Lung infection, with major complications in Rhode Island
MS-DRG 177: Respiratory infections and inflammations with mcc
$44,945typical hospital bill
$15,328typical amount paid
$11,787–$19,259range paid across 9 hospitals
Rhode Island hospitals billed Medicare a typical $44,945 for this stay in 2024, about 2.9 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 | $40,144 | $11,787 | |
| South County Hospital Inc | Wakefield | 44 | $37,093 | $12,002 | |
| Westerly Hospital | Westerly | 41 | $49,444 | $12,511 | |
| Newport Hospital | Newport | 43 | $30,120 | $13,187 | |
| The Miriam Hospital | Providence | 97 | $44,945 | $15,328 | |
| Landmark Medical Center | Woonsocket | 54 | $55,882 | $15,407 | |
| Roger Williams Medical Center | Providence | 17 | $49,255 | $16,337 | |
| Kent County Memorial Hospital | Warwick | 101 | $44,062 | $16,542 | |
| Rhode Island Hospital | Providence | 126 | $55,458 | $19,259 |
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.