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 |
|---|---|---|---|---|
| Specific gravity body fluid CPT 84315 | $70.84 | $322.00 | $0.52 – $5.90 | 12 |
| Specimen fat stain CPT 89125 | $33.66 | $153.00 | $5.15 – $30.60 | 12 |
| Speech evaluation complex CPT 70371 | $845.46 | $3,843.00 | $307.92 – $6,340.95 | 11 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,736.24 | $7,892.00 | $238.13 – $4,620.00 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $328.68 | $1,494.00 | $5.20 – $866.82 | 12 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $698.06 | $3,173.00 | $445.32 – $1,066.36 | 10 |
| Splint finger 4 prong foam sm HCPCS A4570 | $44.44 | $202.00 | $5.36 – $112.85 | 12 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $2,667.94 | $12,127.00 | $762.73 – $20,009.55 | 12 |
| Srsf2 gene common variants CPT 81348 | $77.44 | $352.00 | $70.40 – $315.72 | 12 |
| Srs linear based CPT 77372 | $7,704.40 | $35,020.00 | $870.71 – $57,783.00 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $130.68 | $594.00 | $67.05 – $980.10 | 12 |
| Staph a dna amp probe CPT 87640 | $109.12 | $496.00 | $6.74 – $90.40 | 12 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $135.74 | $617.00 | $91.47 – $1,018.05 | 12 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $13,200.00 | $60,000.00 | $3,360.00 – $5,544.00 | 4 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $4,840.44 | $22,002.00 | $385.00 – $635.25 | 4 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $12,971.20 | $58,960.00 | $745.00 – $1,229.25 | 4 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $3,206.06 | $14,573.00 | $5,441.00 – $5,441.00 | 3 |
| Sterile water/saline, 10 ml HCPCS A4216 | $11.00 | $50.00 | $0.53 – $5.74 | 12 |
| Sterile water/saline, 500 ml HCPCS A4217 | $24.86 | $113.00 | $3.80 – $186.45 | 12 |
| St evaluate speech sound production CPT 92522 | $139.92 | $636.00 | $69.24 – $1,049.40 | 12 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $344.96 | $1,568.00 | $115.80 – $955.35 | 12 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $314.60 | $1,430.00 | $43.15 – $2,354.45 | 12 |
| St evaluation swallow function CPT 92610 | $167.42 | $761.00 | $52.68 – $1,255.65 | 12 |
| Stimulants synthetic CPT 80371 | $1.54 | $7.00 | $7.00 – $8.68 | 6 |
| Strep b dna amp probe CPT 87653 | $92.84 | $422.00 | $6.59 – $63.16 | 12 |
| Stress test pulmonary CPT 94618 | $193.82 | $881.00 | $43.20 – $1,453.65 | 12 |
| Stress tte complete CPT 93351 | $1,170.40 | $5,320.00 | $133.53 – $8,778.00 | 12 |
| St treatment speech individual CPT 92507 | $156.64 | $712.00 | $32.10 – $1,174.80 | 12 |
| St treatment swallow dysfunction/oral CPT 92526 | $125.18 | $569.00 | $48.51 – $938.85 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $2.66 | $12.10 | $6.18 – $15.00 | 7 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $18.90 | $85.91 | $85.91 – $106.53 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | $20.63 | $93.75 | $4.00 – $4.96 | 6 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $17.88 | $81.26 | $81.26 – $100.76 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $520.08 | $2,364.00 | $472.80 – $3,900.60 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $46.42 | $211.00 | $9.04 – $67.19 | 12 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $62.26 | $283.00 | $12.51 – $86.76 | 12 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $84.92 | $386.00 | $16.00 – $121.05 | 12 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $137.06 | $623.00 | $12.00 – $121.05 | 12 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $196.90 | $895.00 | $66.00 – $832.65 | 12 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $365.42 | $1,661.00 | $87.77 – $1,871.53 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $47.96 | $218.00 | $0.32 – $12.00 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $18.48 | $84.00 | $0.26 – $8.55 | 12 |
| Susceptibility mic per plate CPT 87186 | $134.42 | $611.00 | $1.38 – $15.57 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $4.93 | $22.39 | $1.18 – $11.95 | 12 |
| Svc venogram s&i CPT 75827 | $1,953.38 | $8,879.00 | $131.91 – $5,049.00 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $54.56 | $248.00 | $1.18 – $7.92 | 12 |
| System cardiomems hosp electronics HCPCS C2624 | $19,882.50 | $90,375.00 | $90,375.00 – $90,375.00 | 3 |
| System pacing micra av HCPCS C1786 | $10,450.00 | $47,500.00 | $12,000.00 – $12,000.00 | 3 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,277.54 | $55,807.00 | $12,000.00 – $12,000.00 | 3 |
| T3 (triiodothyronine) free CPT 84481 | $84.26 | $383.00 | $2.99 – $30.49 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $50.82 | $231.00 | $3.94 – $25.52 | 12 |
| T4 (thyroxine) free CPT 84439 | $142.78 | $649.00 | $2.56 – $16.24 | 12 |
| T4 (thyroxine) total CPT 84436 | $102.74 | $467.00 | $1.91 – $12.37 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $3.65 | $16.59 | $16.59 – $20.57 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $46.86 | $213.00 | $2.44 – $24.71 | 12 |
| Target gsa panel hmtlmph neop CPT 81450 | $539.00 | $2,450.00 | $759.53 – $2,083.20 | 11 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $770.00 | $3,500.00 | $392.83 – $5,255.28 | 12 |
| Target gsa panel organ neop CPT 81445 | $220.00 | $1,000.00 | $170.00 – $1,076.24 | 12 |
| Tavr perq femoral CPT 33361 | $8,338.44 | $37,902.00 | $1,026.59 – $62,538.30 | 12 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $208.56 | $948.00 | $15.08 – $180.00 | 12 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $85.58 | $389.00 | $8.00 – $111.56 | 12 |
| Tc-99m bicisate HCPCS A9557 | $578.38 | $2,629.00 | $366.49 – $4,337.85 | 12 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $912.12 | $4,146.00 | $829.20 – $6,840.90 | 7 |
| Tc-99m exametazime diag HCPCS A9521 | $1,035.98 | $4,709.00 | $490.42 – $7,769.85 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $141.68 | $644.00 | $55.94 – $1,062.60 | 7 |
| Tc-99m maa HCPCS A9540 | $52.80 | $240.00 | $32.40 – $396.00 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $63.80 | $290.00 | $48.99 – $478.50 | 7 |
| Tc-99m medronate HCPCS A9503 | $52.80 | $240.00 | $20.38 – $396.00 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $371.36 | $1,688.00 | $331.54 – $2,785.20 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $53.24 | $242.00 | $24.22 – $399.30 | 7 |
| Tc-99m pentetate dtpa HCPCS A9539 | $52.80 | $240.00 | $14.04 – $396.00 | 7 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $52.80 | $240.00 | $66.68 – $396.00 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $48.84 | $222.00 | $11.69 – $366.30 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $50.82 | $231.00 | $69.17 – $381.15 | 7 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $47.08 | $214.00 | $105.15 – $353.10 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $63.80 | $290.00 | $45.96 – $478.50 | 7 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $75.02 | $341.00 | $104.59 – $562.65 | 7 |
| Tc-99m tilmanocept diag HCPCS A9520 | $427.02 | $1,941.00 | $667.73 – $3,202.65 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $18.48 | $84.00 | $4.00 – $84.56 | 12 |
| T cells absolute cd 4 count CPT 86361 | $15.40 | $70.00 | $4.76 – $48.20 | 12 |
| T cells total count CPT 86359 | $32.34 | $147.00 | $3.20 – $67.91 | 12 |
| Telethx isodose plan cplx CPT 77307 | $869.44 | $3,952.00 | $135.62 – $6,520.80 | 12 |
| Telethx isodose plan simple CPT 77306 | $377.30 | $1,715.00 | $65.32 – $2,829.75 | 12 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $5,257.14 | $23,896.10 | $217.42 – $27,464.70 | 11 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $22.89 | $104.02 | $3.95 – $128.99 | 7 |
| Tert gene targeted seq alys CPT 81345 | $46.20 | $210.00 | $42.00 – $333.36 | 12 |
| Test stress cardiovascular tracing only CPT 93017 | $509.08 | $2,314.00 | $62.60 – $3,818.10 | 12 |
| Tetanus immune globulin inj HCPCS J1670 | $558.18 | $2,537.18 | $507.44 – $1,071.03 | 12 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $2,623.75 | $11,926.15 | $17.92 – $1,474.00 | 11 |
| Theophylline therapeutic drug level CPT 80198 | $134.86 | $613.00 | $4.09 – $25.80 | 12 |
| Therapeutic procd strg endur HCPCS G0237 | $52.14 | $237.00 | $13.05 – $391.05 | 12 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $17.82 | $81.00 | $16.20 – $133.65 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $16.14 | $73.35 | $32.70 – $40.55 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $972.62 | $4,421.00 | $92.33 – $7,294.65 | 12 |
| Thrombectmy crnry perq mechanical CPT 92973 | $1,149.06 | $5,223.00 | $77.33 – $8,617.95 | 11 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $5,621.22 | $25,551.00 | $1,474.00 – $41,931.45 | 12 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $9,563.84 | $43,472.00 | $1,474.00 – $62,021.85 | 12 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $13,924.46 | $63,293.00 | $1,474.00 – $101,776.95 | 12 |
| Thrombin time CPT 85670 | $40.48 | $184.00 | $1.59 – $10.39 | 12 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $198.88 | $904.00 | $1.79 – $24.80 | 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.