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Shoulder replacement in Rhode Island: what insurers pay

Posted commercial rates at 6 Rhode Island hospitals, each next to its own Medicare base rate.

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CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
South County Hospital Inc Wakefield$11,2960.6×12026-07-24
Rhode Island Hospital Providence$33,3301.7×42026-04-01
Newport Hospital Newport$35,6601.8×42026-04-01
The Miriam Hospital Providence$36,1831.8×32026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Kent County Memorial Hospital Warwick$25,7781.1×42026-02-28
Landmark Medical Center Woonsocket$35,1941.6×42026-09-01
South County Hospital Inc Wakefield$39,3031.8×22026-07-24
Newport Hospital Newport$53,0512.4×22026-04-01
Rhode Island Hospital Providence$58,4222.6×22026-04-01
The Miriam Hospital Providence$60,0202.7×22026-04-01

Questions

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

6 Rhode Island hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 4 hospitals is $34,495, 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.