Hip or knee replacement in Rhode Island
MS-DRG 470: Major hip and knee joint replacement or reattachment of lower extremity without mcc
$32,210typical hospital bill
$14,973typical amount paid
$14,859–$17,627range paid across 3 hospitals
Rhode Island hospitals billed Medicare a typical $32,210 for this stay in 2024, about 2.2 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 | 51 | $41,161 | $14,859 | |
| Newport Hospital | Newport | 18 | $32,210 | $14,973 | |
| The Miriam Hospital | Providence | 161 | $31,533 | $17,627 |
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.