76/100
#470 nationally
Riverside Regional Medical Center
500 J Clyde Morris Blvd, Newport News, VA 23601 · (757) 594-2000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Riverside Regional Medical Center billed $3.41 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
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 191
- inpatient and outpatient combined
- Rank in VA
- #8
- lower markup ranks higher
- CMS quality stars
- 3/5
- 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 73% of U.S. hospitals.
Better than 69% of U.S. hospitals.
Better than 81% of U.S. hospitals.
Better than 86% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
2,609 | $10,456 | $1,988 | -11% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
1,132 | $1,888 | $586 | -40% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
779 | $17,209 | $2,323 | -11% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
474 | $45,864 | $16,055 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
348 | $5,357 | $1,363 | -47% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
294 | $28,232 | $10,527 | -35% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
265 | $9,443 | $1,624 | -20% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
260 | $5,557 | $1,754 | -57% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
243 | $12,886 | $2,760 | -49% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
232 | $18,615 | $11,614 | -48% |
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 |
|---|---|---|---|
|
Level 2 Icd and Similar Procedures
APC 5232 · Hospital outpatient visit |
$148,257 | $28,243 | about average |
|
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit
MS-DRG 062 · Inpatient stay |
$93,039 | $15,920 | about average |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$35,354 | $4,678 | about average |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 024 · Inpatient stay |
$148,849 | $28,452 | -3% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$11,014 | $1,417 | -3% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$57,410 | $8,299 | -4% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$30,240 | $7,358 | -7% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$40,877 | $8,466 | -8% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Neurostimulator and Related Procedures
APC 5463 · Hospital outpatient visit |
$17,738 | $11,713 | -70% |
|
Biopsies of Musculoskeletal System and Connective Tissue with Major Complications
MS-DRG 477 · Inpatient stay |
$61,409 | $20,984 | -69% |
|
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Major
MS-DRG 239 · Inpatient stay |
$74,364 | $28,225 | -62% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$51,336 | $22,653 | -62% |
|
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D
MS-DRG 464 · Inpatient stay |
$52,607 | $19,610 | -62% |
|
Respiratory Neoplasms with Major Complications
MS-DRG 180 · Inpatient stay |
$30,793 | $15,201 | -59% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$35,636 | $15,564 | -58% |
|
Complicated Peptic Ulcer with Complications
MS-DRG 381 · Inpatient stay |
$22,223 | $8,491 | -58% |
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.