How many shoppable procedure prices are published for Riverview Regional Medical Center?

Riverview Regional Medical Center in Gadsden, AL currently has 105 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Riverview Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Riverview Regional Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Riverview Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Riverview Regional Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 256 Beds · urban Updated: 2026-03-17

Riverview Regional Medical Center

600 South Third Street, Gadsden, AL 35901 · 105 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.86×vs. Fair Market Price

Typical commercial prices here are 14% below the fair benchmark (0.86×) after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 92% of the Time

File Completeness61

Price Logic100

Peer Alignment76

Clean Billing65

Real Cash Discount100

Regional Value Leader

3-Star CMS clinical quality rating paired with 0.86× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Riverview Regional Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#12 of 52 in AL · 21st State Percentile#448 of 3,385 in U.S. · 13th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 14% below peer Fair BaseRate (0.86×)
Self-pay cash beats commercial insurance on 92% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 74% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.86× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.85× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 1.3× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 4,127) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+13% Upper Tail

Q25 0.74× · Q50 0.85× · Q75 0.96×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.6× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

5.0× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.3× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

92% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Riverview Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 105 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$12,953	$13,083	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$12,867	$12,932	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$11,824	$11,883	$17,936	0.7×
Total hip replacement CPT Code: `27130`	$11,458	$11,459	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$11,458	$11,459	$13,523	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$5,639	$5,696	$8,223	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,395	$5,396	$6,109	0.9×
Breast lump removal CPT Code: `19120`	$3,494	$3,495	$3,875	0.9×
Inguinal hernia repair CPT Code: `49505`	$3,195	$3,196	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,920	$2,920	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	$2,920	$2,920	$3,446	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$1,068	$1,068	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$830	$830	$981	0.8×
Upper endoscopy with biopsy CPT Code: `43239`	$809	$809	$987	0.8×
Sleep study (overnight, in lab) CPT Code: `95810`	$766	$766	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$630	$630	$855	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$487	$488	$583	0.8×
Blood transfusion CPT Code: `36430`	$393	$394	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$311	$313	$448	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$311	$313	$511	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$195	$195	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	$192	$193	$231	0.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$212	$213	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$212	$214	$303	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$212	$214	$338	0.6×
MRI, brain (no contrast) CPT Code: `70551`	$212	$214	$343	0.6×
MRI, knee or other leg joint CPT Code: `73721`	$212	$214	$369	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$158	$158	$166	1.0×
Family therapy session CPT Code: `90847`	$158	$158	$173	0.9×
Psychotherapy session (60 minutes) CPT Code: `90837`	$158	$158	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$158	$158	$185	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$156	$157	$242	0.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$156	$157	$258	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	—
X-ray, pelvis CPT Code: `72170`	$93	$93	$110	0.8×
X-ray, lower back CPT Code: `72110`	$93	$93	$112	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$93	$93	$126	0.7×
Ultrasound, pelvis CPT Code: `76856`	$93	$93	$130	0.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$93	$93	$132	0.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$93	$93	$134	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$96	$97	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$79	$80	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$93	$94	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$93	$94	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$93	$94	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$93	$94	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$93	$94	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$93	$94	$169	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	—
X-ray, chest (single view) CPT Code: `71045`	$77	$78	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$77	$78	$92	0.8×
X-ray, foot CPT Code: `73630`	$77	$78	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$77	$78	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$77	$78	$93	0.8×
X-ray, hip CPT Code: `73502`	$77	$78	$93	0.8×
Drug screening test HCPCS Code: `G0480`	$114	$95	$116	0.8×
Prosthetic fitting and training CPT Code: `97761`	$37	$58	$45	1.3×
Group therapy session CPT Code: `90853`	—	$78	$100	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$30	$49	$38	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$31	$49	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$27	$42	$33	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$32	$50	$40	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$30	$47	$38	1.2×
Blood antibody screen CPT Code: `86850`	$46	$47	$46	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$71	$72	$86	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$25	$41	$34	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$41	$42	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$41	$42	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$41	$42	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$52	$53	$64	0.8×
X-ray, hand CPT Code: `73130`	$77	$78	$93	unverified
X-ray, ankle CPT Code: `73610`	$77	$78	$93	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$27	$49	$35	unverified
Orthotic fitting and training CPT Code: `97760`	$42	$64	$51	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$10	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$5	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$29	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$13	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$3	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$9	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$6	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$6	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$4	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$4	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$3	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$7	$8	$8	1.0×
Culture, bacterial CPT Code: `87070`	$8	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$14	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$6	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$11	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$22	$22	$27	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$11	$11	$35	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	unverified

Showing top 25 high-impact procedures of 105 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Riverview Regional Medical Center (Zero PHI Required)

CMS CCN: 010046

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $12,953

Insurer Median $13,083

1. Amount on Your Bill or Quote ($) Pre-filled with Riverview Regional Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Save $18,446 Paying Cash

Self-Pay Cash Rate ($12,953) Beats Your Bill

Riverview Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $12,953 (vs. $13,083 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$12,312 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($31,399) is $12,312 above the denoised Fair BaseRate ($19,087) and 2.2× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Riverview Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait160 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Riverview Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-02-21·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (411 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Riverview Regional Medical Center.

Price Index: 0.67× regional baseline

Quality: 61/100 CMS composite

Median Household Income$53,070U.S. Census ACS

Local Uninsured Share12.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 010046

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 010046) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-17

Validated Rate Rows2,417 (CMS v3.0)

File Integrity DigestVerified · CCN 010046

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy