facebook tracking Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Rhode Island: 4 hospitals compared (DRG 321)

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in Rhode Island

What 4 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321), from 2024 Medicare claims.

DRG 321 Inpatient 2024 Medicare data
Average charge $106,939 Hospital list price billed
Average payment $30,586 Medicare + patient + other payers
Medicare paid $23,732 Average per stay
State rank #41 of 47 1 = lowest average payment

Hospitals in Rhode Island billed an average of $106,939 for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/, about 3.5 times the average total payment of $30,586. That payment is 14% above the U.S. average of $26,768.

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 $30,586Billed $106,939

About 29¢ 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: percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/

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 49 $103,144 $31,957 $22,543
Rhode Island HospitalProvidence 34 $99,781 $32,084 $26,236
Kent County Memorial HospitalWarwick 24 $72,675 $29,127 $23,659
Landmark Medical Center, INCWoonsocket 19 $172,816 $26,213 $22,409
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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

Landmark Medical Center, INCWoonsocket, RI$26,213
Kent County Memorial HospitalWarwick, RI$29,127
Miriam HospitalProvidence, RI$31,957
Rhode Island HospitalProvidence, RI$32,084

Highest

Rhode Island HospitalProvidence, RI$32,084
Miriam HospitalProvidence, RI$31,957
Kent County Memorial HospitalWarwick, RI$29,127
Landmark Medical Center, INCWoonsocket, RI$26,213

Percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ in other states

Questions

How much does percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ cost in Rhode Island?

In 2024 Medicare data, a hospital stay for percutaneous cardiovascular procedures with intraluminal device with major complications or 4+ arteries/ (DRG 321) at 4 hospitals in Rhode Island was billed at $106,939 on average, while the average total payment was $30,586, of which Medicare paid $23,732. 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 3.5 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.