Revision of Hip or Knee Replacement Without Cc/Mcc in Rhode Island
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$56,574typical hospital bill
$22,530typical amount paid
$21,100–$23,961range paid across 2 hospitals
Rhode Island hospitals billed Medicare a typical $56,574 for this stay in 2024, about 2.5 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 | 20 | $65,992 | $21,100 | |
| The Miriam Hospital | Providence | 28 | $47,157 | $23,961 |
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.