facebook tracking Cirrhosis and alcoholic hepatitis with major complications cost in Rhode Island: 2 hospitals compared (DRG 432)

Cirrhosis and alcoholic hepatitis with major complications in Rhode Island

What 2 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for cirrhosis and alcoholic hepatitis with major complications (DRG 432), from 2024 Medicare claims.

DRG 432 Inpatient 2024 Medicare data
Average charge $56,711 Hospital list price billed
Average payment $21,453 Medicare + patient + other payers
Medicare paid $17,703 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Rhode Island billed an average of $56,711 for cirrhosis and alcoholic hepatitis with major complications, about 2.6 times the average total payment of $21,453. That payment is 4% above the U.S. average of $20,680.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $21,453Billed $56,711

About 38¢ was paid for every $1 hospitals in Rhode Island billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Rhode Island:

Rhode Island hospitals: cirrhosis and alcoholic hepatitis with major complications

Every Rhode Island hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Rhode Island HospitalProvidence 17 $60,912 $22,035 $19,531
Miriam HospitalProvidence 12 $50,759 $20,628 $15,113
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Cirrhosis and alcoholic hepatitis with major complications in other states

Questions

How much does cirrhosis and alcoholic hepatitis with major complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for cirrhosis and alcoholic hepatitis with major complications (DRG 432) at 2 hospitals in Rhode Island was billed at $56,711 on average, while the average total payment was $21,453, of which Medicare paid $17,703. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Rhode Island, average charges were 2.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.