Adventist Health and Rideout
ADVENTIST HEALTH AND RIDEOUT in Marysville, CA charges 7.6x the Medicare reimbursement rate on average, with 29% of analyzed procedures showing significant price variations.
Marysville, CA 95901 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Billing patterns — government-federal
Federal Government Hospitals (VA/DoD) in our dataset show distinct billing patterns compared to other ownership types. These 14 facilities demonstrate an average markup of 4.1x Medicare rates, which falls within the mid-range compared to other hospital categories. VA and DoD hospitals typically operate under federal pricing structures that may differ significantly from private healthcare facilities. Patients should be aware that while these hospitals serve specific populations (veterans and military families), their charge patterns can still vary considerably from Medicare benchmarks. The billing structure at federal facilities often reflects government healthcare pricing models, which may include different cost accounting methods and reimbursement frameworks. Veterans eligible for VA care and military beneficiaries using DoD facilities should verify their coverage status and understand any potential differences between posted charges and their actual financial responsibility under federal healthcare programs.
Pricing grade
D
High
Avg markup vs Medicare
7.64x
Charge / Medicare rate
Max markup
13.11x
Worst procedure
Procedures analyzed
80
With pricing data
Outlier procedures
28.8%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $130,183 | $65,092 | — | 13.1x |
| OTHER FACTORS INFLUENCING HEALTH STATUS | 951 | $52,814 | $26,407 | — | 11.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $93,532 | $46,766 | — | 11.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $140,425 | $70,212 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $67,688 | $33,844 | — | 11.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $215,510 | $107,755 | — | 11.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $46,735 | $23,368 | — | 10.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $60,750 | $30,375 | — | 9.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $96,582 | $48,291 | — | 9.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $160,767 | $80,383 | — | 9.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $174,416 | $87,208 | — | 9.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $63,918 | $31,959 | — | 9.4x |
| DYSEQUILIBRIUM | 149 | $60,379 | $30,190 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $59,861 | $29,931 | — | 9.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $83,030 | $41,515 | — | 9.2x |
| SEIZURES WITHOUT MCC | 101 | $71,782 | $35,891 | — | 8.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $115,750 | $57,875 | — | 8.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $270,520 | $135,260 | — | 8.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $74,954 | $37,477 | — | 8.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $111,217 | $55,609 | — | 8.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $58,937 | $29,468 | — | 8.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $92,709 | $46,354 | — | 8.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $71,971 | $35,986 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $180,245 | $90,122 | — | 8.4x |
| SYNCOPE AND COLLAPSE | 312 | $61,978 | $30,989 | — | 8.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $63,014 | $31,507 | — | 8.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $84,035 | $42,017 | — | 8.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $58,984 | $29,492 | — | 8.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $76,732 | $38,366 | — | 8.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $102,773 | $51,386 | — | 8.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $37,374 | $18,687 | — | 8.2x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $77,021 | $38,511 | — | 8.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $214,353 | $107,177 | — | 8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $87,443 | $43,722 | — | 7.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $122,298 | $61,149 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $55,130 | $27,565 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $127,506 | $63,753 | — | 7.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $195,526 | $97,763 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $51,335 | $25,667 | — | 7.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $74,586 | $37,293 | — | 7.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $65,999 | $32,999 | — | 7.5x |
| RENAL FAILURE WITH CC | 683 | $62,816 | $31,408 | — | 7.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $78,931 | $39,466 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $56,572 | $28,286 | — | 7.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $136,615 | $68,308 | — | 7.2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $67,725 | $33,862 | — | 7.1x |
| CELLULITIS WITHOUT MCC | 603 | $56,913 | $28,456 | — | 7.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $172,068 | $86,034 | — | 7.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $98,209 | $49,105 | — | 7x |
| CELLULITIS WITH MCC | 602 | $101,795 | $50,898 | — | 7x |
Showing 50 of 80 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government-federal hospital billing
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use