Price AtlasInteractive atlas · All states · techysurgeon.comThe Miriam Hospital: what a joint replacement costs
Providence, RI 02906 · CMS Certification Number 410012. 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 The Miriam Hospital
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $17,627 | $31,533 | 1.8× | $13,335 |
| Shoulder replacement | $23,282 | $58,075 | 2.5× | $18,661 |
| Hip replacement after a fracture (DRG 522) | $20,776 | $49,061 | 2.4× | — |
Quality
Complications after hip or knee replacement: 2.3% (no different from the national rate). Readmissions: 4.5%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 247 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 The Miriam Hospital for a knee or hip replacement?
In 2024 Medicare paid The Miriam Hospital an average of $17,627 per inpatient hip or knee replacement stay (MS-DRG 470, 161 stays) and $13,335 per outpatient case (APC 5115, 180 cases).
What is The Miriam Hospital's list price for a joint replacement?
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $31,533, 1.8× 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 The Miriam Hospital?
Yes for Medicare facility payments. University Orthopedics East Bay Surgery Center, an orthopedic surgery center 2.1 mi away, is paid about $9,054 by Medicare for a knee replacement (CPT 27447), $8,573 less than an inpatient stay at The Miriam Hospital. Not every patient is a surgery-center candidate.
How does The Miriam Hospital compare with other Rhode Island hospitals?
Medicare paid The Miriam Hospital more than 100% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.