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Rhode Island: one knee, three prices

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.

Surgery center
$9,054
Median Medicare knee rate, 2 orthopedic surgery centers
Hospital, same day
$13,335
Median outpatient allowed
Hospital, overnight
$14,973
Median inpatient paid, 3 hospitals

Rhode Island has a certificate-of-need program that does not cover surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
South County Hospital IncWakefield$14,859$41,161$13,235
Newport HospitalNewport$14,973$32,210$13,335
The Miriam HospitalProvidence$17,627$31,533$13,335

Highest Medicare payment

HospitalCityInpatient paidList priceOutpatient
The Miriam HospitalProvidence$17,627$31,533$13,335
Newport HospitalNewport$14,973$32,210$13,335
South County Hospital IncWakefield$14,859$41,161$13,235

Every Rhode Island hospital (8)

Orthopedic surgery centers (2)

Questions

How much does Medicare pay for a knee replacement in Rhode Island?

In 2024 Medicare paid Rhode Island hospitals a median $14,973 per inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals) and a median $13,335 per outpatient case. An orthopedic surgery center is paid about $9,054 for a knee.

Which Rhode Island hospitals does Medicare pay least for a joint replacement?

South County Hospital Inc ($14,859), Newport Hospital ($14,973), The Miriam Hospital ($17,627).

What do Rhode Island hospitals list for a joint replacement?

The median list (chargemaster) price is $32,210, about 2.2× what Medicare pays.

Does Rhode Island have a certificate-of-need law?

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.