Virginia / Riverside Shore Memorial Hospital
CMS certification 490037 · Onancock, VA
Riverside Shore Memorial Hospital: charges and Medicare payments
Riverside Shore Memorial Hospital reported 267 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 2.19 times what it was paid — among the lower ratios in Virginia, number 64 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: 113 stays at an average charge of $28,399, 69% below the national average. It also billed 668 outpatient services, charging 6.33 times what Medicare paid.
- 1Medicare inpatient stays 267
- 2Charge ÷ paid, inpatient 2.19×
- 3Rank in VA (highest ratio = 1) 64 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 8 DRGs that can be compared with the national average, Riverside Shore Memorial Hospital 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 | 113 | $28,399 | -69% | $14,073 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 49 | $20,446 | -58% | $7,970 |
| 291 Heart Failure and Shock with MCC | 34 | $20,361 | -64% | $9,563 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $30,758 | -56% | $11,918 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $23,876 | -60% | $9,773 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $17,856 | -53% | $6,365 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $21,580 | -72% | $11,402 |
| 683 Renal Failure with CC | 11 | $15,963 | -61% | $7,644 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 216 | $14,984 | $2,463 |
| Level 2 Urology and Related Services | 100 | $2,331 | $625 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 70 | $5,894 | $1,474 |
| Level 3 Urology and Related Services | 51 | $8,016 | $1,878 |
| Level 1 Intraocular Procedures | 43 | $12,034 | $2,149 |
| Level 3 Vascular Procedures | 32 | $15,996 | $2,939 |
| Level 4 Urology and Related Services | 29 | $14,498 | $3,214 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 22 | $15,439 | $3,190 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 21 | $11,056 | $2,620 |
| Level 5 Urology and Related Services | 20 | $19,333 | $4,590 |
| Level 1 Laparoscopy and Related Services | 14 | $22,732 | $5,320 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 13 | $16,485 | $3,514 |
| Level 2 Musculoskeletal Procedures | 13 | $6,699 | $1,482 |
| Level 3 Musculoskeletal Procedures | 12 | $12,631 | $2,984 |
| Level 4 Musculoskeletal Procedures | 12 | $23,789 | $6,596 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Shore Memorial Hospital charged $28,399 on average, 56% less than the Virginia average of $65,235, and was paid $14,073 against a state average of $16,367. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Riverside Shore Memorial Hospital charged $20,446 on average, 45% less than the Virginia average of $37,022, and was paid $7,970 against a state average of $8,962. For Heart Failure and Shock with MCC (DRG 291), Riverside Shore Memorial Hospital charged $20,361 on average, 50% less than the Virginia average of $40,795, and was paid $9,563 against a state average of $11,030. For Respiratory Infections and Inflammations with MCC (DRG 177), Riverside Shore Memorial Hospital charged $30,758 on average, 38% less than the Virginia average of $49,485, and was paid $11,918 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,984 was 23% below the state average of $19,506. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,331 was 12% below the state average of $2,642. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,894 was 47% below the state average of $11,217. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,016 was 35% below the state average of $12,403.
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.