facebook tracking Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Rhode Island: 7 hospitals compared (DRG 640)

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in Rhode Island

What 7 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640), from 2024 Medicare claims.

DRG 640 Inpatient 2024 Medicare data
Average charge $40,377 Hospital list price billed
Average payment $14,100 Medicare + patient + other payers
Medicare paid $10,948 Average per stay
State rank #42 of 49 1 = lowest average payment

Hospitals in Rhode Island billed an average of $40,377 for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications, about 2.9 times the average total payment of $14,100. That payment is 10% above the U.S. average of $12,830.

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 $14,100Billed $40,377

About 35¢ 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: miscellaneous disorders of nutrition, metabolism, fluids and electrolytes 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 64 $51,890 $17,658 $12,386
Miriam HospitalProvidence 43 $32,461 $12,432 $10,169
Landmark Medical Center, INCWoonsocket 24 $30,332 $11,315 $10,572
Kent County Memorial HospitalWarwick 22 $37,683 $14,504 $10,844
Newport HospitalNewport 16 $34,424 $10,596 $9,678
South County Hospital INCWakefield 13 $38,738 $10,140 $9,136
Roger Williams Medical CenterProvidence 12 $42,083 $14,897 $10,670
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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

South County Hospital INCWakefield, RI$10,140
Newport HospitalNewport, RI$10,596
Landmark Medical Center, INCWoonsocket, RI$11,315
Miriam HospitalProvidence, RI$12,432
Kent County Memorial HospitalWarwick, RI$14,504

Highest

Rhode Island HospitalProvidence, RI$17,658
Roger Williams Medical CenterProvidence, RI$14,897
Kent County Memorial HospitalWarwick, RI$14,504
Miriam HospitalProvidence, RI$12,432
Landmark Medical Center, INCWoonsocket, RI$11,315

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications in other states

Questions

How much does miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with major complications (DRG 640) at 7 hospitals in Rhode Island was billed at $40,377 on average, while the average total payment was $14,100, of which Medicare paid $10,948. 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 2.9 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.