17/100
#2,252 nationally
Riverside University Health System-Medical Center
26520 Cactus Avenue, Moreno Valley, CA 92555 · (951) 486-4000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Riverside University Health System-Medical Center billed $5.51 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
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 72
- inpatient and outpatient combined
- Rank in CA
- #182
- 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 27% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 14% 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 |
229 | $153,165 | $26,424 | +135% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
164 | $45,800 | $3,242 | +136% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
136 | $90,729 | $19,924 | +151% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
93 | $94,437 | $17,881 | +118% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
62 | $12,056 | $1,762 | +20% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
61 | $88,557 | $15,285 | +126% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
53 | $3,946 | $840 | +26% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
45 | $85,660 | $18,294 | +77% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
41 | $419,972 | $84,827 | +136% |
|
Fainting
MS-DRG 312 · Inpatient stay |
38 | $99,878 | $12,537 | +173% |
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 |
|---|---|---|---|
|
Traumatic Stupor and Coma <1 Hour with Complications
MS-DRG 086 · Inpatient stay |
$186,973 | $19,846 | +230% |
|
Traumatic Stupor and Coma >1 Hour with Complications
MS-DRG 083 · Inpatient stay |
$186,675 | $20,236 | +212% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$187,634 | $33,873 | +192% |
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$154,643 | $21,742 | +174% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$99,878 | $12,537 | +173% |
|
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with
MS-DRG 543 · Inpatient stay |
$112,067 | $15,543 | +171% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$201,307 | $31,539 | +164% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$91,149 | $7,094 | +160% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$18,662 | $4,013 | -26% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$6,817 | $1,969 | -21% |
|
Level 3 Extraocular, Repair, and Plastic Eye Procedures
APC 5503 · Hospital outpatient visit |
$14,474 | $2,351 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,270 | $2,504 | +10% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$80,730 | $20,228 | +19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$12,056 | $1,762 | +20% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$97,672 | $24,747 | +22% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,946 | $840 | +26% |
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.