RIDEOUT MEMORIAL HOSPITAL
726 4th St, Marysville, CA · Adventisthealth · · NPI 1720088354
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $16.06 | $73.00 | $8.60 – $52.70 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $28.16 | $128.00 | $6.67 – $41.06 | 12 |
| 17-ketosteroids CPT 83586 | $16.28 | $74.00 | $3.68 – $23.04 | 12 |
| 2nd order venous cath CPT 36012 | $1,357.18 | $6,169.00 | $113.55 – $8,636.10 | 12 |
| 3d ech img cgen car anomal CPT 93319 | $824.34 | $3,747.00 | $20.66 – $6,182.55 | 10 |
| 3-d radiotherapy plan CPT 77295 | $4,235.88 | $19,254.00 | $251.93 – $31,769.10 | 12 |
| 3d recon without postprocess indpndt CPT 76376 | $1,509.20 | $6,860.00 | $26.92 – $1,450.35 | 11 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $16.82 | $76.47 | $76.47 – $126.17 | 6 |
| 5' nucleotidase - sendout CPT 83915 | $23.54 | $107.00 | $3.20 – $21.40 | 12 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $12.76 | $58.00 | $11.60 – $102.38 | 12 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $777.35 | $3,533.41 | $45.86 – $706.68 | 12 |
| Abd aorta w/runoff s&i CPT 75630 | $2,763.42 | $12,561.00 | $144.67 – $13,460.70 | 12 |
| Abd/low ext cath 1st CPT 36245 | $1,666.72 | $7,576.00 | $198.93 – $10,739.85 | 12 |
| Abd/low ext cath 2nd CPT 36246 | $1,562.00 | $7,100.00 | $210.16 – $11,568.15 | 12 |
| Abd/low ext cath 3rd CPT 36247 | $1,941.50 | $8,825.00 | $249.65 – $11,551.65 | 12 |
| Abd/low ext cath addl CPT 36248 | $1,199.66 | $5,453.00 | $40.56 – $6,383.85 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,431.88 | $11,054.00 | $117.83 – $8,662.50 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,160.18 | $9,819.00 | $117.83 – $8,514.00 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,999.58 | $9,089.00 | $108.15 – $5,804.70 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,798.40 | $12,720.00 | $75.64 – $13,419.45 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | $2,763.42 | $12,561.00 | $58.17 – $11,302.50 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | $2,752.64 | $12,512.00 | $261.30 – $8,743.35 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $683.76 | $3,108.00 | $89.85 – $2,106.86 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $909.48 | $4,134.00 | $51.56 – $3,324.75 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $629.64 | $2,862.00 | $37.64 – $3,093.75 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $607.64 | $2,762.00 | $58.57 – $2,106.86 | 12 |
| Abl1 gene CPT 81170 | $92.40 | $420.00 | $83.40 – $540.00 | 12 |
| Ablate arrhythmia add on CPT 93655 | $2,801.04 | $12,732.00 | $248.01 – $21,007.80 | 11 |
| Ablate heart dysrhythm focus CPT 93650 | $9,398.62 | $42,721.00 | $1,026.61 – $70,489.65 | 11 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,185.28 | $19,024.00 | $166.06 – $3,316.50 | 7 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,356.96 | $6,168.00 | $184.29 – $10,177.20 | 12 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $18.66 | $84.83 | $4.87 – $105.19 | 7 |
| Acetaminophen level CPT 80143 | $95.26 | $433.00 | $14.60 – $33.55 | 12 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $60.09 | $273.13 | $30.78 – $338.68 | 7 |
| Acetone qualitative CPT 82009 | $97.46 | $443.00 | $1.14 – $88.60 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1.89 | $8.60 | $1.72 – $21.69 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $106.82 | $485.54 | $0.62 – $602.07 | 7 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $20.90 | $95.00 | $19.00 – $235.99 | 12 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $23.32 | $106.00 | $21.20 – $174.90 | 12 |
| Acute hepatitis panel CPT 80074 | $202.62 | $921.00 | $8.36 – $85.73 | 12 |
| Acyclovir 400 mg tablet HCPCS J8499 | $36.09 | $164.05 | $164.05 – $203.42 | 6 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $37.27 | $169.39 | $0.04 – $142.10 | 7 |
| #acylcarnitineprfl CPT 82017 | $37.84 | $172.00 | $4.90 – $34.40 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,750.44 | $12,502.00 | $3,038.00 – $5,012.70 | 4 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $168.78 | $767.20 | $0.45 – $63.50 | 7 |
| Adenovirus antibody,serum - quest CPT 86603 | $17.38 | $79.00 | $3.70 – $23.17 | 12 |
| Adh-sendout CPT 84588 | $24.20 | $110.00 | $9.00 – $61.09 | 12 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $8.96 | $40.75 | $5.26 – $14.23 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $113.52 | $516.00 | $23.21 – $851.40 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $194.26 | $883.00 | $30.88 – $1,456.95 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $385.44 | $1,752.00 | $30.88 – $2,890.80 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $204.60 | $930.00 | $19.40 – $1,534.50 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $124.96 | $568.00 | $11.51 – $937.20 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $153.12 | $696.00 | $11.51 – $1,148.40 | 12 |
| Administration immunization 1 vaccine CPT 90471 | $38.28 | $174.00 | $4.82 – $287.10 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $38.28 | $174.00 | $16.99 – $287.10 | 11 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,049.43 | $13,861.06 | $43.24 – $1,474.00 | 12 |
| Aep hearing status deter i&r CPT 92651 | $88.88 | $404.00 | $80.80 – $666.60 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $55.00 | $250.00 | $3.51 – $36.09 | 12 |
| #afb mycobacteria suscep. #1 CPT 87190 | $12.98 | $59.00 | $0.98 – $13.16 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $22.56 | $102.54 | $20.51 – $207.65 | 12 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $156.64 | $712.00 | $10.97 – $1,174.80 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $128.04 | $582.00 | $0.62 – $20.20 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $178.75 | $812.52 | $53.32 – $95.98 | 12 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $172.55 | $784.30 | $53.08 – $95.54 | 12 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $12.43 | $56.50 | $10.62 – $19.11 | 12 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $87.56 | $398.00 | $1.73 – $10.40 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $128.92 | $586.00 | $1.14 – $8.91 | 12 |
| Alkaline phosphatase CPT 84075 | $136.18 | $619.00 | $1.40 – $9.32 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $8.86 | $40.25 | $1.00 – $32.27 | 12 |
| Allergen egg white ige CPT 86003 | $34.10 | $155.00 | $1.04 – $9.40 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $4,884.00 | $22,200.00 | $14,700.00 – $14,700.00 | 3 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $1,113.64 | $5,062.00 | $30.68 – $1,012.40 | 9 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $1,584.00 | $7,200.00 | $139.47 – $8,928.00 | 12 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $0.25 | $1.12 | $0.22 – $9.24 | 12 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $12.60 | $57.26 | $11.45 – $115.94 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $71.28 | $324.00 | $2.41 – $30.19 | 12 |
| Alprostadil for injection HCPCS J0270 | $148.68 | $675.84 | $675.84 – $838.04 | 6 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $2,773.16 | $12,605.28 | $98.59 – $177.46 | 12 |
| Alt/sgpt CPT 84460 | $143.44 | $652.00 | $1.32 – $9.54 | 12 |
| Amantadine (symmetrel)-sendout CPT 80375 | $56.32 | $256.00 | $73.00 – $90.52 | 6 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $24.36 | $110.72 | $78.00 – $96.72 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $91.36 | $415.26 | $234.70 – $291.03 | 6 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $9.88 | $44.89 | $44.89 – $55.66 | 6 |
| Amitriptyline (elavil) -sendout CPT 80335 | $25.96 | $118.00 | $10.00 – $12.40 | 6 |
| Ammonia CPT 82140 | $201.52 | $916.00 | $3.28 – $26.23 | 12 |
| Amphetamine confirm urine -sendout CPT 80324 | $1.89 | $8.59 | $8.59 – $10.65 | 6 |
| Amphetamines 5 or more CPT 80326 | $77.44 | $352.00 | $4.26 – $5.28 | 6 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $162.41 | $738.22 | $19.85 – $147.64 | 12 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $20.72 | $94.19 | $5.77 – $8.59 | 7 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $20.09 | $91.33 | $65.98 – $81.81 | 6 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $315.70 | $1,435.00 | $157.80 – $473.38 | 11 |
| Amylase CPT 82150 | $182.16 | $828.00 | $1.80 – $11.66 | 12 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $1.32 | $6.00 | $6.00 – $7.44 | 6 |
| Analysis gene f2 20210g>a variant CPT 81240 | $8.34 | $37.90 | $37.90 – $118.24 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $8.36 | $37.99 | $37.99 – $132.07 | 11 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $6.63 | $30.15 | $30.15 – $63.16 | 11 |
| Anastrozole 1 mg HCPCS S0170 | $11.11 | $50.48 | $50.48 – $83.29 | 6 |
| Anca screen with reflex to titer -quest CPT 86021 | $172.70 | $785.00 | $4.03 – $157.00 | 12 |
| An cholangiogram percutaneous compl CPT 47531 | $2,029.28 | $9,224.00 | $341.03 – $9,603.00 | 12 |
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.