Infection needing surgery, with major complications in Rhode Island
MS-DRG 853: Infectious and parasitic diseases with o.r. procedures with mcc
$107,900typical hospital bill
$41,990typical amount paid
$34,674–$60,104range paid across 7 hospitals
Rhode Island hospitals billed Medicare a typical $107,900 for this stay in 2024, about 2.6 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 | |
|---|---|---|---|---|---|
| Our Lady of Fatima Hospital | North Providence | 15 | $104,347 | $34,674 | |
| Westerly Hospital | Westerly | 11 | $99,363 | $35,027 | |
| Newport Hospital | Newport | 11 | $86,687 | $36,144 | |
| The Miriam Hospital | Providence | 32 | $133,602 | $41,990 | |
| Landmark Medical Center | Woonsocket | 13 | $212,501 | $42,981 | |
| Kent County Memorial Hospital | Warwick | 14 | $107,900 | $45,818 | |
| Rhode Island Hospital | Providence | 37 | $191,066 | $60,104 |
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.