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Hip fracture replacement in Rhode Island: what insurers pay

Posted commercial rates at 7 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 27236

HospitalMedian across insurers× MedicareInsurersFile date
The Miriam Hospital Providence$9,7711.2×32026-04-01
Rhode Island Hospital Providence$11,9221.5×42026-04-01
Newport Hospital Newport$14,1301.7×42026-04-01

MS-DRG 522

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$21,1541.2×132026-09-19
Kent County Memorial Hospital Warwick$22,3901.3×42026-02-28
Landmark Medical Center Woonsocket$27,0311.6×42026-09-01
South County Hospital Inc Wakefield$34,3602.0×22026-07-24
Newport Hospital Newport$40,5302.4×22026-04-01
The Miriam Hospital Providence$44,3882.6×22026-04-01
Rhode Island Hospital Providence$44,6342.6×22026-04-01

MS-DRG 521

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$27,7241.2×42026-02-28
Westerly Hospital Westerly$36,0721.6×132026-09-19
Landmark Medical Center Woonsocket$36,4201.6×42026-09-01
South County Hospital Inc Wakefield$47,6282.0×22026-07-24
Newport Hospital Newport$54,9332.4×22026-04-01
The Miriam Hospital Providence$56,9712.5×22026-04-01
Rhode Island Hospital Providence$60,4942.6×22026-04-01

Questions

How much do insurers pay for hip fracture replacement in Rhode Island?

7 Rhode Island hospitals post usable commercial rates for hip fracture replacement in their federal price-transparency files. For CPT 27236, hospital outpatient, the median across 3 hospitals is $11,922, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.