10/100
#2,383 nationally
Adventist Health St Helena
10 Woodland Road, Saint Helena, CA 94574 · (707) 963-3611
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Adventist Health St Helena billed $8.84 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 8.8x
- volume-weighted across all its priced work
- Procedures priced
- 60
- inpatient and outpatient combined
- Rank in CA
- #202
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 13% of U.S. hospitals.
Better than 18% of U.S. hospitals.
Better than 5% of U.S. hospitals.
Better than 2% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
626 | $191,731 | $16,667 | +207% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
217 | $49,598 | $4,161 | +97% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
202 | $209,822 | $29,995 | +58% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
97 | $151,262 | $20,656 | +132% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
82 | $202,217 | $34,003 | +62% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
82 | $21,325 | $2,442 | +81% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
79 | $103,074 | $13,681 | +100% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
79 | $13,665 | $877 | +336% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
73 | $81,253 | $15,597 | +125% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
60 | $163,503 | $21,323 | +71% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$156,149 | $4,806 | +588% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$160,969 | $7,310 | +358% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$13,665 | $877 | +336% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$100,815 | $4,440 | +334% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$82,625 | $4,154 | +306% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$40,433 | $2,063 | +260% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$631,715 | $68,728 | +255% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$133,985 | $8,368 | +239% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$34,972 | $7,053 | -3% |
|
Concomitant Left Atrial Appendage Closure and Cardiac Ablation
MS-DRG 317 · Inpatient stay |
$386,262 | $65,599 | +11% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$241,724 | $51,285 | +28% |
|
Major Chest Procedures with Major Complications
MS-DRG 163 · Inpatient stay |
$252,720 | $49,752 | +43% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$73,325 | $12,981 | +55% |
|
Level 2 Electrophysiologic Procedures
APC 5212 · Hospital outpatient visit |
$70,056 | $9,578 | +57% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$209,822 | $29,995 | +58% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$202,217 | $34,003 | +62% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.