Comprehensive Observation Services in Rhode Island
What 10 hospitals in Rhode Island charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$17,100
Hospital list price billed
Average allowed
$2,752
Medicare's payment + patient's share
Medicare paid
$2,186
Average per service
State rank
#39 of 49
1 = lowest average payment
Hospitals in Rhode Island billed an average of $17,100 for comprehensive observation services, about 6.2 times the average medicare-allowed amount of $2,752. That payment is 4% above the U.S. average of $2,634.
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 $2,752Billed $17,100
About 16¢ was paid for every $1 hospitals in Rhode Island billed for this service.
Rhode Island hospitals: comprehensive observation services
Every Rhode Island hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Miriam HospitalProvidence | 603 | $15,264 | $2,748 | $2,183 |
| Rhode Island HospitalProvidence | 382 | $17,887 | $2,745 | $2,178 |
| South County Hospital INCWakefield | 316 | $13,564 | $2,757 | $2,192 |
| Westerly HospitalWesterly | 264 | $27,276 | $2,761 | $2,196 |
| Kent County Memorial HospitalWarwick | 253 | $14,493 | $2,745 | $2,181 |
| Newport HospitalNewport | 78 | $12,790 | $2,749 | $2,183 |
| Our Lady of Fatima HospitalNorth Providence | 71 | $20,408 | $2,778 | $2,211 |
| Women and Infants Hospital of Rhode IslandProvidence | 22 | $13,543 | $2,778 | $2,202 |
| Roger Williams Medical CenterProvidence | 21 | $20,701 | $2,778 | $2,213 |
| Landmark Medical Center, INCWoonsocket | – | – | – | – |
Lowest and highest allowed amounts in Rhode Island
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Rhode Island HospitalProvidence, RI | $2,745 |
|---|---|
| Kent County Memorial HospitalWarwick, RI | $2,745 |
| Miriam HospitalProvidence, RI | $2,748 |
| Newport HospitalNewport, RI | $2,749 |
| South County Hospital INCWakefield, RI | $2,757 |
Highest
| Women and Infants Hospital of Rhode IslandProvidence, RI | $2,778 |
|---|---|
| Our Lady of Fatima HospitalNorth Providence, RI | $2,778 |
| Roger Williams Medical CenterProvidence, RI | $2,778 |
| Westerly HospitalWesterly, RI | $2,761 |
| South County Hospital INCWakefield, RI | $2,757 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Rhode Island?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 10 hospitals in Rhode Island was billed at $17,100 on average, while the average medicare-allowed amount was $2,752, of which Medicare paid $2,186. 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 service in Rhode Island, average charges were 6.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.