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Short Term Acute Care HospitalGovernment - Local

Riverside University Health System

Riverside University Health System · Moreno Valley, CA

26520 Cactus Avenue, Moreno Valley, CA 92555(951) 486-4000

3 of 5

CMS star rating

423

Beds

23,670

Inpatient discharges a year

$942M

Net patient revenue a year

23

In-network payers

About this hospital

Riverside University Health System is a 423-bed government - local hospital in Moreno Valley, CA, affiliated with Riverside University Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 23 in-network payers and 34 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
CCN
050292
NPI
1821159195
Health system
Riverside University Health System
Teaching
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
2024

Prices for common services

The 24 services Riverside University Health System 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

$5,628 - $8,716

from 4 insurers · median $6,972

Aetna$8,716
Insurer A*$5,628
Insurer B*$5,916
Insurer C*$8,029

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

$5,628 - $12,579

from 4 insurers · median $8,568

Aetna$9,576
Insurer A*$5,628
Insurer B*$7,561
Insurer C*$12,579

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

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$5,628 - $8,716

from 4 insurers · median $6,972

Aetna$8,716
Insurer A*$5,628
Insurer B*$5,916
Insurer C*$8,029

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

Medicine & Surgery · Inpatient

Cervical spinal fusion without CC or MCC

MS-DRG 473

$8,358 - $30,352

from 4 insurers · median $30,139

Anthem / Blue Shield$8,358
Insurer A*$30,124
Insurer B*$30,154
Insurer C*$30,352
Medicare $16,162Nearby hospitals $39,43824% below nearby hospitals

Hospital reports neurosurgical services to CMS

How the insurers pay at Riverside University Health System

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
295%
154
Insurer B*23
128%
415
Insurer C*15
43%
110
Insurer D*6
-
00

How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 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 University Health System, 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
AmbetterAspirus Health PlanCenteneDean Health PlanFirst HealthGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    3 of 5 stars

    • 234 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.21%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 42 services, including trauma care
    • 502 affiliated clinicians
    See doctors and services
  • Finances

    $942M net patient revenue

    • Operating margin on patient care -14.6%
    • $227.1M unreimbursed and uncompensated care
    • -$21.1M net income
    See finances
  • Ownership and leadership

    Owned by County Of Riverside

    • Local
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
95-6000930Riverside County Dmh24Aetna, Ambetter, AmeriBen, Asuris Northwest Health, BCBS and 19 more1821159195 County Of Riverside1386852416 Riverside University Health Systems - Medical Center1396859179 County Of Riversideand 27 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

26520 Cactus Avenue, Moreno Valley, CA 92555

(951) 486-4000

Get directions

Frequently asked questions

About Riverside University Health System's rates and hospital price transparency.

How much does a CT scan cost at Riverside University Health System?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Riverside University Health System range from $316 to $458 across 2 insurers. Aetna's rate is $316. The median at nearby comparable hospitals is $743. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Riverside University Health System?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Riverside University Health System range from $1,570 to $2,906 across 2 insurers. UnitedHealthcare's rate is $1,570. The median at nearby comparable hospitals is $3,241. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Riverside University Health System?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Riverside University Health System range from $5,628 to $8,716 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 University Health System?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Riverside University Health System range from $134 to $711 across 2 insurers. Aetna's rate is $134. The median at nearby comparable hospitals is $331. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Riverside University Health System?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Riverside University Health System range from $24,056 to $28,847 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $24,561. The median at nearby comparable hospitals is $37,622. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Riverside University Health System's CMS star rating?

Riverside University Health System has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Riverside University Health System a teaching hospital?

Yes. CMS counts 0.22 Medicare-funded residents per bed at Riverside University Health System for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Riverside University Health System for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Riverside University Health System's base inpatient payments by an estimated 0.21% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Riverside University Health System?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (229 discharges), psychoses (136 discharges), heart failure and shock with mcc (93 discharges).

What is Riverside University Health System's case mix index?

Riverside University Health System's Medicare case mix index is 1.72 for fiscal year 2027, higher than 54% of hospitals paid under the inpatient prospective payment system.

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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Publish a CMS-compliant machine-readable file

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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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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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