Warwick, RI 02886 · CMS Certification Number 410009. 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 | — | — | — | $13,149 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $20,341 | $48,293 | 2.4× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,468 | — | $18,066–$24,448 | 4 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Rhode Island | $24,448 | — | 1 |
| UnitedHealthcare | $23,476 | — | 1 |
| Neighborhood Health Plan of Rhode Island | $19,459 | — | 1 |
| Tufts Associated Health Maintenance Organization | $18,066 | — | 1 |
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-02-28); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 4.4% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 359 beds
Rhode Island has a certificate-of-need program that does not cover surgery centers.
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The Medicare allowed amount averaged $13,149 per outpatient hip or knee replacement case (APC 5115, 63 cases) in 2024. Inpatient stays were too few to report.
Yes for Medicare facility payments. Crossings Surgery Center, an orthopedic surgery center same ZIP away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,468 across 4 insurers, ranging from $18,066 to $24,448.