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 |
|---|---|---|---|---|
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $413.16 | $1,878.00 | $198.47 – $631.19 | 10 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $348.26 | $1,583.00 | $167.35 – $532.19 | 10 |
| Orthopantogram CPT 70355 | $129.58 | $589.00 | $19.53 – $971.85 | 12 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $584.76 | $2,658.00 | $181.88 – $893.68 | 10 |
| Osmolality blood CPT 83930 | $159.94 | $727.00 | $1.64 – $25.60 | 12 |
| Osmolality urine CPT 83935 | $160.16 | $728.00 | $1.64 – $12.28 | 12 |
| Ot evaluation high complexity patient/family CPT 97167 | $120.12 | $546.00 | $72.80 – $600.60 | 12 |
| Ot evaluation low complexity patient/family CPT 97165 | $85.36 | $388.00 | $105.94 – $640.20 | 11 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $101.64 | $462.00 | $105.94 – $762.30 | 11 |
| Oth resp proc, group HCPCS G0239 | $75.02 | $341.00 | $48.20 – $562.65 | 11 |
| Oth resp proc, indiv HCPCS G0238 | $52.14 | $237.00 | $37.33 – $391.05 | 11 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $48.18 | $219.00 | $53.46 – $361.35 | 11 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $59.62 | $271.00 | $49.01 – $447.15 | 11 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $56.98 | $259.00 | $29.06 – $427.35 | 12 |
| Ot re-evaluation patient/family CPT 97168 | $37.40 | $170.00 | $34.00 – $280.50 | 12 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $61.60 | $280.00 | $15.98 – $458.23 | 12 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $37.18 | $169.00 | $18.87 – $278.85 | 12 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $49.28 | $224.00 | $20.09 – $369.60 | 12 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $61.38 | $279.00 | $15.72 – $458.78 | 12 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $61.60 | $280.00 | $17.53 – $462.00 | 12 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $61.16 | $278.00 | $5.73 – $458.70 | 12 |
| Ovarian cystectomy 58925 CPT 58925 | $298.80 | $1,358.19 | $24.18 – $1,066.46 | 22 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $103.07 | $468.51 | $0.09 – $93.00 | 7 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $10.15 | $46.16 | $7.98 – $20.67 | 7 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $15,365.68 | $69,844.00 | $69,844.00 – $69,844.00 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.91 | $8.69 | $0.10 – $10.77 | 7 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $834.27 | $3,792.14 | $6.59 – $758.43 | 12 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $2,232.76 | $10,148.91 | $0.01 – $1,474.00 | 12 |
| Palonosetron hcl HCPCS J2469 | $74.45 | $338.39 | $1.06 – $419.60 | 7 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $26.73 | $121.50 | $12.60 – $150.66 | 7 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.63 | $48.32 | $48.32 – $59.92 | 6 |
| Papaverin hcl injection HCPCS J2440 | $52.51 | $238.69 | $64.44 – $79.91 | 6 |
| Parathormone (pth) intact CPT 83970 | $175.34 | $797.00 | $12.18 – $74.30 | 12 |
| Parathyroid planar imaging CPT 78070 | $343.42 | $1,561.00 | $49.13 – $2,575.65 | 12 |
| Parathyroid planar img w/tomo spect CPT 78071 | $817.30 | $3,715.00 | $50.52 – $6,129.75 | 12 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $3.30 | $15.00 | $2.01 – $18.60 | 7 |
| Pdgfra gene CPT 81314 | $110.00 | $500.00 | $100.00 – $593.12 | 12 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $4,066.44 | $18,483.82 | $143.23 – $1,474.00 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,645.28 | $12,024.00 | $149.13 – $1,474.00 | 12 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $2,724.64 | $12,384.72 | $143.67 – $1,474.00 | 11 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $1,568.05 | $7,127.52 | $67.02 – $1,425.50 | 12 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,584.00 | $7,200.00 | $105.11 – $1,440.00 | 11 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,240.26 | $10,183.00 | $117.83 – $8,654.25 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,218.70 | $10,085.00 | $117.83 – $8,702.10 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,955.36 | $8,888.00 | $108.15 – $5,801.40 | 12 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,676.52 | $12,166.00 | $75.50 – $12,972.30 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | $2,436.28 | $11,074.00 | $261.30 – $9,900.00 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $2,238.72 | $10,176.00 | $44.00 – $8,721.90 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | $779.68 | $3,544.00 | $41.91 – $3,224.10 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $501.38 | $2,279.00 | $26.16 – $1,843.05 | 12 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $2,433.89 | $11,063.14 | $60.65 – $1,474.00 | 12 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $1,298.00 | $5,900.00 | $6.07 – $450.00 | 12 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $271.83 | $1,235.60 | $30.70 – $247.12 | 12 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $18.82 | $85.54 | $5.82 – $18.12 | 7 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $8,430.84 | $38,322.00 | $20,169.00 – $20,169.00 | 3 |
| Penile vascular study CPT 93981 | $438.24 | $1,992.00 | $26.96 – $3,286.80 | 12 |
| Perc cryo ablate renal tum CPT 50593 | $4,324.98 | $19,659.00 | $1,474.00 – $32,437.35 | 12 |
| Perc d-e cor revasc chro add HCPCS C9608 | $6,336.88 | $28,804.00 | $28,804.00 – $47,526.60 | 6 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $8,422.04 | $38,282.00 | $23,657.30 – $63,165.30 | 11 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $6,336.88 | $28,804.00 | $28,804.00 – $47,526.60 | 6 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $8,481.66 | $38,553.00 | $14,898.00 – $63,612.45 | 11 |
| Perc d-e cor stent ather br HCPCS C9603 | $6,753.78 | $30,699.00 | $30,699.00 – $50,653.35 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $8,897.90 | $40,445.00 | $23,657.30 – $66,734.25 | 11 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,476.96 | $52,168.00 | $52,168.00 – $86,077.20 | 6 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,476.96 | $52,168.00 | $14,898.00 – $82,767.30 | 11 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $33.66 | $153.00 | $54.26 – $189.72 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,826.44 | $8,302.00 | $7.54 – $371.24 | 22 |
| Perit-vens shunt pat tst CPT 78291 | $537.24 | $2,442.00 | $76.51 – $4,029.30 | 12 |
| Perq clsr tcat l atr apndge CPT 33340 | $9,309.08 | $42,314.00 | $607.65 – $69,818.10 | 11 |
| Perq dev breast 1st mr guide CPT 19287 | $1,215.28 | $5,524.00 | $118.76 – $9,114.60 | 12 |
| Perq plmt bile duct stent CPT 47540 | $3,928.98 | $17,859.00 | $1,474.00 – $29,467.35 | 12 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $3,438.45 | $15,629.33 | $17.20 – $1,474.00 | 12 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $5,633.42 | $25,606.47 | $59.90 – $1,474.00 | 12 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,068.00 | $9,400.00 | $344.57 – $15,510.00 | 12 |
| Pet CT whole body initial CPT 78816 | $2,205.50 | $10,025.00 | $344.57 – $16,541.25 | 12 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,850.42 | $8,411.00 | $168.67 – $13,878.15 | 8 |
| Pet image w/ct lmtd CPT 78814 | $1,909.16 | $8,678.00 | $344.57 – $14,318.70 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $10,045.20 | $45,660.00 | $400.00 – $2,564.32 | 6 |
| Ph body fluid CPT 83986 | $107.80 | $490.00 | $0.93 – $13.80 | 12 |
| Phencyclidine (pcp) CPT 83992 | $52.80 | $240.00 | $15.00 – $18.60 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $76.70 | $348.65 | $40.21 – $206.96 | 7 |
| Phenobarbital therapeutic drug level CPT 80184 | $158.18 | $719.00 | $3.27 – $49.00 | 12 |
| Phentolaine mesylate inj HCPCS J2760 | $481.11 | $2,186.88 | $288.63 – $642.70 | 12 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $6.30 | $28.65 | $27.10 – $33.60 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $124.52 | $566.00 | $3.82 – $51.60 | 12 |
| Phlebotomy therapeutic CPT 99195 | $203.28 | $924.00 | $23.52 – $1,524.60 | 12 |
| Phosphorus CPT 84100 | $128.26 | $583.00 | $1.14 – $8.53 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $128.04 | $582.00 | $1.54 – $20.20 | 12 |
| Phys blood bank serv authrj CPT 86079 | $30.58 | $139.00 | $27.80 – $121.05 | 12 |
| Phys blood bank serv reactj CPT 86078 | $83.82 | $381.00 | $62.90 – $395.76 | 12 |
| Phys blood bank serv xmatch CPT 86077 | $20.02 | $91.00 | $18.20 – $71.43 | 12 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $63.62 | $289.16 | $7.89 – $78.63 | 7 |
| Pik3ca gene trgt seq alys CPT 81309 | $89.32 | $406.00 | $81.20 – $494.69 | 12 |
| Pin caspar distraction 12mm HCPCS C1821 | $4,969.36 | $22,588.00 | $1,176.00 – $1,940.40 | 4 |
| Pinworm exam CPT 87172 | $124.52 | $566.00 | $0.82 – $11.40 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $25.93 | $117.86 | $56.51 – $70.07 | 6 |
| Place cath xtrnl carotid CPT 36227 | $8,179.38 | $37,179.00 | $88.61 – $40,896.90 | 12 |
| Place duod/jej tube perc CPT 49441 | $762.74 | $3,467.00 | $693.40 – $5,720.55 | 12 |
| Place gastrostomy tube perc CPT 49440 | $1,309.00 | $5,950.00 | $877.60 – $7,240.20 | 12 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $123.64 | $562.00 | $41.31 – $927.30 | 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.