Hip replacement after a hip fracture in Rhode Island
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$47,985typical hospital bill
$20,341typical amount paid
$16,013–$22,664range paid across 5 hospitals
Rhode Island hospitals billed Medicare a typical $47,985 for this stay in 2024, about 2.4 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 | 19 | $44,963 | $16,013 | |
| Newport Hospital | Newport | 17 | $43,745 | $16,772 | |
| Kent County Memorial Hospital | Warwick | 23 | $48,293 | $20,341 | |
| The Miriam Hospital | Providence | 28 | $49,061 | $20,776 | |
| Rhode Island Hospital | Providence | 22 | $47,985 | $22,664 |
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.