How many shoppable procedure prices are published for Riverside University Health System-Medical Center?

Riverside University Health System-Medical Center in Moreno Valley, CA currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Riverside University Health System-Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Riverside University Health System-Medical Center's median negotiated commercial rate is 1.7× the regionally adjusted fair BaseRate benchmark.

What is Riverside University Health System-Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Riverside University Health System-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 Government - Local 423 Beds · rural Updated: 3/30/2026

Riverside University Health System-Medical Center

26520 Cactus Avenue, Moreno Valley, CA 92555 · 113 Priced Procedures · 62% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.72×vs. Fair Market Price

Typical commercial prices here are +72% above the fair benchmark (1.72×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 14% of the Time

File Completeness90

Price Logic55

Peer Alignment84

Clean Billing85

Real Cash Discount6

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.72× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Riverside University Health System-Medical Center prices shoppable and inpatient services (2.3× to 1.7× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.72× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#216 of 240 in CA · 89th State Percentile#2,898 of 3,385 in U.S. · 85th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.42× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 14% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (59/100 safety score) with 62% 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)

Outpatient surgery & OR suites carry a 3.0× markup over Medicare rates
Commercial insurance median sits at 1.69× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.01×) jump +19% above the median procedure ratio (Q50 1.69×)
Unnegotiated chargemaster list prices average 12.2× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.74× Divergence

1.7× Medicare

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

Quantile Tail Spread+19% Upper Tail

Q25 1.42× · Q50 1.69× · Q75 2.01×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

3.0× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

2.7× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.4× MedicareGood

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

14% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 59/100Elevated

Procedure Prices at Riverside University Health System-Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$175,441	$47,915	$30,775	1.6×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$131,125	$28,684	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$113,664	$27,782	$17,936	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$156,380	$27,090	$19,087	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$65,084	$12,503	$8,223	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$12,938	$12,232	$6,109	unverified
Breast lump removal CPT Code: `19120`	$9,044	$8,028	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$9,385	$7,399	$3,629	2.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$5,419	$5,350	$981	unverified
Cataract surgery with lens implant CPT Code: `66984`	$6,080	$4,782	$2,540	1.9×
Vaginal delivery (full package) CPT Code: `59400`	$4,305	$4,305	$2,680	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$3,292	$2,472	$1,256	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$5,628	$1,966	$987	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,623	$1,623	$855	1.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,203	$1,203	$148	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$1,180	$1,180	$123	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$6,641	$1,150	$583	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$13,969	$749	$448	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$13,802	$749	$511	1.5×
Blood transfusion CPT Code: `36430`	$689	$689	$498	1.4×
Neurobehavioral status check CPT Code: `96116`	$782	$696	$231	unverified
Rabies immune globulin HCPCS Code: `90375`	$3,888	$580	$322	1.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$633	$544	$201	2.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,648	$507	$272	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$11,837	$507	$303	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$10,243	$507	$338	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$10,809	$507	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$8,651	$507	$369	1.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	$444	$444	$181	unverified
CT scan, head (with contrast) CPT Code: `70460`	$8,552	$373	$242	1.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$9,399	$373	$258	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$394	$394	$38	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$382	$348	$185	1.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$319	$319	$86	3.7×
Office visit, established patient (30-39 min) CPT Code: `99214`	$371	$320	$123	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$280	$270	$87	3.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$289	$289	$35	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$545	$258	$110	2.3×
Family therapy session CPT Code: `90847`	$263	$263	$173	1.5×
Physical therapy (gait training) CPT Code: `97116`	$249	$249	$33	unverified
X-ray, pelvis CPT Code: `72170`	$908	$223	$110	2.0×
X-ray, lower back CPT Code: `72110`	$1,913	$223	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,344	$223	$126	1.8×
Ultrasound, pelvis CPT Code: `76856`	$2,937	$223	$130	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$2,451	$223	$132	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,130	$223	$134	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$554	$221	$151	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$7,855	$223	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$6,959	$223	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$7,203	$223	$166	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$8,045	$223	$167	1.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$9,832	$223	$168	1.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$8,649	$223	$169	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$241	$241	$34	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$502	$194	$86	2.3×
Occupational therapy (self-care training) CPT Code: `97535`	$212	$212	$38	unverified
X-ray, chest (single view) CPT Code: `71045`	$788	$185	$92	2.0×
X-ray, shoulder CPT Code: `73030`	$1,038	$185	$92	2.0×
X-ray, foot CPT Code: `73630`	$965	$185	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$1,038	$185	$93	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$945	$185	$93	2.0×
X-ray, hand CPT Code: `73130`	$1,059	$185	$93	2.0×
X-ray, hip CPT Code: `73502`	$1,032	$185	$93	2.0×
X-ray, ankle CPT Code: `73610`	$1,038	$185	$93	2.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$177	$159	$38	4.2×
Group therapy session CPT Code: `90853`	$212	$169	$100	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$222	$151	$40	unverified
Orthotic fitting and training CPT Code: `97760`	$172	$172	$51	unverified
Prosthetic fitting and training CPT Code: `97761`	$128	$128	$45	2.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$903	$125	$64	2.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$94	$94	$33	2.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$86	$86	$35	2.5×
Drug screening test HCPCS Code: `G0480`	$710	$710	$116	unverified
Typhoid vaccine HCPCS Code: `90675`	$2,308	$518	$347	1.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$497	$497	$111	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$279	$279	$14	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$560	$243	$203	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$242	$242	$48	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$256	$214	$140	1.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$236	$236	$56	unverified
Blood test, amylase CPT Code: `82150`	$189	$189	$7	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$148	$148	$4	unverified
Blood test, sodium CPT Code: `84295`	$172	$172	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$137	$18	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$141	$141	$37	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$158	$158	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$378	$97	$49	2.0×
Blood test, vitamin D CPT Code: `82306`	$96	$96	$31	unverified
Blood test, potassium CPT Code: `84132`	$104	$104	$5	unverified
Blood test, hemoglobin CPT Code: `85018`	$78	$78	$3	unverified
Blood antibody screen CPT Code: `86850`	$99	$99	$46	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$19	$19	$5	3.8×
Culture, bacterial CPT Code: `87070`	$42	$22	$9	2.4×
Speech therapy (group session) CPT Code: `92508`	$57	$45	$27	1.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$96	$9	$4	2.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$164	$10	$5	2.0×
Blood test, magnesium CPT Code: `83735`	$54	$11	$7	1.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$51	$34	$25	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$72	$4	$3	1.3×
Blood test, lipase CPT Code: `83690`	$445	$9	$7	1.3×
Hepatitis C antibody test CPT Code: `86803`	$24	$19	$15	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$118	$10	$8	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$750	$17	$14	1.2×
Blood test, calcium CPT Code: `82310`	$21	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$74	$12	$10	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$196	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$694	$13	$11	1.2×
Blood test, basic metabolic panel CPT Code: `80048`	$856	$10	$9	1.1×
Blood test, liver function panel CPT Code: `80076`	$900	$10	$9	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$107	$32	$39	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$5	$5	$6	0.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$5	$5	$11	0.5×
Blood test, PSA (prostate screen) CPT Code: `84153`	$6	$6	$19	0.3×

Showing top 25 high-impact procedures of 113 total

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

Audit a Bill or Quote at Riverside University Health System-Medical Center (Zero PHI Required)

CMS CCN: 050292

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $175,441

Insurer Median $47,915

1. Amount on Your Bill or Quote ($) Pre-filled with Riverside University Health System-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 Published Cash: $175,441

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Riverside University Health System-Medical Center's published 45 CFR § 180 self-pay cash rate is $175,441 (vs. $47,915 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$144,666 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($175,441) is $144,666 above the denoised Fair BaseRate ($30,775) and 7.5× the $23,504 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: 956000930

Public IRS & CMS ownership records classify Riverside University Health System-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 Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend62%

Rated 9 or 10 (HCAHPS)64%

Median ER Wait245 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 University Health System-Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-03-11·administrative_or_closure
Closure Notice
Recorded
2025-01-16·cap_corrective_action
CAP Request
Recorded

Source: CMS Hospital Care Compare (479 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Riverside University Health System-Medical Center.

Price Index: 1.64× regional baseline

Quality: 54/100 CMS composite

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 65/100 · Caution CMS CCN 050292 EIN 956000930

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050292) ↗ Verify IRS Form 990 (EIN 956000930) ↗ CMS HCRIS Cost Reports ↗

Published MRF File956000930_riverside-university-health-system_standardcharges.csv

Publication / Vintage3/30/2026 · 67.38 MB

Validated Rate Rows2,545 (CMS v2026.1.0)

File Integrity Digestd63d65a4b52976515b45…

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