CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Adventist Health and Rideout

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$7,508

about 1.3× the $5,676 Medicare rate · typically $6,637–$15,867

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,527

About the fair price

about $19 over the fair price · 1.3× Medicare

Medicare pays $5,676 Fair price $7,508 This hospital $7,527 Cash price $10,344 Hospital's list price $47,017

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

On the higher side — 7 of 8 other CA hospitals charge less.

Cheapest $5,150 Priciest $7,545

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,508 (about 1.3× the $5,676 Medicare rate). Adventist Health and Rideout charges insurers about $7,527, or about $10,344 in cash — about the fair price. Located in Marysville, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$7,490 - $40,839	132%
Blue Cross Blue Shieldmajor	$7,565 - $44,666	133%
Aetnamajor	$33,241	586%
Cignamajor	$40,468	713%
Kaiser Permanentemajor	$7,490 - $35,733	132%
Health Net	$5,896 - $35,921	104%
+ 5 smaller / regional plans	$13,481 - $24,895

Government programs also on file: Medicaid, Military & VA.

Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 10,344), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health and Rideout is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health and Rideout

Compare: Digestive disorders treatment (inpatient stay) at other CA hospitals

College Medical Center · Long Beach $5,150
Salinas Valley Memorial Hospital · Salinas $6,988
Shriners Hospitals for Children Northern Calif · Sacramento $7,300
Good Samaritan Hospital, LP · Bakersfield $7,405
Casa Colina Hospital · Pomona $7,407
French Hospital Medical Center · San Luis Obispo $7,451
Oak Valley Hospital District · Oakdale $7,456
San Dimas Community Hospital · San Dimas $7,545

Insurance negotiated median for the same procedure, sorted lowest first.