,872 | $4,442 | |
| Analysis for antibody to HIV-1 and HIV-2 virus Outpatient | 1010358_1 CDM | $201 | $30.15 | $13.71 – $181 | $94.67 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012589_1 CDM | $272 | $40.80 | $14.39 – $245 | $204 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012590_1 CDM | $272 | $40.80 | $14.39 – $245 | $151 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10099604_1 CDM | $875 | $131 | $317 – $875 | $455 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10115919_1 CDM | $6,527 | $979 | $2,154 – $6,527 | $8,843 | |
| Bacterial culture for aerobic isolates Outpatient | 1004096_1 CDM | $579 | $86.85 | $8.08 – $521 | $434 | |
| Bacterial culture for anaerobic isolates Outpatient | 1004095_1 CDM | $307 | $46.05 | $8.08 – $276 | $230 | |
| Bacterial culture, any other source except urine, blood or stool, aerobic Outpatient | 1000006_1 CDM | $519 | $77.85 | $8.62 – $467 | $389 | |
| Bacterial urine culture Outpatient | 1004102_1 CDM | $540 | $81.00 | $8.09 – $486 | $243 | |
| Balloon dilation repair of aortic valve Outpatient | 10114089_1 CDM | $33,414 | $5,012 | $1,385 – $30,073 | $12,256 | |
| Blood chloride level Outpatient | 10072179_1 CDM | $159 | $23.85 | $4.32 – $143 | $71.55 | |
| Blood chloride level Outpatient | 10072194_1 CDM | $159 | $23.85 | $4.32 – $143 | $119 | |
| Blood chloride level Outpatient | 10077356_1 CDM | $159 | $23.85 | $4.32 – $143 | $74.89 | |
| Blood chloride level Outpatient | 10077394_1 CDM | $159 | $23.85 | $4.32 – $143 | $119 | |
| Blood gases measurement Outpatient | 10072204_1 CDM | $296 | $44.40 | $17.00 – $266 | $222 | |
| Blood gases measurement Outpatient | 10077343_1 CDM | $296 | $44.40 | $17.00 – $266 | $222 | |
| Blood gases measurement Outpatient | 10077363_1 CDM | $296 | $44.40 | $17.00 – $266 | $133 | |
| Blood gases measurement Outpatient | 10077404_1 CDM | $296 | $44.40 | $17.00 – $266 | $222 | |
| Blood glucose (sugar) level Outpatient | 10072180_1 CDM | $144 | $21.60 | $3.93 – $130 | $108 | |
| Blood glucose (sugar) level Outpatient | 10072195_1 CDM | $144 | $21.60 | $3.93 – $130 | $108 | |
| Blood glucose (sugar) level Outpatient | 10077334_1 CDM | $144 | $21.60 | $3.93 – $130 | $41.26 | |
| Blood glucose (sugar) level Outpatient | 10077395_1 CDM | $144 | $21.60 | $3.93 – $130 | $41.26 | |
| Blood potassium level Outpatient | 10072177_1 CDM | $178 | $26.70 | $4.76 – $160 | $134 | |
| Blood potassium level Outpatient | 10077332_1 CDM | $178 | $26.70 | $4.76 – $160 | $134 | |
| Blood potassium level Outpatient | 10077392_1 CDM | $178 | $26.70 | $4.76 – $160 | $125 | |
| Blood sodium level Outpatient | 10072176_1 CDM | $175 | $26.25 | $4.81 – $158 | $50.60 |