17/100
#2,253 nationally
Riverview Regional Medical Center
600 South Third Street, Gadsden, AL 35901 · (256) 543-5200
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Riverview Regional Medical Center billed $7.95 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
- 7.9x
- volume-weighted across all its priced work
- Procedures priced
- 54
- inpatient and outpatient combined
- Rank in AL
- #35
- 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 14% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 13% 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 |
272 | $96,711 | $12,310 | +48% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
139 | $25,311 | $2,630 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
105 | $60,241 | $8,155 | +39% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
81 | $11,623 | $1,562 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
72 | $131,592 | $10,524 | +111% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
64 | $55,627 | $9,680 | +5% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
58 | $53,799 | $8,038 | +11% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
57 | $74,418 | $10,706 | +35% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
51 | $49,928 | $2,602 | +145% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
49 | $34,184 | $5,231 | +6% |
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 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$38,991 | $1,516 | +244% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$35,689 | $1,333 | +218% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$49,928 | $2,602 | +145% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$131,592 | $10,524 | +111% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$81,254 | $5,931 | +104% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$18,994 | $1,344 | +88% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$137,178 | $11,868 | +72% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$278,271 | $32,676 | +56% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Diabetes with Major Complications
MS-DRG 637 · Inpatient stay |
$36,166 | $9,256 | -36% |
|
Cranial and Peripheral Nerve Disorders without Major Complications
MS-DRG 074 · Inpatient stay |
$32,226 | $6,685 | -32% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$28,866 | $6,363 | -21% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$32,005 | $6,254 | -19% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$33,360 | $7,400 | -18% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$27,790 | $4,967 | -18% |
|
Atherosclerosis without Major Complications
MS-DRG 303 · Inpatient stay |
$25,368 | $4,406 | -16% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$47,873 | $8,962 | -15% |
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.