Riverview Medical Center
RIVERVIEW MEDICAL CENTER in Red Bank, NJ charges 8.3x the Medicare reimbursement rate on average across 92 analyzed procedures at this nonprofit-private hospital.
Red Bank, NJ 07701 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.26x
Charge / Medicare rate
Max markup
19.47x
Worst procedure
Procedures analyzed
92
With pricing data
Outlier procedures
1.1%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $45,222 | $22,611 | — | 19.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $65,449 | $32,725 | — | 12.4x |
| HYPERTENSION WITHOUT MCC | 305 | $51,944 | $25,972 | — | 12.2x |
| SYNCOPE AND COLLAPSE | 312 | $57,125 | $28,562 | — | 12.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $82,757 | $41,379 | — | 12.1x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $49,060 | $24,530 | — | 11.8x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $49,330 | $24,665 | — | 11.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $65,373 | $32,687 | — | 11.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $58,025 | $29,013 | — | 11.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $60,244 | $30,122 | — | 11x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $60,783 | $30,392 | — | 10.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $44,195 | $22,097 | — | 10.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $46,907 | $23,454 | — | 10.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $46,643 | $23,322 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $59,364 | $29,682 | — | 10.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,925 | $21,963 | — | 10.5x |
| RENAL FAILURE WITH CC | 683 | $55,528 | $27,764 | — | 10.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,804 | $30,402 | — | 10.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $52,157 | $26,078 | — | 10.1x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $49,042 | $24,521 | — | 10.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $47,924 | $23,962 | — | 10x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $46,293 | $23,146 | — | 9.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $79,507 | $39,754 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $77,233 | $38,616 | — | 9.3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $58,832 | $29,416 | — | 9.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $58,827 | $29,413 | — | 9.1x |
| PSYCHOSES | 885 | $66,561 | $33,280 | — | 9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $37,976 | $18,988 | — | 8.9x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $72,263 | $36,132 | — | 8.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $55,947 | $27,973 | — | 8.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $139,053 | $69,527 | — | 8.7x |
| CELLULITIS WITHOUT MCC | 603 | $43,505 | $21,753 | — | 8.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $78,101 | $39,051 | — | 8.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $66,700 | $33,350 | — | 8.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $83,767 | $41,883 | — | 8.6x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $55,998 | $27,999 | — | 8.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $93,191 | $46,595 | — | 8.2x |
| RENAL FAILURE WITH MCC | 682 | $76,738 | $38,369 | — | 8.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $87,810 | $43,905 | — | 8.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $98,913 | $49,457 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $59,560 | $29,780 | — | 8.1x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $101,160 | $50,580 | — | 8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $120,427 | $60,213 | — | 8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $154,388 | $77,194 | — | 7.9x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $90,715 | $45,357 | — | 7.9x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $80,484 | $40,242 | — | 7.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $127,242 | $63,621 | — | 7.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $61,240 | $30,620 | — | 7.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $45,253 | $22,626 | — | 7.7x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $100,579 | $50,290 | — | 7.7x |
Showing 50 of 92 procedures
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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