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Pneumonia (hospital stay) 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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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$8,4871.3×32026-02-28
Westerly Hospital Westerly$10,4161.6×132026-09-19
Landmark Medical Center Woonsocket$10,6641.6×42026-09-01
South County Hospital Inc Wakefield$13,3242.0×22026-07-24
Newport Hospital Newport$15,4242.4×22026-04-01
Rhode Island Hospital Providence$16,9862.6×22026-04-01
The Miriam Hospital Providence$17,4502.7×22026-04-01

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$13,4551.3×32026-02-28
Westerly Hospital Westerly$16,3081.5×132026-09-19
Landmark Medical Center Woonsocket$17,7891.7×52026-09-01
South County Hospital Inc Wakefield$20,9842.0×22026-07-24
Newport Hospital Newport$25,1562.4×22026-04-01
Rhode Island Hospital Providence$27,7032.6×22026-04-01
The Miriam Hospital Providence$28,4612.7×22026-04-01

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Westerly Hospital Westerly$5,9161.2×132026-09-19
Kent County Memorial Hospital Warwick$6,7531.3×32026-02-28
Landmark Medical Center Woonsocket$8,4501.7×42026-09-01
South County Hospital Inc Wakefield$10,1502.0×22026-07-24
Newport Hospital Newport$12,0292.4×22026-04-01
Rhode Island Hospital Providence$13,2472.6×22026-04-01
The Miriam Hospital Providence$13,6092.7×22026-04-01

Questions

How much do insurers pay for pneumonia (hospital stay) in Rhode Island?

7 Rhode Island hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 7 hospitals is $13,324, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.