California / Riverside University Health System-Medical Center
CMS certification 050292 · Moreno Valley, CA · 2 entries in CMS's price-transparency list
Riverside University Health System-Medical Center: charges and Medicare payments
Riverside University Health System-Medical Center reported 1,665 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 5.34 times what it was paid — mid-range in California, number 118 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: 229 stays at an average charge of $153,165, 70% above the national average. It also billed 483 outpatient services, charging 13.46 times what Medicare paid.
- 1Medicare inpatient stays 1,665
- 2Charge ÷ paid, inpatient 5.34×
- 3Rank in CA (highest ratio = 1) 118 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 57 DRGs that can be compared with the national average, Riverside University Health System-Medical Center charged more than the national average in 57 (100%). 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 | 229 | $153,165 | +70% | $26,424 |
| 885 Psychoses | 136 | $90,729 | +106% | $19,924 |
| 291 Heart Failure and Shock with MCC | 93 | $94,437 | +68% | $17,881 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 61 | $88,557 | +81% | $15,285 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $85,660 | +42% | $18,294 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 41 | $419,972 | +83% | $84,827 |
| 312 Syncope and Collapse | 38 | $99,878 | +119% | $12,537 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $148,987 | +74% | $26,805 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $84,017 | +46% | $16,706 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $95,169 | +59% | $17,294 |
| 378 Gastrointestinal Hemorrhage with CC | 33 | $72,676 | +50% | $14,263 |
| 690 Kidney and Urinary Tract Infections without MCC | 31 | $57,404 | +52% | $12,261 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $119,578 | +63% | $22,363 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $127,436 | +81% | $22,982 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $181,697 | +80% | $30,192 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 29 | $57,134 | +54% | $12,227 |
| 683 Renal Failure with CC | 29 | $67,665 | +66% | $13,009 |
| 682 Renal Failure with MCC | 27 | $82,392 | +25% | $19,356 |
| 884 Organic Disturbances and Intellectual Disability | 26 | $109,744 | +76% | $22,075 |
| 057 Degenerative Nervous System Disorders without MCC | 25 | $87,991 | +55% | $18,067 |
| 071 Other Cerebrovascular Disorders with CC | 24 | $93,156 | +85% | $15,262 |
| 394 Other Digestive System Diagnoses with CC | 24 | $63,534 | +35% | $13,904 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 23 | $201,307 | +102% | $31,539 |
| 552 Medical Back Problems without MCC | 23 | $100,030 | +105% | $14,135 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 22 | $86,709 | +56% | $14,524 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $76,664 | +52% | $15,031 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $66,894 | +67% | $12,376 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 22 | $97,672 | +5% | $24,747 |
| 069 Transient Ischemia without Thrombolytic | 21 | $73,907 | +47% | $12,320 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $120,213 | +97% | $19,057 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 21 | $73,539 | +55% | $14,633 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $105,144 | +39% | $20,136 |
| 603 Cellulitis without MCC | 20 | $63,107 | +69% | $13,324 |
| 101 Seizures without MCC | 19 | $74,796 | +53% | $13,689 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $82,310 | +60% | $15,470 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 18 | $186,675 | +155% | $20,236 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $49,073 | +36% | $11,703 |
| 070 Other Cerebrovascular Disorders with MCC | 16 | $114,867 | +51% | $23,527 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 16 | $191,733 | +106% | $22,237 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 16 | $112,067 | +129% | $15,543 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 15 | $186,973 | +174% | $19,846 |
| 811 Red Blood Cell Disorders with MCC | 15 | $71,524 | +5% | $19,343 |
| 812 Red Blood Cell Disorders without MCC | 15 | $65,875 | +48% | $13,614 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 15 | $76,550 | +106% | $12,500 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $133,384 | +41% | $26,343 |
| 638 Diabetes with CC | 14 | $68,404 | +64% | $13,627 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 13 | $950,233 | +55% | $203,374 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $132,206 | +103% | $17,453 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $187,634 | +144% | $33,873 |
| 637 Diabetes with MCC | 13 | $154,643 | +133% | $21,742 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $637,120 | +97% | $115,961 |
| 100 Seizures with MCC | 12 | $123,716 | +31% | $24,084 |
| 390 Gastrointestinal Obstruction without CC/MCC | 12 | $60,956 | +118% | $8,799 |
| 441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 12 | $124,975 | +45% | $22,647 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 11 | $1,423,422 | +35% | $322,062 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 11 | $89,779 | +111% | $13,446 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 11 | $80,730 | +8% | $20,228 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 164 | $45,800 | $3,242 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 62 | $12,056 | $1,762 |
| Level 2 Urology and Related Services | 53 | $3,946 | $840 |
| Level 2 Upper GI Procedures | 26 | $21,683 | $2,295 |
| Level 1 Intraocular Procedures | 26 | $30,292 | $2,072 |
| Level 3 Urology and Related Services | 25 | $14,270 | $2,504 |
| Level 3 Vascular Procedures | 24 | $28,097 | $3,821 |
| Level 3 Lower GI Procedures | 19 | $20,986 | $3,216 |
| Level 5 Urology and Related Services | 14 | $53,388 | $5,544 |
| Level 2 Musculoskeletal Procedures | 12 | $23,562 | $1,779 |
| Level 2 Vascular Procedures | 12 | $6,817 | $1,969 |
| Level 1 Endovascular Procedures | 12 | $18,662 | $4,013 |
| Level 1 Laparoscopy and Related Services | 12 | $91,149 | $7,094 |
| Level 4 Urology and Related Services | 11 | $44,551 | $4,286 |
| Level 3 Extraocular, Repair, and Plastic Eye Procedures | 11 | $14,474 | $2,351 |
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside University Health System-Medical Center charged $153,165 on average, 7% more than the California average of $143,063, and was paid $26,424 against a state average of $23,020. For Psychoses (DRG 885), Riverside University Health System-Medical Center charged $90,729 on average, 76% more than the California average of $51,465, and was paid $19,924 against a state average of $15,642. For Heart Failure and Shock with MCC (DRG 291), Riverside University Health System-Medical Center charged $94,437 on average, 6% less than the California average of $100,739, and was paid $17,881 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Riverside University Health System-Medical Center charged $88,557 on average, 16% more than the California average of $76,120, and was paid $15,285 against a state average of $12,552. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $45,800 was 10% above the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,056 was 18% below the state average of $14,749. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,946 was 19% below the state average of $4,853. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $21,683 was 14% above the state average of $19,034.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverside University Health System-Medical Center in Moreno Valley, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2025-01-16 (CMS case 2988)
- Closure Notice — 2025-03-11 (CMS case 2988)
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.