The Miriam Hospital
The Miriam Hospital in Providence, RI charges 3.6x the Medicare reimbursement rate across 97 analyzed procedures at this nonprofit-private medical facility.
Providence, RI 02906 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
C
Average
Avg markup vs Medicare
3.62x
Charge / Medicare rate
Max markup
5.67x
Worst procedure
Procedures analyzed
97
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 |
|---|---|---|---|---|---|
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $134,869 | $67,435 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $19,109 | $9,555 | — | 5.5x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $35,464 | $17,732 | — | 5.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $68,820 | $34,410 | — | 5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $23,438 | $11,719 | — | 5x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $75,680 | $37,840 | — | 4.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $29,694 | $14,847 | — | 4.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | 395 | $20,579 | $10,289 | — | 4.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,756 | $12,878 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,653 | $13,826 | — | 4.7x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $66,196 | $33,098 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,601 | $13,301 | — | 4.6x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $30,289 | $15,145 | — | 4.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,812 | $8,906 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,578 | $11,789 | — | 4.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $40,489 | $20,245 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $32,287 | $16,144 | — | 4.4x |
| CHEST PAIN | 313 | $21,862 | $10,931 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,593 | $15,296 | — | 4.4x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $41,686 | $20,843 | — | 4.3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $23,821 | $11,910 | — | 4.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $98,784 | $49,392 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $31,697 | $15,848 | — | 4.3x |
| DYSEQUILIBRIUM | 149 | $22,110 | $11,055 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,897 | $10,949 | — | 4.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $36,984 | $18,492 | — | 4x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $55,523 | $27,762 | — | 4x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $33,807 | $16,903 | — | 4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $39,030 | $19,515 | — | 4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $23,698 | $11,849 | — | 3.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $25,436 | $12,718 | — | 3.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $92,068 | $46,034 | — | 3.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $59,553 | $29,776 | — | 3.9x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $27,689 | $13,844 | — | 3.8x |
| DIABETES WITH CC | 638 | $23,072 | $11,536 | — | 3.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,909 | $11,954 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $26,112 | $13,056 | — | 3.7x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | 371 | $46,129 | $23,065 | — | 3.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $53,434 | $26,717 | — | 3.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $33,108 | $16,554 | — | 3.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,861 | $14,430 | — | 3.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $32,763 | $16,382 | — | 3.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $28,957 | $14,478 | — | 3.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $31,024 | $15,512 | — | 3.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $35,057 | $17,529 | — | 3.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $27,892 | $13,946 | — | 3.6x |
| RENAL FAILURE WITH CC | 683 | $22,842 | $11,421 | — | 3.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $37,633 | $18,816 | — | 3.6x |
| SYNCOPE AND COLLAPSE | 312 | $23,631 | $11,816 | — | 3.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $98,802 | $49,401 | — | 3.5x |
Showing 50 of 97 procedures
How THE MIRIAM 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