Hip or thigh bone surgery (not replacement), with complications in Rhode Island
MS-DRG 481: Hip and femur procedures except major joint with cc
$50,440typical hospital bill
$18,933typical amount paid
$15,668–$22,882range paid across 6 hospitals
Rhode Island hospitals billed Medicare a typical $50,440 for this stay in 2024, about 2.7 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 | |
|---|---|---|---|---|---|
| South County Hospital Inc | Wakefield | 17 | $47,194 | $15,668 | |
| Westerly Hospital | Westerly | 13 | $64,512 | $16,656 | |
| Newport Hospital | Newport | 14 | $43,726 | $18,571 | |
| Kent County Memorial Hospital | Warwick | 35 | $39,872 | $19,295 | |
| The Miriam Hospital | Providence | 29 | $53,685 | $21,403 | |
| Rhode Island Hospital | Providence | 101 | $56,941 | $22,882 |
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.