Riverside Regional Medical Center
Riverside Regional Medical Center in Newport News, VA charges 4.3x the Medicare reimbursement rate across 137 analyzed procedures at this nonprofit-private hospital.
Newport News, VA 23601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.29x
Charge / Medicare rate
Max markup
7.29x
Worst procedure
Procedures analyzed
137
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $29,098 | $14,549 | — | 7.3x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $90,724 | $45,362 | — | 7.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $33,376 | $16,688 | — | 6.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,566 | $16,783 | — | 6.6x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 061 | $134,347 | $67,173 | — | 6.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $26,580 | $13,290 | — | 6.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $65,611 | $32,806 | — | 6.4x |
| HYPERTENSION WITHOUT MCC | 305 | $28,444 | $14,222 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $36,613 | $18,306 | — | 6.1x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $41,308 | $20,654 | — | 6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $28,022 | $14,011 | — | 5.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $64,757 | $32,378 | — | 5.4x |
| DYSEQUILIBRIUM | 149 | $25,940 | $12,970 | — | 5.4x |
| SEIZURES WITHOUT MCC | 101 | $29,491 | $14,746 | — | 5.4x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $143,649 | $71,825 | — | 5.4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $65,386 | $32,693 | — | 5.4x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $99,308 | $49,654 | — | 5.3x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $27,139 | $13,570 | — | 5.3x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $41,021 | $20,511 | — | 5.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $43,039 | $21,519 | — | 5.2x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $91,178 | $45,589 | — | 5.2x |
| SYNCOPE AND COLLAPSE | 312 | $27,120 | $13,560 | — | 5.2x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $35,652 | $17,826 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $42,844 | $21,422 | — | 5.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $32,360 | $16,180 | — | 5.1x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $30,380 | $15,190 | — | 5.1x |
| ENDOCRINE DISORDERS WITH CC | 644 | $34,301 | $17,151 | — | 5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $65,268 | $32,634 | — | 5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $91,934 | $45,967 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,651 | $11,826 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,444 | $7,722 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,772 | $13,386 | — | 5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $24,480 | $12,240 | — | 5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $45,117 | $22,558 | — | 4.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $22,477 | $11,239 | — | 4.9x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $20,423 | $10,212 | — | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $66,275 | $33,138 | — | 4.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,584 | $15,292 | — | 4.9x |
| RENAL FAILURE WITH CC | 683 | $26,910 | $13,455 | — | 4.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $58,065 | $29,033 | — | 4.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $24,654 | $12,327 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $27,135 | $13,568 | — | 4.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $26,219 | $13,109 | — | 4.7x |
| SEIZURES WITH MCC | 100 | $49,480 | $24,740 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $29,237 | $14,618 | — | 4.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $22,152 | $11,076 | — | 4.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $43,479 | $21,740 | — | 4.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,156 | $18,578 | — | 4.6x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $26,591 | $13,295 | — | 4.6x |
| COAGULATION DISORDERS | 813 | $50,650 | $25,325 | — | 4.6x |
Showing 50 of 137 procedures
How RIVERSIDE REGIONAL MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use