82/100
#308 nationally
The Miriam Hospital
164 Summit Avenue, Providence, RI 02906 · (401) 793-2500
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, The Miriam Hospital billed $2.81 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
- 2.8x
- volume-weighted across all its priced work
- Procedures priced
- 127
- inpatient and outpatient combined
- Rank in RI
- #4
- 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 79% of U.S. hospitals.
Better than 92% of U.S. hospitals.
Better than 79% of U.S. hospitals.
Better than 82% 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 |
603 | $15,264 | $2,748 | -21% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
252 | $53,991 | $18,060 | -17% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
234 | $33,787 | $12,299 | -22% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
193 | $12,888 | $5,229 | -53% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
184 | $6,764 | $2,033 | -48% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
180 | $25,469 | $13,335 | -59% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
161 | $31,533 | $17,627 | -61% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
157 | $12,774 | $3,260 | -49% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
153 | $9,513 | $3,538 | -54% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
144 | $8,034 | $1,912 | -32% |
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 |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,882 | $693 | +24% |
|
Signs and Symptoms without Major Complications
MS-DRG 948 · Inpatient stay |
$34,018 | $9,290 | +5% |
|
Level 1 Icd and Similar Procedures
APC 5231 · Hospital outpatient visit |
$89,478 | $23,857 | -5% |
|
Diabetes (with complications)
MS-DRG 638 · Inpatient stay |
$30,934 | $9,046 | -11% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
$21,401 | $6,038 | -11% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$34,631 | $12,466 | -12% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$26,773 | $9,385 | -14% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$47,809 | $12,642 | -15% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$31,412 | $18,388 | -64% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$7,601 | $3,182 | -63% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$15,184 | $7,260 | -62% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$13,649 | $5,789 | -61% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$31,533 | $17,627 | -61% |
|
Level 3 Lower GI Procedures
APC 5313 · Hospital outpatient visit |
$6,567 | $2,812 | -60% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$13,765 | $5,943 | -60% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$25,469 | $13,335 | -59% |
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.