77/100
#438 nationally
Rhode Island Hospital
593 Eddy Street, Providence, RI 02902 · (401) 444-4000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Rhode Island Hospital billed $2.69 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 197
- inpatient and outpatient combined
- Rank in RI
- #7
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 80% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 71% of U.S. hospitals.
Better than 53% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
382 | $17,887 | $2,745 | -8% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
349 | $7,908 | $1,632 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
291 | $58,277 | $22,048 | -11% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
179 | $5,449 | $2,365 | -54% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
168 | $9,977 | $1,918 | -12% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
159 | $64,281 | $23,615 | -52% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
149 | $14,602 | $7,212 | -63% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
147 | $15,792 | $3,206 | -17% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
144 | $8,288 | $1,920 | -29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
142 | $54,683 | $16,270 | +26% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$108,051 | $33,720 | +65% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$50,452 | $19,406 | +40% |
|
Heart Failure (with complications)
MS-DRG 292 · Inpatient stay |
$45,712 | $10,727 | +38% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$65,398 | $18,348 | +27% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$54,683 | $16,270 | +26% |
|
Other Circulatory System Diagnoses with Complications
MS-DRG 315 · Inpatient stay |
$50,992 | $15,954 | +23% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$10,507 | $1,625 | +23% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$107,093 | $26,741 | +22% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Back and Neck Procedures Except Spinal Fusion without Complications/mcc
MS-DRG 520 · Inpatient stay |
$21,750 | $14,931 | -67% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$6,893 | $3,216 | -66% |
|
Spinal Procedures with Complications or Spinal Neurostimulators
MS-DRG 029 · Inpatient stay |
$54,035 | $36,079 | -65% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$14,602 | $7,212 | -63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$24,168 | $13,335 | -61% |
|
Major Chest Procedures without Complications/mcc
MS-DRG 165 · Inpatient stay |
$33,290 | $22,841 | -60% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$11,354 | $5,251 | -59% |
|
Major Chest Procedures with Complications
MS-DRG 164 · Inpatient stay |
$45,683 | $27,300 | -58% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.