facebook tracking Coagulation disorders cost in Rhode Island: 2 hospitals compared (DRG 813)

Coagulation disorders in Rhode Island

What 2 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for coagulation disorders (DRG 813), from 2024 Medicare claims.

DRG 813 Inpatient 2024 Medicare data
Average charge $41,366 Hospital list price billed
Average payment $17,474 Medicare + patient + other payers
Medicare paid $13,838 Average per stay
Volume 46 Medicare hospital stays

Hospitals in Rhode Island billed an average of $41,366 for coagulation disorders, about 2.4 times the average total payment of $17,474. That payment is 1% below the U.S. average of $17,707.

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 $17,474Billed $41,366

About 42¢ was paid for every $1 hospitals in Rhode Island billed for this stay.

Rhode Island hospitals: coagulation disorders

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 29 $45,562 $18,054 $15,400
Miriam HospitalProvidence 17 $34,209 $16,485 $11,173
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Coagulation disorders in other states

Questions

How much does coagulation disorders cost in Rhode Island?

In 2024 Medicare data, a hospital stay for coagulation disorders (DRG 813) at 2 hospitals in Rhode Island was billed at $41,366 on average, while the average total payment was $17,474, of which Medicare paid $13,838. 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 2.4 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.