facebook tracking Red blood cell disorders with major complications cost in Rhode Island: 3 hospitals compared (DRG 811)

Red blood cell disorders with major complications in Rhode Island

What 3 hospitals in Rhode Island charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.

DRG 811 Inpatient 2024 Medicare data
Average charge $43,868 Hospital list price billed
Average payment $14,915 Medicare + patient + other payers
Medicare paid $12,336 Average per stay
State rank #36 of 43 1 = lowest average payment

Hospitals in Rhode Island billed an average of $43,868 for red blood cell disorders with major complications, about 2.9 times the average total payment of $14,915. That payment is 6% above the U.S. average of $14,033.

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 $14,915Billed $43,868

About 34¢ 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: red blood cell disorders 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 21 $49,310 $17,091 $13,061
Miriam HospitalProvidence 14 $47,809 $12,642 $11,391
Kent County Memorial HospitalWarwick 11 $28,463 $13,655 $12,155
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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

Miriam HospitalProvidence, RI$12,642
Kent County Memorial HospitalWarwick, RI$13,655
Rhode Island HospitalProvidence, RI$17,091

Highest

Rhode Island HospitalProvidence, RI$17,091
Kent County Memorial HospitalWarwick, RI$13,655
Miriam HospitalProvidence, RI$12,642

Red blood cell disorders with major complications in other states

Questions

How much does red blood cell disorders with major complications cost in Rhode Island?

In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 3 hospitals in Rhode Island was billed at $43,868 on average, while the average total payment was $14,915, of which Medicare paid $12,336. 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.