Price AtlasInteractive atlas · All states · techysurgeon.comRhode Island Hospital: what a joint replacement costs
Providence, RI 02903 · CMS Certification Number 410007. 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.
Medicare prices at Rhode Island Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $13,335 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $22,664 | $47,984 | 2.1× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $40,654 | — | $35,818–$45,491 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $45,491 | — | 1 |
| UnitedHealthcare | $35,818 | — | 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.
Quality
Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 719 beds
Rhode Island has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Rhode Island Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $13,335 per outpatient hip or knee replacement case (APC 5115, 18 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Rhode Island Hospital?
Yes for Medicare facility payments. University Orthopedics East Bay Surgery Center, an orthopedic surgery center 2.3 mi away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Rhode Island Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $40,654 across 2 insurers, ranging from $35,818 to $45,491.