Riverside Doctors' Hospital of Williamsburg
1500 Commonwealth Avenue, Williamsburg, VA 23185 · 46 Priced Procedures · 81% Patient Recommendation
Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.16× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Riverside Doctors' Hospital of Williamsburg prices routine shoppable procedures near 1.3× Medicare (p50 1.16×) while skewing captive emergency, lab, and upper-quartile codes to 2.2× Medicare (p75 1.56×, +34% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.06× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 5-Star CMS clinical rating with 81% patient recommendation (73/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (15.9% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Captive ER (1.9×) & laboratory (1.7×) services average 1.69× higher multiples than routine shoppable care (1.3×)
- Upper-quartile procedures (Q75 1.56×) jump +34% above the median procedure ratio (Q50 1.16×)
- Consolidated metro market (HHI 2,784) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Riverside Doctors' Hospital of Williamsburg
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 46 published procedures.
Audit a Bill or Quote at Riverside Doctors' Hospital of Williamsburg (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $22,278
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (15.9% of gross = $22,278).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Riverside Doctors' Hospital of Williamsburg's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($140,203) is $109,428 above the denoised Fair BaseRate ($30,775) and 6.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Illustrative National Nonprofit Peer Median (15.9% of gross — request this hospital's exact FAP Look-Back AGB percentage)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Hospital-specific AGB look-back percentages are published in each facility’s written Financial Assistance Policy (FAP). This figure reflects the national nonprofit peer median benchmark.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)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 Doctors' Hospital of Williamsburg. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-03-05·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (351 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Riverside Doctors' Hospital of Williamsburg.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.