facebook tracking Complications of treatment with complications cost in Rhode Island: 2 hospitals compared (DRG 920)

Complications of treatment with complications in Rhode Island

What 2 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.

DRG 920 Inpatient 2024 Medicare data
Average charge $37,037 Hospital list price billed
Average payment $11,615 Medicare + patient + other payers
Medicare paid $9,393 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Rhode Island billed an average of $37,037 for complications of treatment with complications, about 3.2 times the average total payment of $11,615. That payment is about the same as the U.S. average of $11,515.

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 $11,615Billed $37,037

About 31¢ was paid for every $1 hospitals in Rhode Island billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Rhode Island:

Rhode Island hospitals: complications of treatment with 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
Miriam HospitalProvidence 15 $31,500 $10,052 $9,004
Rhode Island HospitalProvidence 14 $42,970 $13,289 $9,810
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Complications of treatment with complications in other states

Questions

How much does complications of treatment with complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 2 hospitals in Rhode Island was billed at $37,037 on average, while the average total payment was $11,615, of which Medicare paid $9,393. 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 3.2 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.