How many shoppable procedure prices are published for Riverside Community Hospital?

Riverside Community Hospital in Riverside, CA currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Riverside Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Riverside Community Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Riverside Community Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Riverside Community Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 517 Beds · urban Updated: 2026-09-01

Riverside Community Hospital

4445 Magnolia Avenue, Riverside, CA 92501 · 123 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.35×vs. Fair Market Price

Typical commercial prices here are +35% above the fair benchmark (1.35×) even after accounting for local nurse/doctor wages and patient complexity.

69/100 · Caution

69/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness85

Price Logic93

Peer Alignment59

Clean Billing87

Real Cash Discount6

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 1.35× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +66% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Riverside Community Hospital prices routine shoppable procedures at 2.4× Medicare (median 1.19× Fair BaseRate) while upper-quartile commercial rates jump +66% to 1.98× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#172 of 240 in CA · 71st State Percentile#2,349 of 3,385 in U.S. · 69th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
2-Star CMS clinical rating with 63% patient recommendation (56/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 1.19× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.98×) jump +66% above the median procedure ratio (Q50 1.19×)
Unnegotiated chargemaster list prices average 16.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.4× Medicare

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

Back-Door Captive & ER0.46× Divergence

1.1× Medicare

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

Quantile Tail Spread+66% Upper Tail

Q25 0.95× · Q50 1.19× · Q75 1.98×

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

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.8× MedicareGood

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

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 56/100Elevated

Procedure Prices at Riverside Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$42,579	$42,579	$1,453	29.3×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$39,733	$30,775	1.3×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,375	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,213	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,235	$17,936	1.2×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$11,844	$11,844	$583	20.3×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,508	$8,223	1.3×
Total hip replacement CPT Code: `27130`	—	$9,667	$13,413	0.7×
Total knee replacement CPT Code: `27447`	—	$9,667	$13,523	0.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$6,713	$6,109	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,892	$2,680	2.2×
C-section delivery (full package) CPT Code: `59510`	—	$5,892	$2,975	2.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,803	$2,540	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,668	$3,372	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$5,567	$3,629	1.5×
Bunion correction surgery CPT Code: `28296`	—	$5,370	$3,446	1.6×
Breast lump removal CPT Code: `19120`	—	$5,370	$3,875	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$4,496	$1,021	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,703	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,703	$981	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	$3,703	$1,256	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,809	$855	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$20,597	$1,636	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$26,037	$1,197	$448	unverified
MRI, knee or other leg joint CPT Code: `73721`	$19,922	$1,057	$369	unverified
MRI, brain (no contrast) CPT Code: `70551`	$16,602	$1,008	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$13,281	$989	$338	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$19,649	$893	$258	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,022	$823	$272	3.0×
CT scan, head (with contrast) CPT Code: `70460`	$17,358	$764	$242	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$718	$718	$123	5.8×
CT scan, sinuses CPT Code: `70486`	$14,900	$663	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$14,900	$683	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$14,900	$673	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$14,900	$670	$168	unverified
CT scan, pelvis CPT Code: `72192`	$14,900	$683	$163	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$22,351	$607	$303	2.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$564	$564	$86	6.6×
CT scan, head (no contrast) CPT Code: `70450`	$14,900	$549	$160	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$494	$494	$87	5.7×
New patient office visit (30-44 min) CPT Code: `99203`	$494	$494	$110	4.5×
Rabies immune globulin HCPCS Code: `90375`	$3,486	$454	$322	1.4×
Blood transfusion CPT Code: `36430`	$473	$473	$498	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$1,005	$424	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$4,222	$424	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$3,679	$401	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$4,066	$325	$126	unverified
X-ray, lower back CPT Code: `72110`	$2,963	$240	$112	2.1×
X-ray, hip CPT Code: `73502`	$1,755	$210	$93	2.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,303	$231	$151	1.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,399	$162	$93	1.7×
X-ray, hand CPT Code: `73130`	$2,111	$162	$93	1.7×
X-ray, ankle CPT Code: `73610`	$2,143	$158	$93	1.7×
X-ray, shoulder CPT Code: `73030`	$2,422	$151	$92	1.6×
X-ray, foot CPT Code: `73630`	$2,111	$144	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$1,429	$138	$93	1.5×
X-ray, pelvis CPT Code: `72170`	$1,143	$135	$110	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,607	$123	$148	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,941	$95	$64	1.5×
X-ray, chest (single view) CPT Code: `71045`	$977	$94	$92	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$1,300	$102	$123	0.8×
Family therapy session CPT Code: `90847`	—	$107	$173	0.6×
Neurobehavioral status check CPT Code: `96116`	—	$114	$231	0.5×
Speech therapy (language evaluation) CPT Code: `92507`	$1,054	$80	$86	0.9×
Typhoid vaccine HCPCS Code: `90675`	$3,921	$520	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$1,257	$380	$203	1.9×
Flu vaccine injection HCPCS Code: `G0008`	$224	$224	$48	4.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$224	$224	$49	4.6×
Colorectal cancer screening HCPCS Code: `G0010`	$224	$224	$49	4.6×
Pneumococcal vaccine HCPCS Code: `90732`	$570	$220	$140	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$473	$193	$111	1.7×
Drug screening test HCPCS Code: `G0480`	$603	$116	$116	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$48	$25	1.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$324	$61	$39	1.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$392	$65	$56	1.2×
Flu vaccine (high dose) HCPCS Code: `90656`	$122	$38	$25	1.5×
Hepatitis B vaccine HCPCS Code: `90744`	$271	$55	$37	1.5×
Care planning with family CPT Code: `90887`	—	$75	$107	0.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Orthotic fitting and training CPT Code: `97760`	$734	$49	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$641	$43	$45	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$764	$68	$201	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$1,262	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$1,262	$14	$14	1.0×
Blood test, vitamin D CPT Code: `82306`	$93	$30	$31	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$269	$36	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$545	$37	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$345	$34	$38	0.9×
Group therapy session CPT Code: `90853`	—	$42	$100	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$477	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$21	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$348	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$348	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$348	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$242	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$854	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$411	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$348	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$675	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$348	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$348	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$382	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$674	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$1,262	$20	$20	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$34	$34	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$38	$17	$18	0.9×
Physical therapy (gait training) CPT Code: `97116`	$318	$31	$33	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$412	$15	$16	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$602	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$718	$25	$27	0.9×
Culture, blood CPT Code: `87040`	$1,481	$10	$11	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$304	$34	$38	0.9×
Blood test, liver function panel CPT Code: `80076`	$1,689	$8	$9	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$618	$31	$35	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$740	$29	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$607	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$146	$2	$3	0.7×
Hepatitis C antibody test CPT Code: `86803`	$8	$8	$15	0.5×
Diagnostic procedure preparation HCPCS Code: `G0279`	$211	$14	$35	0.4×
Blood antibody screen CPT Code: `86850`	$464	$10	$46	0.2×

Showing top 25 high-impact procedures of 123 total

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

Audit a Bill or Quote at Riverside Community Hospital (Zero PHI Required)

CMS CCN: 050022

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $42,579

Insurer Median $42,579

1. Amount on Your Bill or Quote ($) Pre-filled with Riverside Community Hospital’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 Published Cash: $42,579

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Riverside Community Hospital's published 45 CFR § 180 self-pay cash rate is $42,579 (vs. $42,579 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$41,126 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($42,579) is $41,126 above the denoised Fair BaseRate ($1,453) and 31.3× the $1,362 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)

EIN: 330751869

Public IRS & CMS ownership records classify Riverside Community Hospital 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 Overall2/5 Stars (2/5)

Safety Composite56/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait184 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.9%

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 Riverside Community Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-05·administrative_or_closure
Met Requirements
Recorded
2025-04-08·administrative_or_closure
Met Requirements
Recorded
2023-11-14·administrative_or_closure
Closure Notice
Recorded
2023-06-29·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (544 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Riverside Community Hospital.

Price Index: 1.15× regional baseline

Quality: 41/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-55.8%

Central Health Plan

-50.0%

Median Household Income$89,672U.S. Census ACS

Local Uninsured Share8.0%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 69/100 · Caution CMS CCN 050022 EIN 330751869

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050022) ↗ Verify IRS Form 990 (EIN 330751869) ↗ CMS HCRIS Cost Reports ↗

Published MRF File33-0751869_RIVERSIDE-COMMUNITY-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 499.23 MB

Validated Rate Rows4,690 (CMS v3.0.0)

File Integrity Digestff4b749be0e6fe9c34cc…

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.

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