Virginia / Riverside Regional Medical Center
CMS certification 490052 · Newport News, VA · 5 entries in CMS's price-transparency list
Riverside Regional Medical Center: charges and Medicare payments
Riverside Regional Medical Center reported 4,996 Medicare inpatient stays across 140 DRGs in 2024. Across them it charged 2.95 times what it was paid — among the lower ratios in Virginia, number 47 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: 474 stays at an average charge of $45,864, 49% below the national average. It also billed 8,455 outpatient services, charging 5.97 times what Medicare paid.
- 1Medicare inpatient stays 4,996
- 2Charge ÷ paid, inpatient 2.95×
- 3Rank in VA (highest ratio = 1) 47 of 66
- 4CMS price-transparency actions 5
Inpatient stays
For the 140 DRGs that can be compared with the national average, Riverside Regional 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 | 474 | $45,864 | -49% | $16,055 |
| 291 Heart Failure and Shock with MCC | 294 | $28,232 | -50% | $10,527 |
| 885 Psychoses | 232 | $18,615 | -58% | $11,614 |
| 481 Hip and Femur Procedures except Major Joint with CC | 124 | $52,175 | -48% | $16,424 |
| 177 Respiratory Infections and Inflammations with MCC | 107 | $35,769 | -49% | $12,700 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 104 | $36,169 | -35% | $8,699 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 86 | $26,558 | -46% | $8,626 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 81 | $53,748 | -46% | $15,347 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 80 | $119,121 | -58% | $47,135 |
| 378 Gastrointestinal Hemorrhage with CC | 79 | $29,123 | -40% | $8,897 |
| 189 Pulmonary Edema and Respiratory Failure | 72 | $29,617 | -49% | $10,667 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 71 | $101,301 | -56% | $37,282 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 68 | $19,589 | -46% | $6,659 |
| 312 Syncope and Collapse | 64 | $26,267 | -42% | $7,293 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 64 | $69,398 | -39% | $15,197 |
| 193 Simple Pneumonia and Pleurisy with MCC | 61 | $26,421 | -56% | $10,098 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 61 | $119,153 | -57% | $49,970 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 60 | $27,304 | -52% | $10,557 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 58 | $38,681 | -49% | $12,947 |
| 377 Gastrointestinal Hemorrhage with MCC | 55 | $43,845 | -49% | $13,839 |
| 682 Renal Failure with MCC | 55 | $35,287 | -46% | $12,021 |
| 689 Kidney and Urinary Tract Infections with MCC | 54 | $25,414 | -50% | $9,006 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $23,401 | -38% | $7,075 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 51 | $24,758 | -38% | $7,085 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 50 | $117,995 | -47% | $35,792 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 50 | $54,670 | -47% | $16,760 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 48 | $93,977 | -59% | $30,804 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 47 | $74,417 | -53% | $24,164 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 47 | $60,607 | -49% | $18,691 |
| 330 Major Small and Large Bowel Procedures with CC | 46 | $46,490 | -61% | $19,127 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $23,218 | -37% | $6,939 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 43 | $69,041 | -50% | $22,482 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 42 | $26,811 | -47% | $8,098 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $29,433 | -51% | $10,654 |
| 683 Renal Failure with CC | 42 | $26,391 | -35% | $7,787 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $40,609 | -45% | $15,478 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 39 | $15,252 | -47% | $5,516 |
| 472 Cervical Spinal Fusion with CC | 39 | $58,528 | -59% | $24,364 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 39 | $14,902 | -60% | $7,762 |
| 101 Seizures without MCC | 37 | $26,958 | -45% | $7,536 |
| 603 Cellulitis without MCC | 37 | $19,799 | -47% | $7,316 |
| 057 Degenerative Nervous System Disorders without MCC | 36 | $37,353 | -34% | $10,919 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 36 | $63,636 | -43% | $18,066 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 34 | $154,816 | -45% | $44,220 |
| 100 Seizures with MCC | 33 | $47,280 | -50% | $15,817 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $22,084 | -56% | $9,399 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $84,474 | -48% | $24,074 |
| 252 Other Vascular Procedures with MCC | 30 | $63,318 | -63% | $26,254 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 29 | $38,317 | -41% | $11,822 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 29 | $31,489 | -51% | $8,848 |
| 812 Red Blood Cell Disorders without MCC | 29 | $27,260 | -39% | $7,879 |
| 552 Medical Back Problems without MCC | 28 | $29,299 | -40% | $8,412 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 27 | $78,999 | -51% | $28,418 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 27 | $78,281 | -61% | $38,757 |
| 069 Transient Ischemia without Thrombolytic | 25 | $30,902 | -39% | $6,854 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 25 | $60,660 | -55% | $19,986 |
| 394 Other Digestive System Diagnoses with CC | 25 | $26,371 | -44% | $8,551 |
| 811 Red Blood Cell Disorders with MCC | 25 | $33,486 | -51% | $12,112 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 25 | $137,908 | -57% | $51,665 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $25,794 | -43% | $7,949 |
Showing the 60 most frequent of 140 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Regional Medical Center charged $45,864 on average, 30% less than the Virginia average of $65,235, and was paid $16,055 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Riverside Regional Medical Center charged $28,232 on average, 31% less than the Virginia average of $40,795, and was paid $10,527 against a state average of $11,030. For Psychoses (DRG 885), Riverside Regional Medical Center charged $18,615 on average, 39% less than the Virginia average of $30,531, and was paid $11,614 against a state average of $11,921. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Riverside Regional Medical Center charged $52,175 on average, 42% less than the Virginia average of $90,645, and was paid $16,424 against a state average of $16,687. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,456 was 11% below the state average of $11,766. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,888 was 29% below the state average of $2,642. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,209 was 12% below the state average of $19,506. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,357 was 52% below the state average of $11,217.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverside Regional Medical Center in Newport News, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-16 (CMS case 1196)
- CAP Request — 2023-06-05 (CMS case 1196)
- Closure Notice — 2023-09-15 (CMS case 1196)
- Warning Notice — 2025-03-31 (CMS case 3490)
- Closure Notice — 2025-04-14 (CMS case 3490)
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.