Riverside Doctors' Hospital of Williamsburg: charges and Medicare payments

Riverside Doctors' Hospital of Williamsburg reported 468 Medicare inpatient stays across 18 DRGs in 2024. Across them it charged 2.85 times what it was paid — among the lower ratios in Virginia, number 53 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 109 stays at an average charge of $31,627, 65% below the national average. It also billed 863 outpatient services, charging 5.27 times what Medicare paid.

1Medicare inpatient stays 468
2Charge ÷ paid, inpatient 2.85×
3Rank in VA (highest ratio = 1) 53 of 66
4CMS price-transparency actions 0

Average charge per stay at Riverside Doctors' Hospital of Williamsburg, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 18 DRGs that can be compared with the national average, Riverside Doctors' Hospital of Williamsburg charged more than the national average in 0 (0%). 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	109	$31,627	-65%	$13,083
291 Heart Failure and Shock with MCC	53	$20,701	-63%	$8,076
470 Major Hip and Knee Joint Replacement or Reattachment of...	44	$41,811	-55%	$14,086
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	32	$20,415	-58%	$6,331
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	27	$21,918	-41%	$5,006
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	20	$31,606	-43%	$7,044
177 Respiratory Infections and Inflammations with MCC	19	$37,776	-46%	$10,355
193 Simple Pneumonia and Pleurisy with MCC	19	$23,587	-61%	$8,256
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$14,599	-60%	$5,324
690 Kidney and Urinary Tract Infections without MCC	17	$16,867	-55%	$5,166
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$16,644	-59%	$5,816
189 Pulmonary Edema and Respiratory Failure	15	$21,836	-62%	$9,053
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$20,662	-64%	$7,753
683 Renal Failure with CC	15	$19,266	-53%	$5,562
178 Respiratory Infections and Inflammations with CC	13	$20,294	-55%	$6,137
280 Acute Myocardial Infarction, Discharged Alive with MCC	13	$17,689	-77%	$9,127
378 Gastrointestinal Hemorrhage with CC	13	$21,350	-56%	$6,391
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	11	$11,306	-61%	$3,557

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	221	$15,053	$2,331
Level 4 Urology and Related Services	67	$11,457	$2,966
Level 3 Excision/ Biopsy/ Incision and Drainage	66	$14,316	$2,410
Level 5 Musculoskeletal Procedures	64	$38,045	$11,167
Level 4 Musculoskeletal Procedures	62	$26,359	$5,922
Level 5 Urology and Related Services	61	$14,181	$4,339
Level 2 Upper GI Procedures	56	$9,540	$1,592
Level 2 Excision/ Biopsy/ Incision and Drainage	38	$5,566	$1,293
Level 6 Musculoskeletal Procedures	37	$48,871	$16,013
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	25	$13,524	$2,979
Level 1 Laparoscopy and Related Services	24	$18,943	$4,968
Level 3 Musculoskeletal Procedures	22	$15,153	$2,787
Level 3 Urology and Related Services	21	$10,677	$1,754
Level 1 Nerve Procedures	21	$11,260	$1,599
Level 3 Vascular Procedures	20	$14,115	$2,607
Level 4 Airway Endoscopy	19	$10,401	$3,089
Level 2 Musculoskeletal Procedures	15	$8,228	$1,384
Level 2 Vascular Procedures	13	$7,763	$1,379
Level 2 Urology and Related Services	11	$6,293	$588

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Doctors' Hospital of Williamsburg charged $31,627 on average, 52% less than the Virginia average of $65,235, and was paid $13,083 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Riverside Doctors' Hospital of Williamsburg charged $20,701 on average, 49% less than the Virginia average of $40,795, and was paid $8,076 against a state average of $11,030. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Riverside Doctors' Hospital of Williamsburg charged $41,811 on average, 61% less than the Virginia average of $107,897, and was paid $14,086 against a state average of $15,677. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Riverside Doctors' Hospital of Williamsburg charged $20,415 on average, 45% less than the Virginia average of $37,022, and was paid $6,331 against a state average of $8,962. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,053 was 23% below the state average of $19,506. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $11,457 was 48% below the state average of $21,969. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $14,316 was 37% below the state average of $22,901. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,045 was 55% below the state average of $83,920.

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.