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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 Medicare allowed amount
Hospital, overnight
$14,973
Median avg total payment (incl. patient share), 3 hospitals

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

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
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 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.

Which Rhode Island hospitals have the lowest Medicare payment for a joint replacement?

South County Hospital Inc ($14,859), Newport Hospital ($14,973), The Miriam Hospital ($17,627) (average total payment per inpatient stay, patient share included).

What do Rhode Island hospitals list for a joint replacement?

The median list (chargemaster) price is $32,210, about 2.2× the median average total payment for a Medicare stay.

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.