ADVENTIST HEALTH ST HELENA
SAINT HELENA, CA 94574 · Acute Care Hospitals
37 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
37
With CMS pricing data
Avg Charge-to-Medicare Ratio
8.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
57%
Compared to CA hospitals
Understanding Your Costs
When you receive a bill from ADVENTIST HEALTH ST HELENA, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ADVENTIST HEALTH ST HELENA lists chargemaster rates that average 8.1x the corresponding Medicare reimbursement amount across 37 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in CA has a chargemaster-to-Medicare ratio of 6.3x, with ratios across the state ranging from 1.7x to 17.6x. At 8.1x, this facility’s average ratio is above the state median. 273 hospitals in CA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at ADVENTIST HEALTH ST HELENA is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $80,444, while Medicare reimburses $6,194 for the same procedure — a ratio of 13.0x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
21 of 37 procedures (57%) at this facility have listed rates above the 90th percentile compared to other CA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
ADVENTIST HEALTH ST HELENA is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $80,444 | $6,194 | 13.0x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $232,883 | $18,629 | 12.5x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $609,276 | $50,016 | 12.2x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $572,925 | $50,813 | 11.3x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $569,083 | $55,159 | 10.3x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $266,547 | $25,826 | 10.3x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $278,181 | $27,712 | 10.0x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $156,265 | $16,330 | 9.6x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $802,132 | $85,479 | 9.4x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $844,171 | $93,957 | 9.0x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $112,998 | $12,894 | 8.8x | 1th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $282,300 | $32,249 | 8.8x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $150,015 | $17,258 | 8.7x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $170,586 | $20,380 | 8.4x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $189,489 | $22,678 | 8.4x | 1th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $78,651 | $9,438 | 8.3x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $295,553 | $35,644 | 8.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $144,884 | $17,891 | 8.1x | 1th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $98,288 | $12,218 | 8.0x | 1th | Compare your bill |
| RENAL FAILURE WITH CC | 683 | $67,376 | $8,546 | 7.9x | 1th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $414,515 | $54,761 | 7.6x | 1th | Compare your bill |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $137,843 | $18,374 | 7.5x | 1th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $95,383 | $12,750 | 7.5x | 1th | Compare your bill |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $275,257 | $37,336 | 7.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $61,949 | $8,539 | 7.3x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $69,701 | $9,671 | 7.2x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $117,695 | $17,241 | 6.8x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $194,803 | $28,960 | 6.7x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $132,819 | $20,477 | 6.5x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $59,366 | $9,319 | 6.4x | 1th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $220,312 | $34,790 | 6.3x | 1th | Compare your bill |
| RENAL FAILURE WITH MCC | 682 | $88,470 | $14,711 | 6.0x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $120,302 | $20,918 | 5.8x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $185,373 | $33,590 | 5.5x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $336,681 | $66,826 | 5.0x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $236,920 | $51,969 | 4.6x | 1th | Compare your bill |
| PSYCHOSES | 885 | $57,192 | $13,091 | 4.4x | 1th | Compare your bill |
Showing 37 of 37 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across CA hospitals
273 hospitals in CA report pricing data to CMS. This facility's average ratio of 8.1x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ADVENTIST HEALTH ST HELENA
How much does ADVENTIST HEALTH ST HELENA charge compared to Medicare?
According to CMS IPPS data, ADVENTIST HEALTH ST HELENA's listed chargemaster rates average 8.1x the Medicare reimbursement amount across 37 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ADVENTIST HEALTH ST HELENA?
The procedure with the highest chargemaster-to-Medicare ratio at ADVENTIST HEALTH ST HELENA is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $80,444 compared to Medicare reimbursement of $6,194 — a ratio of 13.0x. Source: CMS IPPS Provider Summary.
Is ADVENTIST HEALTH ST HELENA expensive compared to other CA hospitals?
ADVENTIST HEALTH ST HELENA's average chargemaster-to-Medicare ratio is 8.1x. Ratios vary significantly across CA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ADVENTIST HEALTH ST HELENA come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ADVENTIST HEALTH ST HELENA is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ADVENTIST HEALTH ST HELENA in SAINT HELENA, CA accept Medicare?
ADVENTIST HEALTH ST HELENA is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ADVENTIST HEALTH ST HELENA directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.