Heart catheterization, with major complications in Rhode Island
MS-DRG 286: Circulatory disorders except ami, with cardiac catheterization with mcc
$65,027typical hospital bill
$21,218typical amount paid
$20,081–$26,741range paid across 3 hospitals
Rhode Island hospitals billed Medicare a typical $65,027 for this stay in 2024, about 3.1 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| The Miriam Hospital | Providence | 32 | $65,027 | $20,081 | |
| Kent County Memorial Hospital | Warwick | 17 | $51,420 | $21,218 | |
| Rhode Island Hospital | Providence | 30 | $107,093 | $26,741 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.