4/100
#2,548 nationally
Riverside Community Hospital
4445 Magnolia Avenue, Riverside, CA 92501 · (951) 788-3000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Riverside Community Hospital billed $10.95 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 10.9x
- volume-weighted across all its priced work
- Procedures priced
- 126
- inpatient and outpatient combined
- Rank in CA
- #217
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 5% of U.S. hospitals.
Better than 6% of U.S. hospitals.
Better than 2% of U.S. hospitals.
Better than 8% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
614 | $276,017 | $25,680 | +323% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
281 | $65,523 | $3,365 | +237% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
134 | $72,482 | $3,991 | +187% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
119 | $181,630 | $20,974 | +196% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
114 | $153,920 | $16,918 | +255% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
98 | $136,963 | $13,526 | +249% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
97 | $164,141 | $20,052 | +189% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
92 | $815,153 | $62,810 | +358% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
81 | $347,106 | $24,941 | +355% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
79 | $199,678 | $16,148 | +220% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$815,153 | $62,810 | +358% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$347,106 | $24,941 | +355% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$205,599 | $12,542 | +351% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$244,828 | $20,781 | +345% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$210,643 | $15,779 | +345% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$36,847 | $1,969 | +330% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$47,889 | $1,976 | +326% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$276,017 | $25,680 | +323% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$85,324 | $13,108 | +66% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$19,990 | $2,087 | +75% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$20,993 | $2,339 | +79% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$90,342 | $19,443 | +81% |
|
Gastrointestinal Obstruction with Major Complications
MS-DRG 388 · Inpatient stay |
$124,922 | $18,913 | +117% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$38,943 | $3,494 | +120% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$71,797 | $10,424 | +121% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$82,782 | $11,975 | +123% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.