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Short Term Acute Care HospitalProprietary

Riverside Community Hospital

HCA Healthcare · Riverside, CA

4445 Magnolia Avenue, Riverside, CA 92501(951) 788-3000

2 of 5

CMS star rating

531

Beds

29,294

Inpatient discharges a year

$884M

Net patient revenue a year

36

In-network payers

About this hospital

Riverside Community Hospital is a 531-bed proprietary hospital in Riverside, CA, affiliated with HCA Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 307 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • Helipad
CCN
050022
NPI
1114971660
Health system
HCA Healthcare
Teaching
Major teaching hospital
County
Riverside County
Metro area
Riverside-San Bernardino-Ontario, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Riverside Community Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,916 - $12,179

from 4 insurers · median $8,839

Aetna$8,716
Insurer A*$5,916
Insurer B*$8,961
Insurer C*$12,179

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$7,561 - $16,069

from 4 insurers · median $9,611

Aetna$9,268
Insurer A*$7,561
Insurer B*$9,954
Insurer C*$16,069

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$39,985 - $54,836

from 4 insurers · median $51,089

Aetna$49,799
Insurer A*$39,985
Insurer B*$52,379
Insurer C*$54,836
Medicare $16,839Nearby hospitals $31,99060% above nearby hospitals

42 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,916 - $12,179

from 4 insurers · median $8,839

Aetna$8,716
Insurer A*$5,916
Insurer B*$8,961
Insurer C*$12,179

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

How the insurers pay at Riverside Community Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
508%
96
Insurer B*24
450%
107
Insurer C*24
415%
138
Insurer D*24
193%
96

How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Riverside Community Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 189 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.58%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 40 services, including trauma & transplant care
    • 414 affiliated clinicians
    See doctors and services
  • Finances

    $884M net patient revenue

    • Operating margin on patient care 22.9%
    • $74.2M unreimbursed and uncompensated care
    • $205.7M net income
    See finances
  • Ownership and leadership

    Owned by HCA Healthcare Inc

    • Private (for profit)
    • Peter B Hemstead, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Riverside Community Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
33-0751869Riverside Community Hospital58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 53 more1114971660 Riverside Healthcare System L.P.1053358010 Riverside Healthcare System L.P.1336186394 Riverside Healthcare System L.P.and 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

4445 Magnolia Avenue, Riverside, CA 92501

(951) 788-3000

Get directions

Frequently asked questions

About Riverside Community Hospital's rates and hospital price transparency.

How much does an MRI cost at Riverside Community Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Riverside Community Hospital range from $792 to $1,858 across 4 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $1,667. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Riverside Community Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Riverside Community Hospital range from $602 to $1,367 across 4 insurers. Cigna's rate is $1,225. The median at nearby comparable hospitals is $1,609. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Riverside Community Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Riverside Community Hospital range from $3,658 to $5,892 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,658. The median at nearby comparable hospitals is $2,765. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Riverside Community Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Riverside Community Hospital range from $5,916 to $12,179 across 4 insurers. Aetna's rate is $8,716. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Riverside Community Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Riverside Community Hospital range from $158 to $538 across 4 insurers. UnitedHealthcare's rate is $158. The median at nearby comparable hospitals is $369. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Riverside Community Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Riverside Community Hospital range from $39,985 to $54,836 across 4 insurers. Aetna's rate is $49,799. The median at nearby comparable hospitals is $31,990. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Riverside Community Hospital's CMS star rating?

Riverside Community Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Riverside Community Hospital a teaching hospital?

Yes. CMS counts 0.41 Medicare-funded residents per bed at Riverside Community Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Riverside Community Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Riverside Community Hospital's base inpatient payments by an estimated 0.58% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Riverside Community Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (614 discharges), acute myocardial infarction, discharged alive with mcc (119 discharges), heart failure and shock with mcc (114 discharges).

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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