Prime Healthcare Services · Gadsden, AL
3 of 5
CMS star rating
159
Beds
8,187
Inpatient discharges a year
$149.6M
Net patient revenue a year
31
In-network payers
Riverview Regional Medical Center is a 159-bed proprietary hospital in Gadsden, AL, affiliated with Prime Healthcare Services. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 254 disclosed rate categories.
The 24 services Riverview Regional Medical Center 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.
Medicine & Surgery · Inpatient
MS-DRG 216
$62,259 - $117,551
from 4 insurers · median $83,386
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$29,510 - $43,049
from 3 insurers · median $34,730
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 473
$16,090 - $29,929
from 4 insurers · median $21,502
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 74177
$337 - $725
from 4 insurers · median $443
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,953 - $3,934
from 4 insurers · median $3,490
51 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$12,868 - $23,127
from 4 insurers · median $16,554
Hospital reports orthopedic surgery services to CMS
CT imaging
CPT 70450
$141 - $725
from 4 insurers · median $295
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,091 - $1,528
from 4 insurers · median $1,396
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$584 - $1,382
from 4 insurers · median $641
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$4,997 - $11,075
from 4 insurers · median $7,272
46 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$4,997 - $12,009
from 4 insurers · median $8,744
Typical for a hospital with this service line
Mammography
CPT 77067
$76 - $180
from 4 insurers · median $138
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$73 - $443
from 4 insurers · median $162
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,211 - $1,989
from 4 insurers · median $1,454
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,997 - $12,785
from 4 insurers · median $8,991
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,098 - $1,540
from 4 insurers · median $1,289
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$288 - $725
from 4 insurers · median $353
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,477 - $9,627
from 4 insurers · median $5,290
Typical for a hospital with this service line
MRI imaging
CPT 70553
$440 - $986
from 3 insurers · median $613
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$149 - $638
from 4 insurers · median $366
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$238 - $725
from 4 insurers · median $396
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$2,832 - $12,630
from 4 insurers · median $3,443
51 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Nuclear imaging
CPT 78452
$1,032 - $2,893
from 4 insurers · median $1,473
Common here, based on CMS Medicare volume
Ultrasound
CPT 76770
$149 - $905
from 4 insurers · median $522
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 233% | 14 | 8 |
| Insurer B* | 23 | 129% | 10 | 8 |
| Insurer C* | 24 | 119% | 2 | 22 |
| Insurer D* | 23 | 107% | 1 | 21 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 7 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 Riverview Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$149.6M net patient revenue
Ownership and leadership
Owned by Prime Healthcare Holdings Inc
The employer identification numbers (EINs) health plans and networks list for Riverview Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 47-2228529Riverview Regional Medical Center | 44Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 39 more | 1992103857 Prime Healthcare Services - Gadsden LLC1730134123 Riverview Regional Medical Center LLC1669868923 Prime Healthcare Services - Gadsden LLCand 2 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.
600 South Third Street, Gadsden, AL 35901
(256) 543-5200
How Riverview Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 7 measures
0 better, 7 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 6 measures
3 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 8 measures
0 better, 6 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
73%
Higher than 54% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.85
Lower than 85% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
155 min
Higher than 54% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
61%
Lower than 60% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 7 measures | |
| Safety | Better on 3 of 6 measures | |
| Readmissions | Worse on 2 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 73% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.85 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 155 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Riverview Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-1.44% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.09% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Riverview Regional Medical Center, beside the US median and the average of AL hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 36 cases | 3.9 | 4.1 | 4.469 | Better than 57% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,308 cases | 4.4 | 3.9 | 4.658 | Worse than 72% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 69 cases | 12.3 | 11.8 | 12.46 | Worse than 67% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.7 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 90 cases | 9.1 | 8.5 | 8.869 | Worse than 65% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 227 cases | 9.8 | 11 | 11.65 | Better than 73% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 340 cases | 20.4 | 15.2 | 16.81 | Worse than 96% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 177 cases | 14.9 | 11.6 | 14.25 | Worse than 88% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 2,396 cases | 0.26 | 0.51 | 0.6234 | No Different Than the National Rate | Better than 84% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 29 cases | 189 | 173 | 184 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,424 cases | 0.17 | 0.2 | 0.2114 | No Different Than the National Rate | Better than 84% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 3,398 cases | 0.24 | 0.27 | 0.2777 | No Different Than the National Rate | Better than 81% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 461 cases | 2.42 | 2.29 | 2.258 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 149 cases | 1.62 | 1.63 | 1.702 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 150 cases | 10 | 8.88 | 10.91 | No Different Than the National Rate | Worse than 66% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 497 cases | 2.89 | 3.4 | 3.831 | No Different Than the National Rate | Better than 85% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 141 cases | 4.94 | 5.105 | 5.911 | No Different Than the National Rate | Better than 64% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 70 cases | 1.72 | 1.72 | 1.803 | No Different Than the National Rate | Better than 48% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 369 cases | 0.97 | 1.02 | 1.058 | No Different Than the National Rate | Better than 67% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 54 cases | 25.8 | 4.2 | 2.616 | Worse than 81% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 275 cases | -8.8 | 1.25 | 11.68 | Better than 64% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 370 cases | 15.1 | 3.85 | 12.55 | Worse than 66% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 255 cases | 13.4 | 12.9 | 12.93 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.28 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.113 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 167 cases | 0.9 | 1 | 0.986 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 156 cases | 14.6 | 14.4 | 14.31 | Worse than 60% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.67 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 220 cases | 20.7 | 19.8 | 19.89 | Worse than 82% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 536 cases | 22.8 | 21.3 | 21.29 | Worse than 87% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 32 cases | 5.8 | 5.8 | 5.979 | Worse than 48% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 704 cases | 18.8 | 17.2 | 17.3 | Worse than 91% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.017 | 0.172 | 0.3169 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.635 | 1.504 | 1.803 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 4,300 | 1,370 | 3,994 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 3.016 | 0.9835 | 4.09 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.932 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.332 | 0.484 | 0.6373 | No Different than National Benchmark | Better than 63% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.009 | 0.138 | 0.1812 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.882 | 1.392 | 1.656 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 7,682 | 1,799 | 5,240 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 5.589 | 1.377 | 6.563 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 3.286 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.179 | 0.399 | 0.5151 | Better than the National Benchmark | Better than 69% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.029 | 0.2345 | 0.2584 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.876 | 2.135 | 2.032 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 61 | 61 | 115 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.715 | 1.591 | 3.302 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.222 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.583 | 0.7155 | 0.6198 | No Different than National Benchmark | Better than 58% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3223 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.058 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 169 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.547 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.1 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.6612 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.987 | 0.193 | 0.3413 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 5.971 | 1.855 | 2.26 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 38,158 | 14,451 | 38,119 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 1.856 | 0.567 | 2.905 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 2.295 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 2.694 | 0.597 | 0.8121 | No Different than National Benchmark | Worse than 99% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.002 | 0.127 | 0.2104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.234 | 0.747 | 1.307 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 38,158 | 13,646 | 35,794 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 21.11 | 5.683 | 20 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 8.833 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.047 | 0.279 | 0.3683 | Better than the National Benchmark | Better than 79% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 442 cases | 71 | 73 | 70.64 | Worse than 58% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 442 cases | 12 | 8 | 10.56 | Worse than 76% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 442 cases | 17 | 18 | 18.79 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 85 | 87 | 83.69 | Worse than 63% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 442 cases | 3 | 4 | 2.759 | Worse than 53% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 442 cases | 77 | 80 | 79.88 | Worse than 65% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 91 | 91 | 91.09 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 442 cases | 7 | 4 | 4.699 | Worse than 86% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 442 cases | 3 | 3 | 3.315 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 442 cases | 16 | 16 | 15.42 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 442 cases | 73 | 79 | 81.51 | Worse than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 87 | 91 | 91.22 | Worse than 90% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 442 cases | 10 | 5 | 5.027 | Worse than 94% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 442 cases | 2 | 3 | 3.278 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 442 cases | 17 | 16 | 13.47 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 442 cases | 59 | 61 | 62.21 | Worse than 59% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 78 | 77 | 77.09 | Better than 57% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 442 cases | 21 | 19 | 19.6 | Worse than 58% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 442 cases | 3 | 3 | 2.685 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 442 cases | 20 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 84 | 86 | 84.46 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 442 cases | 16 | 13 | 14.63 | Worse than 72% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 442 cases | 3 | 3 | 3.056 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 442 cases | 84 | 87 | 85.37 | Worse than 72% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 442 cases | 16 | 14 | 16.42 | Worse than 60% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 442 cases | 84 | 86 | 83.58 | Worse than 60% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 69 | 74 | 76.38 | Worse than 81% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 12 | 7 | 6.297 | Worse than 94% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 19 | 19 | 17.33 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 72 | 77 | 79.28 | Worse than 82% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 10 | 6 | 5.516 | Worse than 92% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 18 | 17 | 15.2 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 78 | 85 | 86.14 | Worse than 92% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 9 | 3 | 3.688 | Worse than 98% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 13 | 11 | 10.17 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 442 cases | 6 | 8 | 8.753 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 442 cases | 27 | 20 | 20.79 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 442 cases | 67 | 72 | 70.45 | Worse than 68% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 89 | 88 | 87.57 | Better than 55% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 442 cases | 4 | 3 | 3.222 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 442 cases | 73 | 74 | 74.89 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 442 cases | 13 | 9 | 9.938 | Worse than 80% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 442 cases | 14 | 16 | 15.17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 74 | 75 | 75.05 | Worse than 52% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 8 | 5 | 6 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 442 cases | 18 | 20 | 18.95 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 75 | 77 | 76.77 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 8 | 4 | 5.703 | Worse than 88% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 442 cases | 17 | 19 | 17.53 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 83 | 86 | 84.83 | Worse than 72% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 4 | 3 | 3.531 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 442 cases | 13 | 11 | 11.64 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 442 cases | 64 | 59 | 66.56 | Better than 65% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 442 cases | 9 | 9 | 6.575 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 442 cases | 27 | 31 | 26.86 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 86 | 82 | 84.96 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 442 cases | 4 | 3 | 4 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 442 cases | 4 | 5 | 6.466 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 442 cases | 73 | 71 | 70.55 | Better than 54% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 442 cases | 89 | 87 | 86.26 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 442 cases | 23 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 442 cases | 4 | 4 | 3.389 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 442 cases | 46 | 47 | 48.08 | Worse than 53% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 442 cases | 28 | 30 | 30.03 | Better than 60% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 442 cases | 26 | 22 | 21.89 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 442 cases | 3 | 3 | 3.241 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 442 cases | 15 | 12 | 13 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 442 cases | 85 | 88 | 87 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 · 13,339 cases | 13 | 8 | 10 | Worse than 84% of US hospitals | |
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 2,701 cases | 1 | 1 | 1.7 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.5 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,324 cases | 83 | 79 | 62.92 | Better than 56% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 433 cases | 155 | 154 | 158 | Worse than 50% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 425 cases | 155 | 148 | 153 | Worse than 54% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 255 | |||
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 311 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 27,912 cases | 2 | 1 | 2.342 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 67.37 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 39 cases | 97 | 97 | 90.8 | Better than 46% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 46.43 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,976 cases | 20 | 15 | 14.5 | Worse than 84% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 119 cases | 61 | 65 | 62.47 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 27 cases | 56 | 73 | 70.8 | Worse than 83% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 87.48 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 119 cases | 73 | 82 | 79.9 | Worse than 78% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 60 cases | 97 | 94 | 90.95 | Better than 69% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 95.75 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 77.67 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 150 cases | 92 | 94 | 91.83 | Worse than 63% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 75.44 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 89.85 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 1.9 | 5 | 7.666 | Better than 86% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 3 | 6.6 | 6.484 | Better than 92% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.97 | 0.99 | 0.9828 | Better than 58% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 42 cases | 57.1 | 60.8 | 54.63 | Worse than 58% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 42 cases | 31 | 35.5 | 30.65 | Worse than 65% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,339 cases | 0.04 | 0.05 | 0.06205 | Worse than 53% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,339 cases | 0 | 0.03 | 0.8569 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 98 cases | 79 | 87 | 83.44 | Worse than 62% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 83.08 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 174 cases | 19.4 | 19.1 | 19.31 | No Different Than the National Rate | Worse than 54% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 207 cases | 100 | 92 | 85.49 | The best result, shared by 14% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 71.35 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 84.76 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 65.14 | |||
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 59.52 | |||
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 62.52 | |||
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 37.24 | |||
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 274 cases | 31 | 77 | 70.82 | Worse than 75% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 10 | 20 | 12.82 | Worse than 70% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 2.5 | 5 | 3.268 | Worse than 70% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 19.17 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 5.035 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 39 | 34 | 41.4 | Better than 59% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 9.75 | 8.75 | 10.89 | Better than 58% of US hospitals | |
| VBP safety domain scoreFY 2026 | 62 | 40 | 40.62 | Better than 84% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 15.5 | 10 | 10.27 | Better than 83% of US hospitals | |
| VBP total performance scoreFY 2026 | 27.75 | 29.5 | 28.52 | Worse than 56% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 62 | 48 | 32.5 | 22 | 7.5 | 10 |
| VBP clinical outcomes weighted domain score | 15.5 | 12 | 8.125 | 5.5 | 1.875 | 2.5 |
| VBP efficiency and cost reduction domain score | 40 | Not Available | 10 | 30 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 10 | Not Available | 2.5 | 7.5 | 0 | 0 |
| VBP person and community engagement domain score | 30 | Not Available | Not Available | 11 | 18 | 39 |
| VBP person and community engagement weighted domain score | 7.5 | Not Available | Not Available | 2.75 | 4.5 | 9.75 |
| VBP safety domain score | 50 | Not Available | Not Available | 80 | 27.5 | 62 |
| VBP safety weighted domain score | 12.5 | Not Available | Not Available | 20 | 6.875 | 15.5 |
| VBP total performance score | 45.5 | Not Available | Not Available | 35.75 | 13.25 | 27.75 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.013 | 0.9995 | 1.029 | Worse than 59% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.045 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 99 cases | 1.063 | 0.9969 | 0.996 | Worse than 91% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 275 cases | 1.106 | 0.9983 | 1.009 | Worse than 94% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.034 | 0.9916 | 1.039 | Worse than 62% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 322 cases | 1.118 | 0.9955 | 1.003 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.109 | 1.087 | 1.062 | 0.9672 | 0.9659 | 1.013 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 1.041 | 0.9583 | 0.9451 | 1.047 | 1.048 | 1.063 |
| READM-30-HF-HRRP | 1.062 | 0.9814 | 0.9803 | 1.099 | 1.093 | 1.106 |
| READM-30-HIP-KNEE-HRRP | 0.977 | 0.917 | 0.9642 | N/A | N/A | 1.034 |
| READM-30-PN-HRRP | 1.159 | 1.08 | 1.092 | 1.097 | 1.09 | 1.118 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | AL average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.166 | 0.489 | 0.5999 | Better than 81% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.138 | 0.346 | 0.4007 | Better than 81% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.351 | 0.559 | 0.8784 | Better than 71% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.388 | 0.6405 | 0.8744 | Worse than 89% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.8528 | 0.9628 | 1.049 | Better than 85% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 0.5688 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.5664 | -0.0453 | 0.09962 | Better than 83% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.7935 | -0.6999 | 0 | -1.115 | -0.7962 | -0.5664 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2009)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
281
Medicare-certified beds
262
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Riverview Regional Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
8,187
Inpatient discharges
Medicare 24%, Medicaid 7%
38,136
Inpatient days
74% of available bed days used
681
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 838452). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Riverview Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 9,486 | 2,638 | 26,012 | 38,136 |
| Discharges | 1,950 | 537 | 5,700 | 8,187 |
| Average length of stay | 4.9 days | 4.9 days | 4.6 days | 4.7 days |
| Average daily census | 26.0 | 7.2 | 71.3 | 104.5 |
15,665
Medicare Advantage days
3,361 discharges
556
Medicaid managed care days
21 discharges
528
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 119 | 32,072 | 7,967 | 74% |
| Coronary care unit | 22 | 6,064 | 1,519 | 76% |
| Subprovider - ipf | 18 | 4,357 | 2,146 | 66% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Riverview Regional Medical Center treats Medicare patients for most often, in 2024. 1,336 Medicare discharges in 44 published DRGs; 8% surgical; 73% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 272 | $96,711 | $10,702 | $12,089 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 105 | $60,241 | $7,141 | $7,530 | 1.28 |
| Renal failure with MCCMS-DRG 682, medical | 64 | $55,627 | $8,233 | $6,953 | 1.50 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $53,799 | $6,481 | $6,725 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $74,418 | $8,611 | $9,302 | 1.70 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 49 | $34,184 | $3,672 | $4,273 | 0.79 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $56,684 | $7,120 | $7,085 | 1.33 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 42 | $47,258 | $7,000 | $5,907 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $32,277 | $3,901 | $4,035 | 0.78 |
| Renal failure with CCMS-DRG 683, medical | 36 | $38,563 | $4,454 | $4,820 | 0.90 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $278,271 | $31,565 | $34,784 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 29 | $294,278 | $41,968 | $36,785 | 6.96 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $30,157 | $3,426 | $3,770 | 0.74 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $45,254 | $5,127 | $5,657 | 1.03 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $85,039 | $9,480 | $10,630 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 23 | $56,925 | $5,220 | $7,116 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $74,958 | $10,796 | $9,370 | 2.00 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $33,360 | $6,312 | $4,170 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $35,859 | $3,916 | $4,482 | 0.81 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $80,817 | $8,568 | $10,102 | 1.59 |
See all 44 Medicare inpatient DRGs at Riverview Regional Medical Center
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Riverview Regional Medical Center billed Medicare for most in 2024: 504 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 139 | 138 | $25,311 | $1,859 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 81 | 74 | $11,623 | $1,236 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 72 | 68 | $131,592 | $8,892 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 51 | $49,928 | $2,057 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 46 | 42 | $81,254 | $4,726 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 43 | 40 | $93,804 | $7,485 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 28 | $35,689 | $1,052 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 16 | $18,994 | $1,066 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 15 | $38,991 | $1,190 | $1,407 |
| Comprehensive Observation ServicesAPC 8011 | 13 | 11 | $30,171 | $877 | $2,090 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Riverview Regional Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 3,416 in 2020 to 5,049 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 35901 | 895 | 18% | 4,459 | $72.6M | 52% | 43% |
| 35903 | 605 | 12% | 2,813 | $45.9M | 40% | 32% |
| 35904 | 570 | 11% | 2,652 | $46.7M | 51% | 41% |
| 35954 | 478 | 9% | 2,384 | $40.5M | 48% | 44% |
| 35906 | 406 | 8% | 1,953 | $33.8M | 47% | 43% |
| 35907 | 303 | 6% | 1,343 | $24.5M | 47% | 29% |
| 35905 | 237 | 5% | 954 | $16.1M | 38% | 27% |
| 36272 | 222 | 4% | 1,066 | $19.4M | 24% | 14% |
| 36265 | 168 | 3% | 758 | $13.9M | 19% | 9% |
| 35952 | 107 | 2% | 522 | $9.7M | 26% | 13% |
| 35960 | 106 | 2% | 509 | $8.6M | 11% | 11% |
| 35961 | 86 | 2% | 310 | $5.6M | 25% | 17% |
| 35956 | 76 | 2% | 397 | $7.7M | 20% | 15% |
| 35957 | 69 | 1% | 328 | $5.3M | 11% | 8% |
| 35953 | 68 | 1% | 296 | $5.2M | 17% | 13% |
| 36271 | 68 | 1% | 315 | $4.8M | 18% | 14% |
| 35967 | 59 | 1% | 257 | $5.3M | 8% | 7% |
| 36279 | 56 | 1% | 275 | $4.2M | 42% | 14% |
| 35983 | 51 | 1% | 222 | $4.6M | 21% | 25% |
| 35902 | 47 | 1% | 229 | $3.3M | 72% | 43% |
| 35959 | 39 | 1% | 181 | $2.8M | 10% | 9% |
| 35987 | 37 | 1% | 159 | $3.2M | 29% | 38% |
| 35972 | 35 | 1% | 130 | $2.3M | 39% | 51% |
| 36207 | 35 | 1% | 181 | $3.5M | 3% | |
| 35131 | 31 | 1% | 158 | $2.8M | 14% |
Source: CMS Hospital Service Area file. Shares are of the 5,049 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Riverview Regional Medical Center reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
19
Psychiatric unit beds
262
Registered nurses
30
Licensed practical nurses
12
Physicians
7
Pharmacists
12
Respiratory therapists
34
Radiology technicians
2
Nuclear medicine technicians
16
Laboratory technicians
7
Medical technologists
329
Other personnel
Source: CMS Provider of Services file.
203 clinicians who bill Medicare list Riverview Regional Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
John Pirani, MD
Urology Physician
NPI 1942267026
See commercial rates for John Pirani, MDMichael Jennings, MD
Urology Physician
NPI 1508271578
See commercial rates for Michael Jennings, MDMerle Wade, MD
Urology Physician
NPI 1033167465
See commercial rates for Merle Wade, MDManish Shah, MD
Urology Physician
NPI 1558328625
See commercial rates for Manish Shah, MDJames Smith, MD
Orthopaedic Surgery Physician
NPI 1053409060
See commercial rates for James Smith, MDLaura Bunch, M.D.
Medical Oncology Physician
NPI 1295773125
See commercial rates for Laura Bunch, M.D.Emma Arquitola, CRNP
Family Nurse Practitioner
NPI 1700308616
See commercial rates for Emma Arquitola, CRNPSandra Martin, MD
Specialist
NPI 1043215114
See commercial rates for Sandra Martin, MDTracie Thornton, CRNP
Nurse Practitioner
NPI 1467962472
See commercial rates for Tracie Thornton, CRNPAmarabalan Rajendran, M.D
Physical Medicine & Rehabilitation Physician
NPI 1962843680
See commercial rates for Amarabalan Rajendran, M.DDanny Sparks, MD
Orthopaedic Surgery Physician
NPI 1225082696
See commercial rates for Danny Sparks, MDMohamadali Eloubeidi, MD
Gastroenterology Physician
NPI 1750325569
See commercial rates for Mohamadali Eloubeidi, MDFerdinand Osuji, MD
Internal Medicine Physician
NPI 1821169186
See commercial rates for Ferdinand Osuji, MDBrian Valentine, M.D.
Diagnostic Radiology Physician
NPI 1952571549
See commercial rates for Brian Valentine, M.D.Glenn Wilson, MD
Orthopaedic Surgery Physician
NPI 1750479754
See commercial rates for Glenn Wilson, MDJustin Steinman, DO
Radiation Oncology Physician
NPI 1811483985
See commercial rates for Justin Steinman, DOTamara Mcintosh, M.D.
Family Medicine Physician
NPI 1538269816
See commercial rates for Tamara Mcintosh, M.D.Krishna Chaitanya Keri, MD
Nephrology Physician
NPI 1285947473
See commercial rates for Krishna Chaitanya Keri, MDJonathan Stidham, M.D.
Diagnostic Radiology Physician
NPI 1215372073
See commercial rates for Jonathan Stidham, M.D.Bankimchandra Patel, M.D.
Interventional Cardiology Physician
NPI 1801897772
See commercial rates for Bankimchandra Patel, M.D.Nolan Ulrich, D.O.
Family Medicine Physician
NPI 1659452209
See commercial rates for Nolan Ulrich, D.O.Virenjan Narayan, M.D.
Cardiovascular Disease Physician
NPI 1518968494
See commercial rates for Virenjan Narayan, M.D.Christopher Kelley, MD
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1578589529
See commercial rates for Christopher Kelley, MDAngus Baird, MD
Diagnostic Radiology Physician
NPI 1619972866
See commercial rates for Angus Baird, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Riverview Regional Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.2B | 809.6% |
| Inpatient | $665.7M | 444.9% |
| Outpatient | $545.7M | 364.7% |
| Contractual allowances and discounts | -$1.1B | -709.6% |
| Net patient revenue | $149.6M | 100.0% |
| Operating expenses | -$135.7M | -90.7% |
| Operating income from patient care | $13.9M | 9.3% |
| Other income | $836,662 | 0.6% |
| Contributions and donations | $147,540 | 0.1% |
| Other | $689,122 | 0.5% |
| Net income | $14.7M | 9.9% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $212.1M | 17.5% |
| Medicaid (including managed care) | $88.7M | 7.3% |
| Other payers and self-pay | $910.6M | 75.2% |
| Total charges | $1.2B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Riverview Regional Medical Center's latest cost report.
9.3%
Operating margin
Operating income from patient care / net patient revenue
9.8%
Total margin
Net income / net patient revenue plus other income
12.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
45% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$31.50
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
27.9%
Return on assets
Net income for a year / total assets
94.0%
Return on equity
Net income for a year / fund balance
0.71
Current ratio
Current assets / current liabilities
0.52
Quick ratio
Cash, temporary investments and net receivables / current liabilities
3 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
34 days
Days in patient receivables
Net patient receivables / daily net patient revenue
78 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
2.84
Asset turnover
Total revenue for a year / total assets
9.7 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Riverview Regional Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $52.9M in total assets and a $15.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $956,080 | 1.8% |
| Patient receivables, net | $13.8M | 26.1% |
| Inventory | $4.3M | 8.1% |
| Total current assets | $19.9M | 37.5% |
| Property and equipment, net of depreciation | $30.6M | 57.8% |
| Investments and other assets | $2.5M | 4.7% |
| Total assets | $52.9M | 100.0% |
| Current liabilities | $28.1M | 53.1% |
| Total liabilities | $37.2M | 70.3% |
| Fund balance (net assets) | $15.7M | 29.7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Riverview Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$78,165
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$30.4M
Bad debt
Patient bills written off as uncollectible, at charges
-$36,299
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$3.3M
Total unreimbursed and uncompensated care
2.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Riverview Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $92.5M | $111.1M | $101.5M | $117.5M | $125.8M | $149.6M |
| Operating expenses | $96.2M | $108.6M | $105.2M | $116.8M | $125.3M | $135.7M |
| Operating margin | -4.1% | 2.2% | -3.6% | 0.6% | 0.4% | 9.3% |
| Net income | -$2.5M | $6.6M | -$1.1M | $2.4M | $1.2M | $14.7M |
| Total assets | $82.1M | $80.1M | $82.5M | $49.6M | $47.9M | $52.9M |
| Discharges | 5,450 | 5,775 | 6,018 | 7,748 | 8,162 | 8,187 |
| Inpatient days | 27,241 | 30,959 | 29,421 | 34,402 | 38,268 | 38,136 |
| Medicare Advantage days | 7,624 | 10,078 | 11,343 | 13,772 | 16,936 | 15,665 |
| Beds | 281 | 281 | 281 | 281 | 159 | 159 |
| Employees (FTE) | 537 | 536 | 586 | 572 | 665 | 681 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Riverview Regional Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $4.8M | $13.1M | $177.1M | 0.07 | 52,982 |
| Medical supplies charged to patient | $11.3M | $72.6M | 0.16 | ||
| Emergency | $3.3M | $7.2M | $103.5M | 0.07 | 17,472 |
| Drugs charged to patients | $7.1M | $75.7M | 0.09 | ||
| Impl. dev. charged to patients | $7M | $61.3M | 0.11 | ||
| Radiology-diagnostic | $1.1M | $5.5M | $32.9M | 0.17 | 12,475 |
| Laboratory | $1.9M | $5.3M | $218.7M | 0.02 | 20,802 |
| Cardiac catheterization | $1.8M | $4.3M | $61.4M | 0.07 | 18,022 |
| Respiratory therapy | $1.8M | $3.4M | $81.2M | 0.04 | 6,000 |
| Gi lab | $873,265 | $2.2M | $22.1M | 0.10 | 10,500 |
| Physical therapy | $2.2M | $13.2M | 0.16 | 7,000 | |
| Ct scan | $732,726 | $2M | $160M | 0.01 | 8,000 |
| Hyperbaric oxygen therapy | $491,245 | $1.3M | $22.8M | 0.06 | 5,064 |
| Renal dialysis | $1.1M | $7.1M | 0.16 | 1,200 | |
| Ultra sound | $470,395 | $868,568 | $22.4M | 0.04 | 750 |
| Whole blood & packed red blood cell | $99,356 | $720,462 | $8.1M | 0.09 | 750 |
| Observation beds (non-distinct part | $515,882 | $1.2M | 0.42 | ||
| Radioisotope | $100,542 | $323,151 | $4.1M | 0.08 | 3,000 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $11.6M | $31.9M | $47.7M | 0.67 | 112,434 |
| Coronary care unit | $3.9M | $9.2M | $11.4M | 0.80 | 26,291 |
| Subprovider - ipf | $1.8M | $4.7M | $6.7M | 0.70 | 13,742 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.9M | $21.1M | 96,929 | $29.50 | 37,705 |
| Operation of plant | $1.7M | $5.4M | 76,521 | $22.36 | 24,060 |
| Cap rel costs-mvble equip | $3.9M | ||||
| Employee benefits department | $211,305 | $3.7M | 7,662 | $27.58 | 3,790 |
| Housekeeping | $1M | $2.1M | 66,229 | $15.21 | 2,570 |
| Nursing administration | $1.4M | $2.1M | 35,404 | $38.90 | 3,500 |
| Cap rel costs-bldg & fixt | $2.1M | 423,160 | |||
| Pharmacy | $1.8M | $1.9M | 37,091 | $48.79 | |
| Medical records & library | $322,403 | $1.8M | 9,850 | $32.73 | 5,463 |
| Social service | $1.1M | $1.4M | 28,956 | $37.16 | |
| Dietary | $1.1M | $1.3M | 27,304 | $18.37 | 19,796 |
| Maintenance & repairs | $1.3M | ||||
| Cafeteria | $861,425 | 30,409 | $18.37 | 4,300 | |
| Central services & supply | $274,775 | $525,911 | 13,998 | $19.63 | 2,692 |
| Laundry & linen service | $300,335 | 2,800 |
Source: CMS cost report (HCRIS, Form 2552-10), report 838452, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Riverview Regional Medical Center for an inpatient stay.
1.70
Case mix index
Higher than 52% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
14.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,832
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.74 | 1.73 | 1.89 | 1.79 | 1.64 | 1.69 | 1.70 |
| Wage index | 0.765 | 0.777 | 0.802 | 0.807 | 0.767 | 0.796 | 0.774 |
| Readmissions adjustment | -1.81% | -1.41% | -0.54% | -0.08% | -0.89% | -1.00% | -1.44% |
| Value-based purchasing adjustment | +1.17% | +0.92% | +0.92% | -0.53% | +1.39% | -0.81% | -0.09% |
| Medicare inpatient stays | 2,521 | 2,521 | 1,875 | 1,664 | 1,778 | 1,819 | 1,832 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Riverview Regional Medical Center reports to Medicare as owners or with operational control.
Prime Healthcare Holdings Inc
5% or greater indirect ownership interest, 100%, since 2015
Prime Healthcare Services, Inc
5% or greater direct ownership interest, 100%, since 2015
Sources: CMS Hospital All Owners.
The officers and board members on Riverview Regional Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 2 of 3 are shown.
Riverview regional medical center
CCN 01S046, certified 2007, Medicare prospective payment
Riverview regional medical center
CCN 01U046, certified 2020, Medicare prospective payment
Source: Worksheet S-2 Part I of Riverview Regional Medical Center's latest Medicare cost report (HCRIS).
About Riverview Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Riverview Regional Medical Center range from $440 to $986 across 3 insurers. Cigna's rate is $986. The median at nearby comparable hospitals is $667. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Riverview Regional Medical Center range from $337 to $725 across 4 insurers. Blue Cross Blue Shield's rate is $398. The median at nearby comparable hospitals is $595. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Riverview Regional Medical Center range from $1,211 to $1,989 across 4 insurers. UnitedHealthcare's rate is $1,477. The median at nearby comparable hospitals is $1,930. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Riverview Regional Medical Center range from $76 to $180 across 4 insurers. Cigna's rate is $123. The median at nearby comparable hospitals is $140. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Riverview Regional Medical Center range from $12,868 to $23,127 across 4 insurers. Aetna's rate is $17,842. The median at nearby comparable hospitals is $19,068. What a patient pays depends on their plan's deductible, coinsurance and network status.
Riverview Regional Medical Center 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.
CMS reports no Medicare-funded interns or residents at Riverview Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Riverview Regional Medical Center's base inpatient payments by an estimated 1.44% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (272 discharges), heart failure and shock with mcc (105 discharges), renal failure with mcc (64 discharges).
Riverview Regional Medical Center's Medicare case mix index is 1.70 for fiscal year 2027, higher than 52% of hospitals paid under the inpatient prospective payment system.
Riverview Regional Medical Center reported 8,187 inpatient discharges and 38,136 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Riverview Regional Medical Center reported 681 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Riverview Regional Medical Center reported $149.6M in net patient revenue on $1.2B of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 9.3%, and net income of $14.7M.
Riverview Regional Medical Center reported $3.3M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $78,165 of charity care at cost.
Insurers' price transparency files list Riverview Regional Medical Center under employer identification number 47-2228529 (Riverview Regional Medical Center). 44 health plans and networks list 47-2228529 for it.
203 clinicians who bill Medicare list Riverview Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (34), internal medicine physician (19), emergency medicine physician (14).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Riverview Regional Medical Center, effective 2009.
In its Medicare enrollment, Riverview Regional Medical Center reports Prime Healthcare Holdings Inc as 5% or greater indirect ownership interest (100%).
CMS lists 28 services at Riverview Regional Medical Center, including Acute Renal Dialysis, Alcohol and/or Drug Service, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, Chemotherapy, Clinical Laboratory.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Riverview Regional Medical Center came from ZIP codes 35901 (895), 35903 (605), 35904 (570).
Riverview Regional Medical Center has 159 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 281 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Riverview Regional Medical Center is located at 600 South Third Street, Gadsden, AL 35901. Its main phone number is (256) 543-5200.
Riverview Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 010046.
The National Provider Identifier (NPI) on file for Riverview Regional Medical Center is 1992103857.
Riverview Regional Medical Center is affiliated with Prime Healthcare Services.
Riverview Regional Medical Center lists 31 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
254 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers