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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $14,859 | $41,161 | 2.8× | $13,235 |
| Shoulder replacement | $18,931 | $48,622 | 2.6× | $18,607 |
| Hip replacement after a fracture (DRG 522) | $16,013 | $44,963 | 2.8× | — |
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.
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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).
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.
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.
Medicare paid South County Hospital Inc less than 67% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.