South County Hospital Inc
South County Hospital Inc in Wakefield, RI charges 4.0x the Medicare reimbursement rate across 39 analyzed procedures, according to recent pricing data.
Wakefield, RI 02879 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
C
Average
Avg markup vs Medicare
4.01x
Charge / Medicare rate
Max markup
6.25x
Worst procedure
Procedures analyzed
39
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $26,002 | $13,001 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,203 | $12,601 | — | 6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $25,917 | $12,958 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,872 | $15,936 | — | 5.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $28,506 | $14,253 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,784 | $12,892 | — | 5.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,218 | $11,609 | — | 5.2x |
| CHEST PAIN | 313 | $19,332 | $9,666 | — | 4.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,140 | $19,570 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,935 | $13,968 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,030 | $14,015 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $22,937 | $11,469 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $36,453 | $18,227 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $57,369 | $28,684 | — | 4.3x |
| SYNCOPE AND COLLAPSE | 312 | $23,476 | $11,738 | — | 4.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $49,731 | $24,866 | — | 4.2x |
| RENAL FAILURE WITH CC | 683 | $22,276 | $11,138 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $12,216 | $6,108 | — | 4.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $19,263 | $9,631 | — | 4.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,413 | $13,706 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $23,946 | $11,973 | — | 3.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $29,376 | $14,688 | — | 3.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,369 | $8,684 | — | 3.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,849 | $13,925 | — | 3.6x |
| CELLULITIS WITHOUT MCC | 603 | $17,213 | $8,607 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $14,708 | $7,354 | — | 3.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $45,519 | $22,759 | — | 3.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $15,451 | $7,725 | — | 3.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $40,681 | $20,340 | — | 3.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $84,938 | $42,469 | — | 3.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $41,665 | $20,832 | — | 3.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $56,471 | $28,236 | — | 3.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $37,298 | $18,649 | — | 3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,440 | $10,720 | — | 3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $74,526 | $37,263 | — | 3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $24,277 | $12,138 | — | 3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $44,503 | $22,251 | — | 2.8x |
| BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 462 | $47,526 | $23,763 | — | 2.4x |
| RENAL FAILURE WITH MCC | 682 | $20,468 | $10,234 | — | 2.2x |
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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