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

Riverside Regional Medical Center in Newport News, VA currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

CMS Care Compare assigns Riverside 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 Voluntary non-profit - Private 433 Beds · urban Updated: 2026-01-02

Riverside Regional Medical Center

500 J Clyde Morris Blvd, Newport News, VA 23601 · 107 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

72/100 · Corroborated

72/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness45

Price Logic100

Peer Alignment55

Clean Billing56

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

Riverside Regional Medical Center concentrates commercial margin in outpatient surgical suites (8.5× Medicare) and specialty drug infusions (2.9× Medicare) relative to routine diagnostics (2.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in VAU.S. National Reference Pool

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (74/100 safety score) with 74% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (15.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 8.5× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 2,784) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

6.8× Medicare

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

Back-Door Captive & ER0.75× Divergence

5.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

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

6.8× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

8.5× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

2.9× MedicareFair

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 74/100Fair

Procedure Prices at Riverside 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 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$6,443	$6,443	$13,413	0.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,288	$3,288	$3,372	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,583	$2,583	$511	5.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,117	$2,117	$1,021	2.1×
Breast lump removal CPT Code: `19120`	$2,057	$2,057	$3,875	0.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,984	$1,984	$448	4.4×
Trauma team activation HCPCS Code: `G0390`	$1,829	$1,829	$1,453	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$1,431	$1,431	$338	4.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,431	$1,431	$343	4.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,431	$1,431	$369	3.9×
Colonoscopy with biopsy CPT Code: `45380`	$1,407	$1,407	$1,256	1.1×
CT scan, pelvis CPT Code: `72192`	$1,273	$1,273	$163	7.8×
CT scan, chest (no contrast) CPT Code: `71250`	$1,273	$1,273	$167	7.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,273	$1,273	$168	7.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,273	$1,273	$169	7.5×
CT scan, head (with contrast) CPT Code: `70460`	$1,273	$1,273	$242	5.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,273	$1,273	$258	4.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,273	$1,273	$303	4.2×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,278	$1,278	$981	1.3×
CT scan, sinuses CPT Code: `70486`	$1,103	$1,103	$166	6.6×
CT scan, head (no contrast) CPT Code: `70450`	$1,056	$1,056	$160	6.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$977	$977	$583	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$980	$980	$987	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$614	$614	$134	4.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$600	$600	$272	2.2×
Ultrasound, pelvis CPT Code: `76856`	$550	$550	$130	4.2×
Blood transfusion CPT Code: `36430`	$516	$516	$498	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$452	$452	$126	3.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$420	$420	$132	3.2×
X-ray, lower back CPT Code: `72110`	$313	$313	$112	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$336	$336	$148	2.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$337	$337	$17,936	0.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$303	$303	$185	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$272	$272	$123	2.2×
X-ray, hip CPT Code: `73502`	$242	$242	$93	2.6×
X-ray, ankle CPT Code: `73610`	$238	$238	$93	2.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$251	$251	$181	1.4×
X-ray, foot CPT Code: `73630`	$222	$222	$92	2.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$206	$206	$93	2.2×
X-ray, hand CPT Code: `73130`	$206	$206	$93	2.2×
X-ray, shoulder CPT Code: `73030`	$188	$188	$92	2.0×
X-ray, pelvis CPT Code: `72170`	$206	$206	$110	1.9×
Neurobehavioral status check CPT Code: `96116`	$208	$208	$231	0.9×
Behavioral health counseling (group) HCPCS Code: `H0009`	$216	$216	$269	0.8×
Behavioral health day treatment HCPCS Code: `H0010`	$216	$216	$343	0.6×
Psychological testing by technician CPT Code: `96138`	$206	$206	$395	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$152	$152	$64	2.4×
X-ray, chest (two views) CPT Code: `71046`	$169	$169	$93	1.8×
Speech therapy (language evaluation) CPT Code: `92507`	$137	$137	$86	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$162	$162	$110	1.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$137	$137	$123	1.1×
Psychological testing evaluation CPT Code: `96136`	$139	$139	$128	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$83	$83	$35	2.4×
Prosthetic fitting and training CPT Code: `97761`	$88	$88	$45	2.0×
Orthotic fitting and training CPT Code: `97760`	$88	$88	$51	1.7×
X-ray, chest (single view) CPT Code: `71045`	$96	$96	$92	1.0×
Group therapy session CPT Code: `90853`	$100	$100	$100	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$83	$83	$87	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$105	$105	$201	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$84	$84	$166	0.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$81	$81	$19,432	0.0×
Pneumococcal vaccine HCPCS Code: `90732`	$148	$148	$140	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$98	$98	$11	8.9×
Blood test, vitamin D CPT Code: `82306`	$99	$99	$31	3.2×
Drug screening test HCPCS Code: `G0480`	$97	$97	$116	0.8×
Blood test, lipase CPT Code: `83690`	$64	$64	$7	9.1×
Blood test, amylase CPT Code: `82150`	$50	$50	$7	7.1×
Blood test, basic metabolic panel CPT Code: `80048`	$64	$64	$9	7.1×
Blood test, liver function panel CPT Code: `80076`	$60	$60	$9	6.7×
Culture, bacterial CPT Code: `87070`	$54	$54	$9	6.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	$54	$10	5.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$74	$74	$14	5.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$47	$47	$8	5.9×
Culture, blood CPT Code: `87040`	$55	$55	$11	5.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$66	$66	$14	4.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$62	$18	3.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$62	$62	$19	3.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$63	$63	$20	3.1×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$68	$68	$27	2.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$75	$75	$38	2.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$68	$68	$35	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$62	$62	$56	1.1×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$35	$35	$6	5.8×
Blood test, magnesium CPT Code: `83735`	$36	$36	$7	5.1×
Hepatitis C antibody test CPT Code: `86803`	$61	$61	$15	4.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$45	$45	$14	3.2×
Blood test, vitamin B12 CPT Code: `82607`	$50	$50	$16	3.1×
Physical therapy (manual therapy) CPT Code: `97140`	$65	$65	$34	1.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$58	$58	$40	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$52	$52	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$50	$50	$38	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$21	$3	7.0×
Blood test, calcium CPT Code: `82310`	$22	$22	$5	4.4×
Blood test, sodium CPT Code: `84295`	$22	$22	$5	4.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$22	$22	$5	4.4×
Physical therapy (gait training) CPT Code: `97116`	$45	$45	$33	1.4×
Blood test, hemoglobin CPT Code: `85018`	$12	$12	$3	4.0×
Blood test, potassium CPT Code: `84132`	$19	$19	$5	3.8×
Speech therapy (group session) CPT Code: `92508`	$43	$43	$27	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$14	$14	$4	3.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$17	$17	$5	3.4×
Blood antibody screen CPT Code: `86850`	$36	$36	$46	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$34	$34	$49	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$22	$22	$48	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$22	$22	$49	0.4×
Hospital observation (per hour) HCPCS Code: `G0378`	$25	$25	$86	0.3×

Showing top 25 high-impact procedures of 107 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 15.9%

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

CMS CCN: 490052

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $6,443

Insurer Median $6,443

1. Amount on Your Bill or Quote ($) Pre-filled with Riverside 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 501(r) AGB Cap: $2,048 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,048

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 = $2,048).

Step 2 · Cash vs. Insurance Arbitrage Save $6,443 Paying Cash

Self-Pay Cash Rate ($6,443) Beats Your Bill

Riverside Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $6,443 (vs. $6,443 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $13,413 Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,413).

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) 501(c)(3) Nonprofit Hospital

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

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: cbsa_nonprofit_median

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.

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 Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend74%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait238 min

Left ER Before Seen4%

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 Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-14·administrative_or_closure
Closure Notice
Recorded
2025-03-31·warning_notice
Warning Notice
Recorded
2023-09-15·administrative_or_closure
Closure Notice
Recorded
2023-06-05·cap_corrective_action
CAP Request
Recorded
2023-02-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,460 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

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

Price Index: 0.81× regional baseline

Quality: 75/100 CMS composite

Median Household Income$66,718U.S. Census ACS

Local Uninsured Share8.7%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 72/100 · Corroborated CMS CCN 490052

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

MRF Portal Indexed (RRMC) Verify on CMS Medicare.gov (CCN 490052) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileRRMC

Publication / Vintage2026-01-02 · 118.65 MB

Validated Rate Rows498 (CMS v3.0.0)

File Integrity DigestVerified · CCN 490052

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