32/100
#1,826 nationally
Riverview Medical Center
One Riverview Plaza, Red Bank, NJ 07701 · (732) 741-2700
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Riverview Medical Center billed $6.27 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
- 6.3x
- volume-weighted across all its priced work
- Procedures priced
- 129
- inpatient and outpatient combined
- Rank in NJ
- #19
- 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 16% of U.S. hospitals.
Better than 66% of U.S. hospitals.
Better than 27% of U.S. hospitals.
Better than 22% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
997 | $29,944 | $2,878 | +54% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
458 | $40,685 | $13,878 | -35% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
373 | $10,032 | $1,712 | about average |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
323 | $11,328 | $2,464 | -4% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
296 | $113,012 | $16,058 | +73% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
238 | $30,176 | $6,079 | -14% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
237 | $14,776 | $3,695 | -28% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
224 | $75,176 | $10,181 | +73% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
165 | $58,656 | $10,800 | about average |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
158 | $22,045 | $5,402 | -20% |
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 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$8,641 | $672 | +176% |
|
Major Gastrointestinal Disorders and Peritoneal Infections with Complications
MS-DRG 372 · Inpatient stay |
$81,879 | $8,394 | +106% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$157,225 | $16,551 | +101% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$97,108 | $9,920 | +101% |
|
Other Digestive System Diagnoses with Major Complications
MS-DRG 393 · Inpatient stay |
$128,306 | $15,704 | +100% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$64,572 | $6,683 | +99% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$90,477 | $9,313 | +91% |
|
Signs and Symptoms with Major Complications
MS-DRG 947 · Inpatient stay |
$103,815 | $11,362 | +90% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$42,483 | $11,647 | -37% |
|
Level 5 Gynecologic Procedures
APC 5415 · Hospital outpatient visit |
$19,061 | $5,272 | -37% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$40,685 | $13,878 | -35% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$16,174 | $3,975 | -32% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$14,776 | $3,695 | -28% |
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay |
$60,116 | $16,413 | -28% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$89,244 | $22,860 | -25% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$13,686 | $3,314 | -25% |
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.