Rhode Island Hospital
Rhode Island Hospital in Providence, RI charges 3.4x the Medicare reimbursement rate on average across 155 analyzed procedures at this nonprofit-private facility.
Providence, RI 02902 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
3.41x
Charge / Medicare rate
Max markup
8.61x
Worst procedure
Procedures analyzed
155
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $62,740 | $31,370 | — | 8.6x |
| CELLULITIS WITH MCC | 602 | $82,009 | $41,005 | — | 7.4x |
| KIDNEY TRANSPLANT | 652 | $156,355 | $78,178 | — | 5.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $98,598 | $49,299 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,412 | $16,706 | — | 5.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,820 | $28,910 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,745 | $19,873 | — | 5.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $33,432 | $16,716 | — | 5.1x |
| HYPERTENSION WITH MCC | 304 | $51,887 | $25,944 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,472 | $21,236 | — | 5x |
| SEIZURES WITHOUT MCC | 101 | $37,223 | $18,611 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $57,561 | $28,781 | — | 5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $31,166 | $15,583 | — | 4.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $83,152 | $41,576 | — | 4.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $42,186 | $21,093 | — | 4.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $29,720 | $14,860 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $30,458 | $15,229 | — | 4.5x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $65,728 | $32,864 | — | 4.5x |
| HYPERTENSION WITHOUT MCC | 305 | $29,416 | $14,708 | — | 4.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $90,380 | $45,190 | — | 4.5x |
| MAJOR CHEST TRAUMA WITHOUT CC/MCC | 185 | $26,197 | $13,098 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $70,984 | $35,492 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,031 | $17,015 | — | 4.2x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $42,090 | $21,045 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $46,800 | $23,400 | — | 4.1x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | 863 | $38,054 | $19,027 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,678 | $12,839 | — | 4.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $114,353 | $57,177 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $29,815 | $14,908 | — | 4.1x |
| PSYCHOSES | 885 | $65,616 | $32,808 | — | 4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $63,718 | $31,859 | — | 4x |
| PNEUMOTHORAX WITH CC | 200 | $37,632 | $18,816 | — | 4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $35,886 | $17,943 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,886 | $22,943 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $244,264 | $122,132 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,988 | $13,494 | — | 3.9x |
| DIABETES WITH MCC | 637 | $54,831 | $27,416 | — | 3.9x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $49,947 | $24,973 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $56,707 | $28,354 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,301 | $17,151 | — | 3.9x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $44,409 | $22,204 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,736 | $18,368 | — | 3.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,592 | $17,296 | — | 3.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $72,231 | $36,116 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,627 | $16,813 | — | 3.8x |
| SEIZURES WITH MCC | 100 | $60,037 | $30,018 | — | 3.8x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $34,931 | $17,465 | — | 3.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $30,136 | $15,068 | — | 3.7x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $45,826 | $22,913 | — | 3.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $91,976 | $45,988 | — | 3.7x |
Showing 50 of 155 procedures
How RHODE ISLAND HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use