facebook tracking Gastrointestinal obstruction without complications cost in Rhode Island: 3 hospitals compared (DRG 390)

Gastrointestinal obstruction without complications in Rhode Island

What 3 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for gastrointestinal obstruction without complications (DRG 390), from 2024 Medicare claims.

DRG 390 Inpatient 2024 Medicare data
Average charge $19,456 Hospital list price billed
Average payment $6,339 Medicare + patient + other payers
Medicare paid $3,395 Average per stay
State rank #37 of 42 1 = lowest average payment

Hospitals in Rhode Island billed an average of $19,456 for gastrointestinal obstruction without complications, about 3.1 times the average total payment of $6,339. That payment is 11% above the U.S. average of $5,706.

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 $6,339Billed $19,456

About 33¢ 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: gastrointestinal obstruction without 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 19 $21,401 $6,038 $3,559
Kent County Memorial HospitalWarwick 18 $18,810 $6,839 $3,662
Newport HospitalNewport 13 $17,510 $6,087 $2,786
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Lowest and highest payments in Rhode Island

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Miriam HospitalProvidence, RI$6,038
Newport HospitalNewport, RI$6,087
Kent County Memorial HospitalWarwick, RI$6,839

Highest

Kent County Memorial HospitalWarwick, RI$6,839
Newport HospitalNewport, RI$6,087
Miriam HospitalProvidence, RI$6,038

Gastrointestinal obstruction without complications in other states

Questions

How much does gastrointestinal obstruction without complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction without complications (DRG 390) at 3 hospitals in Rhode Island was billed at $19,456 on average, while the average total payment was $6,339, of which Medicare paid $3,395. 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 3.1 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.