facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in Rhode Island: 7 hospitals compared (DRG 853)

Infectious and parasitic diseases with operating room procedures with major complications in Rhode Island

What 7 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $144,583 Hospital list price billed
Average payment $45,644 Medicare + patient + other payers
Medicare paid $41,821 Average per stay
State rank #33 of 49 1 = lowest average payment

Hospitals in Rhode Island billed an average of $144,583 for infectious and parasitic diseases with operating room procedures with major complications, about 3.2 times the average total payment of $45,644. That payment is 2% below the U.S. average of $46,667.

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 $45,644Billed $144,583

About 32¢ 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: infectious and parasitic diseases with operating room procedures 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 37 $191,066 $60,104 $53,176
Miriam HospitalProvidence 32 $133,602 $41,990 $38,684
Our Lady of Fatima HospitalNorth Providence 15 $104,347 $34,674 $33,696
Kent County Memorial HospitalWarwick 14 $107,900 $45,818 $41,242
Landmark Medical Center, INCWoonsocket 13 $212,501 $42,981 $41,103
Newport HospitalNewport 11 $86,687 $36,144 $34,774
Westerly HospitalWesterly 11 $99,363 $35,027 $32,457
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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

Our Lady of Fatima HospitalNorth Providence, RI$34,674
Westerly HospitalWesterly, RI$35,027
Newport HospitalNewport, RI$36,144
Miriam HospitalProvidence, RI$41,990
Landmark Medical Center, INCWoonsocket, RI$42,981

Highest

Rhode Island HospitalProvidence, RI$60,104
Kent County Memorial HospitalWarwick, RI$45,818
Landmark Medical Center, INCWoonsocket, RI$42,981
Miriam HospitalProvidence, RI$41,990
Newport HospitalNewport, RI$36,144

Infectious and parasitic diseases with operating room procedures with major complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with major complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 7 hospitals in Rhode Island was billed at $144,583 on average, while the average total payment was $45,644, of which Medicare paid $41,821. 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.