California / Doctors Hospital of Riverside, LLC
CMS certification 050102 · Riverside, CA
Doctors Hospital of Riverside, LLC: charges and Medicare payments
Doctors Hospital of Riverside, LLC reported 601 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.97 times what it was paid — mid-range in California, number 89 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 145 stays at an average charge of $135,505, 50% above the national average. It also billed 189 outpatient services, charging 8.54 times what Medicare paid.
- 1Medicare inpatient stays 601
- 2Charge ÷ paid, inpatient 5.97×
- 3Rank in CA (highest ratio = 1) 89 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 22 DRGs that can be compared with the national average, Doctors Hospital of Riverside, LLC charged more than the national average in 18 (82%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 145 | $135,505 | +50% | $19,780 |
| 193 Simple Pneumonia and Pleurisy with MCC | 42 | $79,300 | +33% | $13,753 |
| 291 Heart Failure and Shock with MCC | 41 | $92,080 | +63% | $14,797 |
| 690 Kidney and Urinary Tract Infections without MCC | 35 | $40,187 | +6% | $8,748 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $39,113 | +6% | $8,406 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 32 | $57,933 | +18% | $10,548 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $50,721 | -16% | $12,996 |
| 603 Cellulitis without MCC | 23 | $52,804 | +42% | $9,436 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 23 | $315,312 | -2% | $56,331 |
| 071 Other Cerebrovascular Disorders with CC | 21 | $54,249 | +7% | $10,812 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $99,495 | +41% | $16,084 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $65,917 | +30% | $11,233 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $58,668 | +14% | $12,069 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $44,444 | +11% | $8,599 |
| 811 Red Blood Cell Disorders with MCC | 16 | $61,812 | -9% | $14,414 |
| 682 Renal Failure with MCC | 15 | $96,680 | +47% | $14,767 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $78,122 | +3% | $15,594 |
| 683 Renal Failure with CC | 14 | $39,533 | -3% | $9,474 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $158,785 | +116% | $18,528 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 11 | $171,070 | +26% | $27,038 |
| 313 Chest Pain | 11 | $41,651 | +4% | $8,006 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $309,860 | +35% | $47,470 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 154 | $29,458 | $3,365 |
| Level 5 Musculoskeletal Procedures | 12 | $83,842 | $16,148 |
| Level 1 Laparoscopy and Related Services | 12 | $31,290 | $7,094 |
| Level 6 Gynecologic Procedures | 11 | $35,219 | $9,285 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Doctors Hospital of Riverside, LLC charged $135,505 on average, 5% less than the California average of $143,063, and was paid $19,780 against a state average of $23,020. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Doctors Hospital of Riverside, LLC charged $79,300 on average, 24% less than the California average of $103,761, and was paid $13,753 against a state average of $15,112. For Heart Failure and Shock with MCC (DRG 291), Doctors Hospital of Riverside, LLC charged $92,080 on average, 9% less than the California average of $100,739, and was paid $14,797 against a state average of $15,556. For Kidney and Urinary Tract Infections without MCC (DRG 690), Doctors Hospital of Riverside, LLC charged $40,187 on average, 37% less than the California average of $63,565, and was paid $8,748 against a state average of $9,722. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,458 was 29% below the state average of $41,628. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $83,842 was 23% below the state average of $109,149. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $31,290 was 51% below the state average of $64,351. For Level 6 Gynecologic Procedures (outpatient APC 5416), its average charge of $35,219 was 53% below the state average of $74,245.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.