RHODE ISLAND HOSPITAL
PROVIDENCE, RI 02902 · Acute Care Hospitals
155 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
155
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.4x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to RI hospitals
Understanding Your Costs
When you receive a bill from RHODE ISLAND HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, RHODE ISLAND HOSPITAL lists chargemaster rates that average 3.4x the corresponding Medicare reimbursement amount across 155 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in RI has a chargemaster-to-Medicare ratio of 3.6x, with ratios across the state ranging from 3.3x to 4.4x. At 3.4x, this facility’s average ratio is below the state median. 9 hospitals in RI report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at RHODE ISLAND HOSPITAL is DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC (DRG 442). The listed chargemaster rate is $62,740, while Medicare reimburses $7,287 for the same procedure — a ratio of 8.6x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
RHODE ISLAND HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $62,740 | $7,287 | 8.6x | 1th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $82,009 | $11,046 | 7.4x | 1th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $156,355 | $27,412 | 5.7x | 0th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $98,598 | $17,866 | 5.5x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,412 | $6,252 | 5.3x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,820 | $11,114 | 5.2x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,745 | $7,743 | 5.1x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $33,432 | $6,606 | 5.1x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $51,887 | $10,375 | 5.0x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $37,223 | $7,503 | 5.0x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,472 | $8,555 | 5.0x | 0th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $57,561 | $11,633 | 5.0x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,166 | $6,326 | 4.9x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $83,152 | $17,366 | 4.8x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $42,186 | $9,122 | 4.6x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $29,720 | $6,507 | 4.6x | 0th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,458 | $6,718 | 4.5x | 1th | Compare your bill |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $65,728 | $14,553 | 4.5x | 0th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $29,416 | $6,564 | 4.5x | 0th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $90,380 | $20,313 | 4.5x | 1th | Compare your bill |
| MAJOR CHEST TRAUMA WITHOUT CC/MCC | 185 | $26,197 | $6,003 | 4.4x | 0th | Compare your bill |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $70,984 | $16,618 | 4.3x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,031 | $8,079 | 4.2x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $42,090 | $10,161 | 4.1x | 0th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $38,054 | $9,214 | 4.1x | 0th | Compare your bill |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,800 | $11,340 | 4.1x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,678 | $6,252 | 4.1x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $114,353 | $27,871 | 4.1x | 0th | Compare your bill |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,815 | $7,329 | 4.1x | 1th | Compare your bill |
| PSYCHOSES | 885 | $65,616 | $16,236 | 4.0x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $63,718 | $15,797 | 4.0x | 0th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $37,632 | $9,384 | 4.0x | 0th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $35,886 | $9,058 | 4.0x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,886 | $11,577 | 4.0x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $244,264 | $62,147 | 3.9x | 0th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,988 | $6,906 | 3.9x | 0th | Compare your bill |
| DIABETES WITH MCC | 637 | $54,831 | $14,065 | 3.9x | 1th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $49,947 | $12,869 | 3.9x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,707 | $14,668 | 3.9x | 0th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $44,409 | $11,540 | 3.9x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,301 | $8,917 | 3.9x | 0th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,736 | $9,560 | 3.8x | 0th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,592 | $9,040 | 3.8x | 0th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $72,231 | $18,839 | 3.8x | 0th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,627 | $8,912 | 3.8x | 0th | Compare your bill |
| SEIZURES WITH MCC | 100 | $60,037 | $15,958 | 3.8x | 0th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,136 | $8,169 | 3.7x | 0th | Compare your bill |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $34,931 | $9,471 | 3.7x | 0th | Compare your bill |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $45,826 | $12,514 | 3.7x | 0th | Compare your bill |
| SYNCOPE AND COLLAPSE | 312 | $27,457 | $7,531 | 3.6x | 0th | Compare your bill |
Showing 50 of 155 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across RI hospitals
9 hospitals in RI report pricing data to CMS. This facility's average ratio of 3.4x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About RHODE ISLAND HOSPITAL
How much does RHODE ISLAND HOSPITAL charge compared to Medicare?
According to CMS IPPS data, RHODE ISLAND HOSPITAL's listed chargemaster rates average 3.4x the Medicare reimbursement amount across 155 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at RHODE ISLAND HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at RHODE ISLAND HOSPITAL is DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC (DRG 442), with a listed charge of $62,740 compared to Medicare reimbursement of $7,287 — a ratio of 8.6x. Source: CMS IPPS Provider Summary.
Is RHODE ISLAND HOSPITAL expensive compared to other RI hospitals?
RHODE ISLAND HOSPITAL's average chargemaster-to-Medicare ratio is 3.4x. Ratios vary significantly across RI hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for RHODE ISLAND HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from RHODE ISLAND HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does RHODE ISLAND HOSPITAL in PROVIDENCE, RI accept Medicare?
RHODE ISLAND HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact RHODE ISLAND HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.