East Adams Rural Healthcare
East Adams Rural Healthcare in Ritzville, WA publishes cash prices for 53 common procedures listed here, from its own machine-readable price file updated Jun 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Washington median for 31 of 52 procedures and above it for 21. By typical cash price it ranks #27 of 60 Washington hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
903 S Adams St Ritzville WA 99169 Collected Sep 22, 2026 Source price file Check a bill from this hospital (509) 659-1200
Critical access hospital (rural, 25 beds or fewer) Government-owned hospital Emergency department CCN 501311 · CMS hospital register
Financial assistance
Public hospital: ask for its charity care or sliding-scale discount
East Adams Rural Healthcare is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.
State law
This state limits hospital bills for lower-income patients
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named East Adams Rural Healthcare in Ritzville, WA:
- Jul 18, 2023 Warning notice
- Nov 2, 2023 Corrective action plan requested
- Feb 29, 2024 Case closed
- Jul 13, 2026 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| CT scan of the head or brain, no contrast dye CPT 70450 O CT HEAD W/O CONTRAST | $1,191.70 | $1,588.94 | $200.07 | 11% below | 25% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W/ CONTRAST | $1,682.53 | $2,243.37 | $2,097.55 | at median | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 O XR SHOULDER 2+ VIEW, COMPLETE | $62.16 | $82.88 | $64.16 | 81% below | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 C XR SHOULDER 2+ VIEW, COMPLETE | $330.98 | $441.30 | $64.16 | 1% above | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 O XR WRIST 3+ VIEW, COMPLETE | $67.03 | $89.37 | $77.00 | 79% below | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 C XR WRIST 3+ VIEW, COMPLETE | $342.33 | $456.44 | $77.00 | 9% above | 25% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 O XR FOOT 3+ VIEW COMPLETE LEFT | $324.90 | $433.20 | $63.00 | 8% above | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| C-peptide blood test CPT 84681 HC C-PEPTIDE, SERUM (REF LAB) | $79.50 | $106.00 | $29.34 | 28% below | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP/C-REACTIVE PROTEIN | $81.89 | $109.18 | $7.30 | 40% above | 25% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIVDQ-HIV-1 RNA DETECT&QUANT,P (REF LAB) | $559.28 | $745.71 | $119.99 | 45% above | 25% |
| Insulin blood test CPT 83525 HC INSULIN ASSAY (REF LAB) | $79.50 | $106.00 | $16.12 | 4% below | 25% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH C/V THIN LAYER | $79.50 | $106.00 | $28.57 | 4% below | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT, INR (POC) | $79.50 | $106.00 | $6.05 | 99% above | 25% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 P POCT RAPID STREP | $58.03 | $77.38 | $23.31 | 19% below | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES TC | $34.98 | $46.64 | $6.18 | 15% above | 25% |
| Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST, URINE | $64.39 | $85.86 | $12.14 | 29% above | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine both sides CPT 64615 HC CHEMODENERVATION OF MUSCLE, INNERVATED BY FACIAL, TRIGEMINAL, CERVICAL SPINAL AND ACCESSORY NERVES, BILATERAL | $111.30 | $148.40 | $138.75 | — | 25% |
| Botox injections for chronic migraine both sides CPT 64615 PR CHEMODENERVATION OF MUSCLE, INNERVATED BY FACIAL, TRIGEMINAL, CERVICAL SPINAL AND ACCESSORY NERVES, BILATERAL | $283.62 | $378.16 | $353.58 | — | 25% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 P REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL | $37.45 | $49.93 | $46.68 | 66% below | 25% |
| Earwax removal by irrigation (rinsing), one ear one side CPT 69209 C REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | $51.68 | $68.90 | $64.42 | 54% below | 25% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC INJ(S) SUBSTANCE(S),INTERLAMINAR EPIDURAL OR SUBARACHNOID,CERVICAL,THORACIC W/IMAGING GUIDANCE | $1,476.32 | $1,968.42 | $1,840.47 | 3% below | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ FACET JT LUMB/SACR W/ IMG SING LVL | $1,634.52 | $2,179.36 | $2,037.70 | 29% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SINGL TENDON/LIGA/APONEU | $227.37 | $303.16 | $283.45 | 25% below | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROHCENTESIS MAJOR JOINT OR BURSA W/O US GUIDANHCE | $490.51 | $654.02 | $611.51 | 1% above | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS INTER JOINT OR BURSA W/O US GUIDANCE | $333.90 | $445.20 | $416.26 | 27% below | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | $310.84 | $414.46 | $387.52 | 18% below | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ(S) DIAG/THERA SUBST(S),EPIDURAL/SUBARACHNOID,LUMBAR/SACRAL(CAUDAL),W/IMAGING GUIDANCE | $1,593.18 | $2,124.24 | $1,986.16 | 4% above | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION(S), ANESTHETIC AGENT AND/OR STEROID; TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT), LUMBAR OR SACRAL, SINGLE LEVEL | $1,768.88 | $2,358.50 | $2,205.20 | 3% above | 25% |
| Nail removal (partial or complete), one nail CPT 11730 C AVULSION NAIL PLATE,PARTIALOR COMP,SINGLE | $162.98 | $217.30 | $203.18 | 42% below | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION(S) ANESTHETIC AGENT(S) AND OR STEROID,GREATER OCCIPITAL NERVE | $706.75 | $942.34 | $881.09 | 7% above | 25% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DES PARVERTEB LUM/SAC SINGLE W/IMG | $3,259.50 | $4,346.00 | $4,063.51 | 3% above | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 HC ED- INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE | $1,136.50 | $1,515.34 | $1,416.84 | 119% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 C APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND), STATIC | $167.75 | $223.66 | $209.12 | 40% below | 25% |
| Short leg splint (calf to foot) CPT 29515 C APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) | $247.25 | $329.66 | $308.23 | 30% below | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 C SIMPLE REPAIR SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK OR EXTREMITIES <2.5 CM | $273.48 | $364.64 | $340.94 | 19% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 C REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 LESIONS | $159.00 | $212.00 | $198.22 | 27% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC | $979.44 | $1,305.92 | $1,221.04 | 1% below | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMPLE REPAIR OF WOUNDS SCALP, NECK, AXILLAE, EXT GENITALIA, TRUNK, EXTRM, 2.6-7.5 CM | $287.00 | $382.66 | $357.79 | 31% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SIMPLE REPAIR OF WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS, MUCOUS MEMBRANES; UP-2.5 CM | $259.17 | $345.56 | $323.10 | 36% below | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | $477.00 | $636.00 | $594.66 | 32% above | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 C DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED) FIRST 20 SQ CM OR LESS | $647.13 | $862.84 | $806.76 | 1% above | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | $194.77 | $259.70 | $242.82 | 3% below | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR AIRWAY INHALATION TREATMENT | $298.12 | $397.50 | $371.66 | 49% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 C RT-IN/EXSUFFOLATOR INITIAL | $298.12 | $397.50 | $371.66 | 49% above | 25% |
| Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR | $2,839.78 | $3,786.38 | $3,540.27 | 12% below | 25% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC VISIT-ED,LEVEL I | $227.37 | $303.16 | $283.45 | 9% below | 25% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC VISIT-ED,LEVEL II | $438.84 | $585.12 | $547.09 | 3% below | 25% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC VISIT-ED,LEVEL III | $665.41 | $887.22 | $829.55 | 17% below | 25% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC VISIT-ED,LEVEL IV | $1,039.86 | $1,386.48 | $1,296.36 | 23% below | 25% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC VISIT-ED,LEVEL V | $2,333.32 | $3,111.10 | $2,908.88 | 4% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION INITIAL (31 -60 MIN) | $360.13 | $480.18 | $448.97 | 7% above | 25% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 PR INTRAVENOUS INFUSION, HYDRATN; INITIAL, 31 MINUTES TO 1 HR | $361.63 | $482.17 | $450.83 | 7% above | 25% |
| IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THERAPY PROPHYLAXIS/ DX INITIAL TO UP TO 1 HR | $452.36 | $603.14 | $563.94 | 12% above | 25% |
| IV push of a medicine, first drug CPT 96374 HC IVPUSH/15 MIN/LESS INITIAL | $266.33 | $355.10 | $332.02 | 14% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PR THER, PROPHYLACTIC, OR DIAG INJ SUBCUTANEOUS/INTRAMUSCULAR | $89.04 | $118.72 | $111.00 | 9% below | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | $89.04 | $118.72 | $111.00 | 9% below | 25% |
| Spirometry (breathing test) one side CPT 94010 C RT-SPIROMETRY SCREENING FVC/FEV | $191.59 | $255.46 | $238.86 | 23% below | 25% |
| Spirometry before and after a bronchodilator one side CPT 94060 C RT-SPIROMETRY PRE/POST BRONCODILATOR | $353.77 | $471.70 | $441.04 | 16% below | 25% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | $128.79 | $171.72 | $160.56 | 36% below | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Washington | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 C IMMUNIZATION ADMINISTRATION, 1 VACCINE | $75.53 | $100.70 | $94.15 | 80% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 C IMMUNIZATION ADMINISTRATION, EACH ADDITIONAL | $64.39 | $85.86 | $80.28 | 78% above | 25% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://www.earh.org/wp-content/uploads/2026/06/916001963_east-adams-rural-hospital_standardcharges.csv