Pneumonia, with complications in Rhode Island
MS-DRG 194: Simple pneumonia and pleurisy with cc
$22,461typical hospital bill
$6,868typical amount paid
$6,314–$9,934range paid across 7 hospitals
Rhode Island hospitals billed Medicare a typical $22,461 for this stay in 2024, about 3.3 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 | 23 | $22,461 | $6,314 | |
| Westerly Hospital | Westerly | 13 | $27,610 | $6,623 | |
| Our Lady of Fatima Hospital | North Providence | 13 | $22,394 | $6,657 | |
| Newport Hospital | Newport | 28 | $24,829 | $6,868 | |
| Kent County Memorial Hospital | Warwick | 41 | $21,950 | $8,330 | |
| The Miriam Hospital | Providence | 43 | $21,688 | $8,460 | |
| Rhode Island Hospital | Providence | 22 | $34,387 | $9,934 |
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.