Alabama / Riverview Regional Medical Center
CMS certification 010046 · Gadsden, AL · 1 entry in CMS's price-transparency list
Riverview Regional Medical Center: charges and Medicare payments
Riverview Regional Medical Center reported 1,336 Medicare inpatient stays across 44 DRGs in 2024. Across them it charged 7.26 times what it was paid — among the higher ratios in Alabama, number 11 of 45 hospitals with at least 100 stays (state median 4.24×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 272 stays at an average charge of $96,711, 7% above the national average. It also billed 504 outpatient services, charging 15.44 times what Medicare paid.
- 1Medicare inpatient stays 1,336
- 2Charge ÷ paid, inpatient 7.26×
- 3Rank in AL (highest ratio = 1) 11 of 45
- 4CMS price-transparency actions 1
Inpatient stays
For the 44 DRGs that can be compared with the national average, Riverview Regional Medical Center charged more than the national average in 13 (30%). 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 | 272 | $96,711 | +7% | $12,310 |
| 291 Heart Failure and Shock with MCC | 105 | $60,241 | +7% | $8,155 |
| 682 Renal Failure with MCC | 64 | $55,627 | -16% | $9,680 |
| 189 Pulmonary Edema and Respiratory Failure | 58 | $53,799 | -7% | $8,038 |
| 177 Respiratory Infections and Inflammations with MCC | 57 | $74,418 | +5% | $10,706 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 49 | $34,184 | -15% | $5,231 |
| 193 Simple Pneumonia and Pleurisy with MCC | 44 | $56,684 | -5% | $8,473 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $47,258 | -22% | $8,234 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $32,277 | -13% | $5,146 |
| 683 Renal Failure with CC | 36 | $38,563 | -5% | $6,010 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 33 | $278,271 | +22% | $32,676 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 29 | $294,278 | -9% | $42,811 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $30,157 | -16% | $5,004 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $45,254 | -8% | $6,831 |
| 377 Gastrointestinal Hemorrhage with MCC | 25 | $85,039 | 0% | $11,490 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 23 | $56,925 | +2% | $6,680 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $74,958 | -25% | $12,040 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $33,360 | -35% | $7,400 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $35,859 | -5% | $6,166 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 19 | $80,817 | +7% | $9,599 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $117,924 | +17% | $12,321 |
| 811 Red Blood Cell Disorders with MCC | 18 | $47,873 | -30% | $8,962 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $47,884 | -15% | $7,729 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 16 | $27,667 | -4% | $3,758 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $148,472 | -9% | $16,893 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $98,889 | -12% | $13,636 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $49,113 | -23% | $7,092 |
| 305 Hypertension without MCC | 15 | $30,139 | -25% | $5,002 |
| 378 Gastrointestinal Hemorrhage with CC | 15 | $52,221 | +8% | $6,413 |
| 313 Chest Pain | 14 | $27,790 | -30% | $4,967 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $39,042 | -23% | $6,610 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 13 | $123,595 | +8% | $11,225 |
| 552 Medical Back Problems without MCC | 13 | $53,242 | +9% | $6,155 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $57,124 | -6% | $8,617 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $61,983 | -19% | $10,349 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $137,178 | +47% | $11,868 |
| 603 Cellulitis without MCC | 12 | $37,830 | +1% | $6,214 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 11 | $32,226 | -40% | $6,685 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $55,358 | -15% | $9,124 |
| 202 Bronchitis and Asthma with CC/MCC | 11 | $32,005 | -31% | $6,254 |
| 303 Atherosclerosis without MCC | 11 | $25,368 | -28% | $4,406 |
| 312 Syncope and Collapse | 11 | $28,866 | -37% | $6,363 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $151,671 | +9% | $16,763 |
| 637 Diabetes with MCC | 11 | $36,166 | -46% | $9,256 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Endovascular Procedures | 139 | $25,311 | $2,630 |
| Level 2 Upper GI Procedures | 81 | $11,623 | $1,562 |
| Level 5 Musculoskeletal Procedures | 72 | $131,592 | $10,524 |
| Level 3 Musculoskeletal Procedures | 51 | $49,928 | $2,602 |
| Level 4 Musculoskeletal Procedures | 46 | $81,254 | $5,931 |
| Level 3 Endovascular Procedures | 43 | $93,804 | $9,117 |
| Level 2 Musculoskeletal Procedures | 28 | $35,689 | $1,333 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 16 | $18,994 | $1,344 |
| Level 1 Nerve Procedures | 15 | $38,991 | $1,516 |
| Comprehensive Observation Services | 13 | $30,171 | $1,338 |
Against the Alabama average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverview Regional Medical Center charged $96,711 on average, 21% more than the Alabama average of $80,125, and was paid $12,310 against a state average of $14,647. For Heart Failure and Shock with MCC (DRG 291), Riverview Regional Medical Center charged $60,241 on average, 37% more than the Alabama average of $43,997, and was paid $8,155 against a state average of $10,010. For Renal Failure with MCC (DRG 682), Riverview Regional Medical Center charged $55,627 on average, 2% less than the Alabama average of $56,886, and was paid $9,680 against a state average of $11,280. For Pulmonary Edema and Respiratory Failure (DRG 189), Riverview Regional Medical Center charged $53,799 on average, 1% less than the Alabama average of $54,397, and was paid $8,038 against a state average of $10,070. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $25,311 was 16% below the state average of $30,210. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,623 was 30% below the state average of $16,696. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $131,592 was 67% above the state average of $79,031. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $49,928 was 58% above the state average of $31,652.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverview Regional Medical Center in Gadsden, AL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-02-21 (CMS case 3136)
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.