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South County Hospital Inc: what a joint replacement costs

Wakefield, RI 02879 · CMS Certification Number 410008. 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.

Surgery center nearby
$9,054
Crossings Surgery Center, 19.3 mi
Outpatient here
$13,235
353 Medicare cases, APC 5115
Inpatient here
$14,859
51 Medicare stays, MS-DRG 470

Medicare prices at South County Hospital Inc

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$14,859$41,1612.8×$13,235
Shoulder replacement$18,931$48,6222.6×$18,607
Hip replacement after a fracture (DRG 522)$16,013$44,9632.8×—

Quality

Complications after hip or knee replacement: 5.1% (no different from the national rate). Readmissions: 5.4%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 100 beds

Rhode Island has a certificate-of-need program that does not cover surgery centers.

Open the interactive price tagBuild a reportAll Rhode Island hospitals

Questions

How much does Medicare pay South County Hospital Inc for a knee or hip replacement?

In 2024 Medicare paid South County Hospital Inc an average of $14,859 per inpatient hip or knee replacement stay (MS-DRG 470, 51 stays) and $13,235 per outpatient case (APC 5115, 353 cases).

What is South County Hospital Inc's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,161, 2.8× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near South County Hospital Inc?

Yes for Medicare facility payments. Crossings Surgery Center, an orthopedic surgery center 19.3 mi away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447), $5,805 less than an inpatient stay at South County Hospital Inc. Not every patient is a surgery-center candidate.

How does South County Hospital Inc compare with other Rhode Island hospitals?

Medicare paid South County Hospital Inc less than 67% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.