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Hip 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 27130

HospitalMedian across insurers× MedicareInsurersFile date
South County Hospital Inc Wakefield$19,0341.3×12026-07-24
The Miriam Hospital Providence$25,5531.8×32026-04-01
Rhode Island Hospital Providence$27,6661.9×42026-04-01
Newport Hospital Newport$30,0872.1×42026-04-01

MS-DRG 470

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$18,4571.2×132026-09-19
Kent County Memorial Hospital Warwick$21,4681.4×42026-02-28
Landmark Medical Center Woonsocket$24,6761.6×42026-09-01
South County Hospital Inc Wakefield$30,4701.9×22026-07-24
Newport Hospital Newport$36,9172.4×22026-04-01
Rhode Island Hospital Providence$40,6542.6×22026-04-01
The Miriam Hospital Providence$41,2302.6×22026-04-01

MS-DRG 469

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$29,2331.2×42026-02-28
Landmark Medical Center Woonsocket$38,4541.6×42026-09-01
South County Hospital Inc Wakefield$52,1322.1×22026-07-24
Westerly Hospital Westerly$56,5922.3×132026-09-19
Newport Hospital Newport$58,0522.4×22026-04-01
The Miriam Hospital Providence$59,6962.4×22026-04-01
Rhode Island Hospital Providence$63,9292.6×22026-04-01

Questions

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

7 Rhode Island hospitals post usable commercial rates for hip replacement in their federal price-transparency files. For CPT 27130, hospital outpatient, the median across 4 hospitals is $26,610, 1.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.