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 |
|---|---|---|---|---|
| Cystic fibrosis cftr CPT 81223 | $1,089.00 | $4,950.00 | $499.00 – $2,211.88 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $533.06 | $2,423.00 | $17.70 – $2,511.30 | 12 |
| Cytogenetics 25-99 CPT 88274 | $18.48 | $84.00 | $16.80 – $76.28 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $23.54 | $107.00 | $3.32 – $25.90 | 12 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $16.06 | $73.00 | $4.89 – $30.33 | 12 |
| Cyto/molecular report CPT 88291 | $7.04 | $32.00 | $1.06 – $53.51 | 22 |
| Cytopath c/v manual CPT 88150 | $24.86 | $113.00 | $9.94 – $33.37 | 12 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $50.16 | $228.00 | $16.28 – $121.05 | 12 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $19.58 | $89.00 | $6.68 – $36.47 | 12 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $58.74 | $267.00 | $17.40 – $86.76 | 12 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $27.72 | $126.00 | $25.20 – $86.76 | 12 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $12.76 | $58.00 | $5.16 – $55.04 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $75.46 | $343.00 | $32.60 – $395.76 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $68.42 | $311.00 | $32.60 – $121.05 | 12 |
| Cytopath smear other source CPT 88160 | $28.60 | $130.00 | $26.00 – $67.19 | 12 |
| Cytopath smear other source CPT 88162 | $22.44 | $102.00 | $20.40 – $121.05 | 12 |
| Cytopath smear oth prep screen & interp CPT 88161 | $32.56 | $148.00 | $15.00 – $67.19 | 12 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $112.42 | $511.00 | $87.00 – $435.00 | 12 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $11.62 | $52.83 | $3.89 – $65.51 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $643.84 | $2,926.55 | $11.29 – $585.31 | 12 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $44.54 | $202.44 | $0.02 – $251.03 | 7 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $4,400.00 | $20,000.00 | $57.05 – $1,474.00 | 12 |
| D&c after delivery 59160 CPT 59160 | $123.42 | $561.00 | $5.82 – $340.47 | 22 |
| Dch glucoscan CPT 82948 | $21.78 | $99.00 | $0.81 – $9.80 | 12 |
| Dch validity tests CPT 81002 | $24.42 | $111.00 | $0.77 – $6.26 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $16.72 | $76.00 | $2.21 – $21.69 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $128.70 | $585.00 | $21.38 – $965.25 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $612.04 | $2,782.00 | $112.18 – $4,590.30 | 12 |
| Debride nail6 or more 11721 CPT 11721 | $99.00 | $450.00 | $48.07 – $742.50 | 12 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $275.66 | $1,253.00 | $15.77 – $2,067.45 | 12 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $71.94 | $327.00 | $42.07 – $539.55 | 11 |
| Decalcification CPT 88311 | $20.68 | $94.00 | $1.60 – $37.12 | 12 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $564.96 | $2,568.00 | $1.54 – $3,184.32 | 7 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $321.64 | $1,462.00 | $33.51 – $2,412.30 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $754.47 | $3,429.41 | $4.48 – $429.43 | 12 |
| Delivery of placenta 59414 CPT 59414 | $1,238.60 | $5,630.00 | $88.91 – $7,519.63 | 12 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $129.14 | $587.00 | $12.34 – $968.55 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $2,139.02 | $9,722.80 | $30.10 – $1,044.85 | 12 |
| Design mlc device for imrt CPT 77338 | $814.44 | $3,702.00 | $187.87 – $6,108.30 | 12 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $64.34 | $292.44 | $64.17 – $79.57 | 6 |
| Desoxycorticosterone CPT 82633 | $6.99 | $31.75 | $6.35 – $55.76 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $43.56 | $198.00 | $39.60 – $466.06 | 11 |
| Device ablt adv novasure HCPCS C1886 | $2,480.06 | $11,273.00 | $1,800.00 – $2,970.00 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,300.00 | $15,000.00 | $15,000.00 – $24,750.00 | 6 |
| Device intraute mirena HCPCS J7298 | $1,155.66 | $5,253.00 | $1,101.70 – $9,718.05 | 11 |
| Device sut capio slim opn HCPCS C2631 | $962.94 | $4,377.00 | $4,377.00 – $7,222.05 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $9.02 | $41.02 | $3.43 – $4.25 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $13.56 | $61.66 | $4.94 – $38.91 | 7 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $15.91 | $72.34 | $1.25 – $39.78 | 7 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $16.59 | $75.39 | $0.59 – $93.49 | 7 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $17.55 | $79.79 | $1.81 – $94.30 | 7 |
| Dextrose 5 % IV bolus HCPCS J7070 | $15.69 | $71.32 | $3.63 – $88.44 | 7 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $70.40 | $320.00 | $6.50 – $40.01 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $268.40 | $1,220.00 | $1.71 – $17.48 | 12 |
| Diag laparo separate proc 49320 CPT 49320 | $220.00 | $1,000.00 | $10.49 – $481.20 | 22 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $45.76 | $208.00 | $41.60 – $463.67 | 12 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,085.82 | $9,481.00 | $169.42 – $15,643.65 | 12 |
| Dialysis one evaluation CPT 90945 | $534.16 | $2,428.00 | $103.51 – $4,006.20 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $46.34 | $210.62 | $10.70 – $261.17 | 7 |
| Dicyclomine injection HCPCS J0500 | $56.36 | $256.19 | $26.77 – $317.68 | 7 |
| Diffusing capacity CPT 94729 | $149.60 | $680.00 | $5.80 – $123.62 | 12 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $12.18 | $55.38 | $12.56 – $68.67 | 7 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $3,151.53 | $14,325.12 | $1,474.00 – $9,689.98 | 12 |
| Digoxin total therapeutic drug level CPT 80162 | $158.84 | $722.00 | $3.82 – $23.90 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $110.95 | $504.33 | $50.88 – $625.37 | 7 |
| Dilator fascial 10fx20cm HCPCS C2627 | $119.90 | $545.00 | $545.00 – $899.25 | 6 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $17.14 | $77.92 | $48.23 – $59.80 | 6 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $11.00 | $50.00 | $5.80 – $59.85 | 7 |
| Disaccharidases CPT 82657 | $81.14 | $368.80 | $3.55 – $39.91 | 12 |
| Dna antibody native/double stranded CPT 86225 | $4.40 | $20.00 | $1.60 – $24.73 | 12 |
| Dna gardnerella CPT 87510 | $102.74 | $467.00 | $5.84 – $93.40 | 12 |
| Dna trichomonas CPT 87660 | $102.74 | $467.00 | $3.86 – $93.40 | 12 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $79.09 | $359.51 | $8.19 – $326.16 | 7 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $3.02 | $13.71 | $0.93 – $17.00 | 7 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $28.10 | $127.71 | $0.85 – $158.36 | 7 |
| Doppler echo complete CPT 93320 | $238.48 | $1,084.00 | $47.44 – $1,788.60 | 12 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,188.02 | $14,491.00 | $124.12 – $23,910.15 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $821.70 | $3,735.00 | $46.75 – $3,621.75 | 12 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $331.32 | $1,506.00 | $25.82 – $1,541.10 | 12 |
| Dornhoffer fixed part w/window HCPCS L8614 | $1,931.16 | $8,778.00 | $1,474.00 – $43,468.31 | 7 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $4,925.27 | $22,387.59 | $247.44 – $1,474.00 | 11 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $24.33 | $110.57 | $3.52 – $17.77 | 7 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $990.14 | $4,500.66 | $116.61 – $555.88 | 12 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $34.72 | $157.81 | $157.81 – $195.68 | 6 |
| Dpyd gene common variants CPT 81232 | $38.46 | $174.81 | $34.96 – $314.66 | 12 |
| Drainage of kidney lesion CPT 50390 | $1,499.08 | $6,814.00 | $70.74 – $4,791.60 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | $2,322.32 | $10,556.00 | $968.72 – $17,417.40 | 12 |
| Drain blood from under nail 11740 CPT 11740 | $154.66 | $703.00 | $28.10 – $1,159.95 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,172.38 | $5,329.00 | $594.94 – $8,792.85 | 12 |
| Drain cath image guided visceral pq CPT 49405 | $3,071.64 | $13,962.00 | $183.92 – $8,428.20 | 12 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $404.14 | $1,837.00 | $82.28 – $3,031.05 | 12 |
| Drain ovarn cyst abd CPT 58805 | $1,019.70 | $4,635.00 | $872.17 – $7,647.75 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $146.96 | $668.00 | $86.51 – $1,102.20 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $159.06 | $723.00 | $45.40 – $1,192.95 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $293.48 | $1,334.00 | $81.53 – $2,201.10 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | $203.72 | $926.00 | $185.20 – $3,836.56 | 11 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $19.52 | $88.74 | $14.87 – $110.04 | 7 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $760.76 | $3,458.00 | $1,980.00 – $3,267.00 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,756.86 | $30,713.00 | $12.82 – $1,474.00 | 9 |
| Drug admin & hemodynmic meas CPT 93463 | $1,112.54 | $5,057.00 | $83.02 – $8,344.05 | 11 |
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.