facebook tracking Major joint or limb reattachment procedures of upper extremities cost in Rhode Island: 2 hospitals compared (DRG 483)

Major joint or limb reattachment procedures of upper extremities in Rhode Island

What 2 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483), from 2024 Medicare claims.

DRG 483 Inpatient 2024 Medicare data
Average charge $53,979 Hospital list price billed
Average payment $21,397 Medicare + patient + other payers
Medicare paid $19,873 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Rhode Island billed an average of $53,979 for major joint or limb reattachment procedures of upper extremities, about 2.5 times the average total payment of $21,397. That payment is 5% below the U.S. average of $22,521.

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 $21,397Billed $53,979

About 40¢ was paid for every $1 hospitals in Rhode Island billed for this stay.

Rhode Island hospitals: major joint or limb reattachment procedures of upper extremities

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 17 $58,075 $23,282 $21,649
South County Hospital INCWakefield 13 $48,622 $18,931 $17,550
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Major joint or limb reattachment procedures of upper extremities in other states

Questions

How much does major joint or limb reattachment procedures of upper extremities cost in Rhode Island?

In 2024 Medicare data, a hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483) at 2 hospitals in Rhode Island was billed at $53,979 on average, while the average total payment was $21,397, of which Medicare paid $19,873. 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 2.5 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.