What Medicare pays Rhode Island hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Rhode Island has a certificate-of-need program that does not cover surgery centers.
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| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| South County Hospital Inc | Wakefield | $14,859 | $41,161 | $13,235 |
| Newport Hospital | Newport | $14,973 | $32,210 | $13,335 |
| The Miriam Hospital | Providence | $17,627 | $31,533 | $13,335 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| The Miriam Hospital | Providence | $17,627 | $31,533 | $13,335 |
| Newport Hospital | Newport | $14,973 | $32,210 | $13,335 |
| South County Hospital Inc | Wakefield | $14,859 | $41,161 | $13,235 |
In 2024 the median average total payment to Rhode Island hospitals was $14,973 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $13,335 per outpatient case. An orthopedic surgery center is paid about $9,054 for a knee.
South County Hospital Inc ($14,859), Newport Hospital ($14,973), The Miriam Hospital ($17,627) (average total payment per inpatient stay, patient share included).
The median list (chargemaster) price is $32,210, about 2.2× the median average total payment for a Medicare stay.
Rhode Island has a certificate-of-need program that does not cover surgery centers. The FY2027 budget, signed June 12, 2026, removed ASCs (surgicenters and multi-practice ambulatory surgery centers) from CON; hospitals, nursing facilities, and hospice remain covered.