Newport, RI 02840 · CMS Certification Number 410006. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,973 | $32,210 | 2.2× | $13,335 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $16,772 | $43,745 | 2.6× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $36,917 | 2.5× | $28,343–$45,491 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $45,491 | 3.0× | 1 |
| UnitedHealthcare | $28,343 | 1.9× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 3.2% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 129 beds
Rhode Island has a certificate-of-need program that does not cover surgery centers.
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In 2024 the average total payment to Newport Hospital for an inpatient hip or knee replacement stay was $14,973 (MS-DRG 470, 18 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $13,335 per outpatient case (APC 5115, 53 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $32,210, 2.2× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. Crossings Surgery Center, an orthopedic surgery center 17.0 mi away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447), $5,919 less than an inpatient stay at Newport Hospital. Not every patient is a surgery-center candidate.
Newport Hospital's average total payment per Medicare stay is higher than 67% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $36,917 across 2 insurers, ranging from $28,343 to $45,491.