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Heart valve surgery (open) in Rhode Island: what insurers pay

Posted commercial rates at 5 Rhode Island hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$52,7171.2×32026-02-28
Landmark Medical Center Woonsocket$67,1461.6×42026-09-01
The Miriam Hospital Providence$97,3942.3×22026-04-01
Newport Hospital Newport$102,0642.4×22026-04-01
Rhode Island Hospital Providence$112,3972.6×22026-04-01

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$75,6331.2×32026-02-28
Landmark Medical Center Woonsocket$96,4101.6×42026-09-01
Newport Hospital Newport$146,9552.4×22026-04-01
Rhode Island Hospital Providence$161,8322.6×22026-04-01
The Miriam Hospital Providence$166,2582.7×22026-04-01

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$96,1961.2×32026-02-28
Landmark Medical Center Woonsocket$122,6681.6×42026-09-01
Newport Hospital Newport$187,2332.4×22026-04-01
Rhode Island Hospital Providence$206,1882.6×22026-04-01
The Miriam Hospital Providence$211,8272.7×22026-04-01

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$64,8571.2×32026-02-28
Landmark Medical Center Woonsocket$82,6481.6×42026-09-01
The Miriam Hospital Providence$117,9632.2×22026-04-01
Newport Hospital Newport$125,8442.4×22026-04-01
Rhode Island Hospital Providence$138,5842.6×22026-04-01

Questions

How much do insurers pay for heart valve surgery (open) in Rhode Island?

5 Rhode Island hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 5 hospitals is $97,394, 2.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.