Price AtlasInteractive atlas · All states · techysurgeon.comSouth 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.
Medicare prices at South County Hospital Inc
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $30,470 | 2.1× | $29,255–$31,684 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $31,684 | 2.1× | 1 |
| Cigna | $29,255 | 2.0× | 1 |
From the hospital's price-transparency file (2026-07-24); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-07-24); commercial plans, dollar-amount contracts only.
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.
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Questions
How much does Medicare pay South County Hospital Inc for a knee or hip replacement?
In 2024 the average total payment to South County Hospital Inc for an inpatient hip or knee replacement stay was $14,859 (MS-DRG 470, 51 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× the average total payment for a Medicare stay. 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?
South County Hospital Inc's average total payment per Medicare stay is lower than 67% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay South County Hospital Inc 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 $30,470 across 2 insurers, ranging from $29,255 to $31,684.