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 avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare 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× | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $41,230 | 2.3× | $36,969–$45,491 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $45,491 | 2.6× | 1 |
| UnitedHealthcare | $36,969 | 2.1× | 1 |
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-01); commercial plans, dollar-amount contracts only.
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 the average total payment to The Miriam Hospital for an inpatient hip or knee replacement stay was $17,627 (MS-DRG 470, 161 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $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× 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 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?
The Miriam Hospital's average total payment per Medicare stay is higher than 100% of the 3 Rhode Island hospitals that report inpatient hip or knee replacement.
What do commercial insurers pay The Miriam Hospital 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 $41,230 across 2 insurers, ranging from $36,969 to $45,491.