Illinois / Riverside Medical Center
CMS certification 140186 · Kankakee, IL · 4 entries in CMS's price-transparency list
Riverside Medical Center: charges and Medicare payments
Riverside Medical Center reported 1,672 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 3.63 times what it was paid — mid-range in Illinois, number 67 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 189 stays at an average charge of $48,877, 46% below the national average. It also billed 2,409 outpatient services, charging 7.57 times what Medicare paid.
- 1Medicare inpatient stays 1,672
- 2Charge ÷ paid, inpatient 3.63×
- 3Rank in IL (highest ratio = 1) 67 of 106
- 4CMS price-transparency actions 4
Inpatient stays
For the 52 DRGs that can be compared with the national average, Riverside Medical Center 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 | 189 | $48,877 | -46% | $15,840 |
| 291 Heart Failure and Shock with MCC | 107 | $32,136 | -43% | $10,528 |
| 177 Respiratory Infections and Inflammations with MCC | 100 | $46,425 | -34% | $12,908 |
| 193 Simple Pneumonia and Pleurisy with MCC | 70 | $32,350 | -46% | $10,374 |
| 885 Psychoses | 60 | $15,634 | -65% | $10,945 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 54 | $33,177 | -34% | $8,780 |
| 378 Gastrointestinal Hemorrhage with CC | 49 | $34,782 | -28% | $9,513 |
| 189 Pulmonary Edema and Respiratory Failure | 46 | $32,180 | -44% | $10,902 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 46 | $122,689 | -22% | $30,127 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $32,650 | -46% | $11,222 |
| 690 Kidney and Urinary Tract Infections without MCC | 45 | $29,693 | -21% | $7,854 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $24,095 | -35% | $6,877 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 40 | $33,312 | -32% | $9,439 |
| 683 Renal Failure with CC | 39 | $28,569 | -30% | $7,503 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $67,385 | -33% | $15,686 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 37 | $53,765 | -27% | $12,854 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $104,016 | -55% | $32,410 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $17,518 | -51% | $6,214 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $33,356 | -17% | $6,557 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $40,892 | -27% | $9,093 |
| 603 Cellulitis without MCC | 29 | $26,686 | -28% | $6,986 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $34,982 | -38% | $9,000 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 26 | $61,664 | -38% | $14,257 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $29,043 | -24% | $6,817 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $37,590 | -27% | $10,054 |
| 682 Renal Failure with MCC | 25 | $41,818 | -37% | $11,964 |
| 312 Syncope and Collapse | 24 | $36,164 | -21% | $7,135 |
| 389 Gastrointestinal Obstruction with CC | 23 | $23,860 | -39% | $6,692 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 21 | $179,942 | -19% | $37,402 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $82,611 | -31% | $17,516 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $26,710 | -41% | $7,836 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $90,031 | -21% | $14,467 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $33,913 | -27% | $7,918 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $41,381 | -45% | $13,284 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $47,667 | -44% | $13,746 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $66,595 | -35% | $19,402 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $53,141 | -61% | $20,433 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 14 | $91,187 | -18% | $17,923 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $37,509 | -26% | $7,208 |
| 390 Gastrointestinal Obstruction without CC/MCC | 14 | $25,951 | -7% | $4,881 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 13 | $28,786 | -32% | $5,779 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $52,333 | -20% | $11,145 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $56,343 | -50% | $19,174 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $104,383 | -36% | $22,508 |
| 101 Seizures without MCC | 12 | $35,680 | -27% | $7,438 |
| 394 Other Digestive System Diagnoses with CC | 12 | $36,946 | -21% | $7,757 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $55,885 | -28% | $13,736 |
| 637 Diabetes with MCC | 12 | $35,299 | -47% | $13,126 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $8,225 | -71% | $4,755 |
| 811 Red Blood Cell Disorders with MCC | 11 | $44,540 | -35% | $11,368 |
| 812 Red Blood Cell Disorders without MCC | 11 | $38,766 | -13% | $6,839 |
| 982 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 11 | $117,049 | -1% | $23,678 |
Outpatient services
Against the Illinois average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Medical Center charged $48,877 on average, 34% less than the Illinois average of $73,987, and was paid $15,840 against a state average of $17,651. For Heart Failure and Shock with MCC (DRG 291), Riverside Medical Center charged $32,136 on average, 31% less than the Illinois average of $46,293, and was paid $10,528 against a state average of $11,813. For Respiratory Infections and Inflammations with MCC (DRG 177), Riverside Medical Center charged $46,425 on average, 22% less than the Illinois average of $59,769, and was paid $12,908 against a state average of $14,404. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Riverside Medical Center charged $32,350 on average, 34% less than the Illinois average of $49,081, and was paid $10,374 against a state average of $11,857. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,056 was 26% above the state average of $21,498. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,258 was 23% below the state average of $25,004. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,141 was 23% below the state average of $11,818. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $14,809 was 25% below the state average of $19,664.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverside Medical Center in Kankakee, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-09-24 (CMS case 2710)
- Closure Notice — 2024-11-14 (CMS case 2710)
- Warning Notice — 2025-09-26 (CMS case 6302)
- Closure Notice — 2025-12-03 (CMS case 6302)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.