Pneumonia, with major complications in Rhode Island
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$33,703typical hospital bill
$12,211typical amount paid
$10,074–$16,313range paid across 9 hospitals
Rhode Island hospitals billed Medicare a typical $33,703 for this stay in 2024, about 2.8 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 | 18 | $26,872 | $10,074 | |
| South County Hospital Inc | Wakefield | 45 | $33,703 | $10,086 | |
| Newport Hospital | Newport | 32 | $29,114 | $10,495 | |
| Westerly Hospital | Westerly | 44 | $35,826 | $10,611 | |
| The Miriam Hospital | Providence | 75 | $29,747 | $12,211 | |
| Landmark Medical Center | Woonsocket | 21 | $58,704 | $13,261 | |
| Kent County Memorial Hospital | Warwick | 77 | $31,951 | $14,249 | |
| Rhode Island Hospital | Providence | 60 | $41,309 | $15,726 | |
| Roger Williams Medical Center | Providence | 18 | $47,155 | $16,313 |
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.