New Jersey / Riverview Medical Center
CMS certification 310034 · Red Bank, NJ · 3 entries in CMS's price-transparency list
Riverview Medical Center: charges and Medicare payments
Riverview Medical Center reported 3,156 Medicare inpatient stays across 94 DRGs in 2024. Across them it charged 6.87 times what it was paid — mid-range in New Jersey, number 21 of 60 hospitals with at least 100 stays (state median 6.25×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 296 stays at an average charge of $113,012, 25% above the national average. It also billed 4,209 outpatient services, charging 6.13 times what Medicare paid.
- 1Medicare inpatient stays 3,156
- 2Charge ÷ paid, inpatient 6.87×
- 3Rank in NJ (highest ratio = 1) 21 of 60
- 4CMS price-transparency actions 3
Inpatient stays
For the 94 DRGs that can be compared with the national average, Riverview Medical Center charged more than the national average in 74 (79%). 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 | 296 | $113,012 | +25% | $16,058 |
| 291 Heart Failure and Shock with MCC | 224 | $75,176 | +33% | $10,181 |
| 177 Respiratory Infections and Inflammations with MCC | 122 | $81,312 | +15% | $13,502 |
| 193 Simple Pneumonia and Pleurisy with MCC | 115 | $77,761 | +30% | $10,707 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 99 | $92,193 | +26% | $13,535 |
| 690 Kidney and Urinary Tract Infections without MCC | 98 | $51,029 | +35% | $6,340 |
| 682 Renal Failure with MCC | 94 | $94,321 | +43% | $11,913 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 81 | $47,608 | +19% | $6,490 |
| 683 Renal Failure with CC | 80 | $54,267 | +33% | $6,971 |
| 689 Kidney and Urinary Tract Infections with MCC | 70 | $67,069 | +31% | $8,952 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 64 | $57,709 | +18% | $8,474 |
| 603 Cellulitis without MCC | 60 | $45,227 | +21% | $7,969 |
| 378 Gastrointestinal Hemorrhage with CC | 58 | $69,792 | +44% | $7,665 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 58 | $275,255 | +20% | $43,242 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 51 | $64,042 | -31% | $15,188 |
| 377 Gastrointestinal Hemorrhage with MCC | 46 | $97,396 | +14% | $13,421 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 46 | $74,335 | +23% | $9,966 |
| 189 Pulmonary Edema and Respiratory Failure | 42 | $97,108 | +69% | $9,920 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $103,887 | +37% | $12,063 |
| 180 Respiratory Neoplasms with MCC | 41 | $84,303 | -4% | $13,527 |
| 552 Medical Back Problems without MCC | 38 | $68,747 | +41% | $7,521 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $131,286 | +17% | $17,227 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $67,818 | +22% | $7,852 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 35 | $82,098 | -18% | $14,209 |
| 389 Gastrointestinal Obstruction with CC | 32 | $54,398 | +40% | $6,156 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $67,882 | +11% | $9,946 |
| 329 Major Small and Large Bowel Procedures with MCC | 31 | $191,771 | -11% | $40,227 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 29 | $53,287 | +48% | $5,776 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 29 | $107,209 | +5% | $16,404 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $55,936 | +46% | $6,407 |
| 435 Malignancy of Hepatobiliary System or Pancreas with MCC | 28 | $96,093 | +2% | $13,856 |
| 312 Syncope and Collapse | 27 | $64,531 | +42% | $6,734 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 26 | $70,869 | +49% | $7,872 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $90,477 | +60% | $9,313 |
| 330 Major Small and Large Bowel Procedures with CC | 24 | $140,412 | +18% | $18,989 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $129,532 | -24% | $35,171 |
| 393 Other Digestive System Diagnoses with MCC | 23 | $128,306 | +67% | $15,704 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $136,602 | -2% | $22,304 |
| 808 Major Hematological and Immunological Diagnoses except... | 23 | $99,965 | -8% | $17,196 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $59,470 | +31% | $8,678 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $177,012 | +8% | $26,651 |
| 394 Other Digestive System Diagnoses with CC | 22 | $57,232 | +22% | $7,196 |
| 481 Hip and Femur Procedures except Major Joint with CC | 22 | $84,760 | -16% | $15,668 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $52,913 | +43% | $5,967 |
| 809 Major Hematological and Immunological Diagnoses except... | 22 | $58,702 | -7% | $10,121 |
| 314 Other Circulatory System Diagnoses with MCC | 21 | $157,225 | +66% | $16,551 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $109,552 | -4% | $17,329 |
| 467 Revision of Hip or Knee Replacement with CC | 19 | $119,080 | -25% | $24,887 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $104,986 | +7% | $17,775 |
| 602 Cellulitis with MCC | 18 | $82,790 | +38% | $11,532 |
| 164 Major Chest Procedures with CC | 17 | $85,398 | -33% | $18,666 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $62,552 | +24% | $8,620 |
| 205 Other Respiratory System Diagnoses with MCC | 17 | $103,009 | +17% | $15,077 |
| 374 Digestive Malignancy with MCC | 17 | $108,599 | +8% | $16,400 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $89,703 | +44% | $12,935 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 16 | $133,093 | -2% | $23,784 |
| 948 Signs and Symptoms without MCC | 16 | $64,572 | +70% | $6,683 |
| 163 Major Chest Procedures with MCC | 15 | $177,690 | -16% | $37,713 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $42,406 | +48% | $4,344 |
| 388 Gastrointestinal Obstruction with MCC | 15 | $97,866 | +43% | $11,239 |
Showing the 60 most frequent of 94 DRGs.
Outpatient services
Against the New Jersey average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverview Medical Center charged $113,012 on average, 14% less than the New Jersey average of $131,698, and was paid $16,058 against a state average of $19,296. For Heart Failure and Shock with MCC (DRG 291), Riverview Medical Center charged $75,176 on average, 23% less than the New Jersey average of $97,469, and was paid $10,181 against a state average of $12,811. For Respiratory Infections and Inflammations with MCC (DRG 177), Riverview Medical Center charged $81,312 on average, 31% less than the New Jersey average of $117,022, and was paid $13,502 against a state average of $16,115. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Riverview Medical Center charged $77,761 on average, 22% less than the New Jersey average of $100,241, and was paid $10,707 against a state average of $13,150. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,944 was 13% below the state average of $34,388. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,685 was 36% below the state average of $63,772. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,032 was 22% below the state average of $12,828. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,328 was 44% below the state average of $20,104.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverview Medical Center in Red Bank, NJ, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2022-08-31 (CMS case 1493)
- Closure Notice — 2023-02-17 (CMS case 1493)
- Met Requirements — 2025-07-31 (CMS case 6072)
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.