facebook tracking Level 3 Endovascular Procedures cost in Rhode Island: 5 hospitals compared (APC 5193)

Level 3 Endovascular Procedures in Rhode Island

What 5 hospitals in Rhode Island charged and were paid for level 3 endovascular procedures (APC 5193), from 2024 Medicare claims.

APC 5193 Outpatient 2024 Medicare data
Average charge $47,924 Hospital list price billed
Average allowed $10,989 Medicare's payment + patient's share
Medicare paid $9,358 Average per service
State rank #38 of 48 1 = lowest average payment

Hospitals in Rhode Island billed an average of $47,924 for level 3 endovascular procedures, about 4.4 times the average medicare-allowed amount of $10,989. That payment is 5% above the U.S. average of $10,507.

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 $10,989Billed $47,924

About 23¢ was paid for every $1 hospitals in Rhode Island billed for this service.

Rhode Island hospitals: level 3 endovascular procedures

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 120 $49,807 $10,852 $9,223
Rhode Island HospitalProvidence 111 $41,580 $11,066 $9,434
Kent County Memorial HospitalWarwick 36 $40,550 $11,152 $9,520
Landmark Medical Center, INCWoonsocket 12 $109,901 $11,152 $9,520
Roger Williams Medical CenterProvidence – – – –
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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

Miriam HospitalProvidence, RI$10,852
Rhode Island HospitalProvidence, RI$11,066
Kent County Memorial HospitalWarwick, RI$11,152
Landmark Medical Center, INCWoonsocket, RI$11,152

Highest

Kent County Memorial HospitalWarwick, RI$11,152
Landmark Medical Center, INCWoonsocket, RI$11,152
Rhode Island HospitalProvidence, RI$11,066
Miriam HospitalProvidence, RI$10,852

Level 3 Endovascular Procedures in other states

Questions

How much does level 3 endovascular procedures cost in Rhode Island?

In 2024 Medicare data, level 3 endovascular procedures (APC 5193) at 5 hospitals in Rhode Island was billed at $47,924 on average, while the average medicare-allowed amount was $10,989, of which Medicare paid $9,358. 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 4.4 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.