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States Procedures Methodology Search
State Price Transparency Index 11 Mapped Hospitals 125 Shoppable Procedures +40% vs. U.S. Median (above the U.S. average)

Rhode Island Hospital Rates

Compare cash discount rates, commercial insurance prices, and fair price benchmarks across all 11 Rhode Island hospitals.

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Above Fair Market · Negotiate
1.40×vs. U.S. Fair Price Average
Position vs. 1.00× Fair Price+40% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Across 11 Rhode Island hospitals, typical commercial prices average +40% above the U.S. fair price (1.40×) after accounting for local wages.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Rhode Island Market & Best ValueSummarizes statewide hospital price coverage across Rhode Island, the average commercial markup over federal Medicare rates, and the #1 best-value hospital in the state.11 Hospitals · 125 Procedures
Hospitals Priced11 in RITotal hospitals in Rhode Island with verified machine-readable price disclosures indexed in the Crystal.
Avg vs. Medicare1.6× MedicareAverage commercial insurance negotiated rate across Rhode Island hospitals compared to what federal Medicare pays for the same procedure.
Best Value in RI0.89× FairLowest confounder-adjusted hospital in Rhode Island: South County Hospital Inc (Wakefield) at 0.89× fair market price.

Most affordable Rhode Island hospital: South County Hospital Inc (Wakefield) at 0.89× the fair price (11% below benchmark).

Statewide Hospital Pricing Fingerprint11 Rhode Island Hospitals Analyzed

Rhode Island Statewide Hospital Pricing Summary

Across 11 reporting hospitals and 125 shoppable procedures in Rhode Island, typical commercial insurance rates sit at 1.40× the U.S. fair price average (1.6× federal Medicare rates). However, prices vary by 1.8× across the state — from 0.89× fair price at the most affordable hospitals up to 1.57× at high-markup facilities.

State Price Index: 1.40× U.S. Fair AverageAvg Commercial Rate: 1.6× Medicare
Advantage

Best Value in Rhode Island (Lowest-Priced Hospitals & Patient Edge)

  • Best-value hospital in Rhode Island: South County Hospital Inc (Wakefield) prices care at 0.89× the fair price benchmark.
  • Additional low-cost leaders include Landmark Medical Center (Woonsocket, 0.89× fair) and Westerly Hospital (1.13× fair).
  • Bottom-quartile Rhode Island hospitals (Q25) charge 0.89× the fair price or less — comparing quotes before scheduling elective care saves 25%–45%.
  • Nonprofit 501(c)(3) hospitals across Rhode Island must provide free or discounted charity care under federal 26 U.S.C. § 501(r) income rules.
Watchout

Where Rhode Island Patients Get Burned (High-Markup Traps)

  • Highest-markup Rhode Island facilities reach 1.9× Medicare (The Miriam Hospital in Providence, Newport Hospital).
  • Prices for the exact same procedure swing 1.8× between the lowest-priced (0.89×) and highest-priced (1.57×) hospitals in Rhode Island.
  • Emergency room, lab, and outpatient surgery facility fees carry significantly higher markups than pre-scheduled imaging or freestanding centers.
Most Affordable RI Hospitals (Bottom 25%)Best Value Tier
0.89× – 0.89× Fair

Led by South County Hospital Inc (Wakefield) at 0.89× fair price.

Typical Rhode Island Hospital (State Median)1.6× Medicare
1.38× Fair Price

Middle-of-the-pack commercial rate across all 11 Rhode Island hospitals.

Highest-Markup RI Hospitals (Top 25%)1.8× State Spread
1.50× – 1.57× Fair

Highest-priced quarter of Rhode Island hospitals where shopping around saves the most.

Rhode Island County Price & Affordability Heatmap 4 of 5 Counties with MRF Hospital Data

Rhode Island County-Level Hospital Price & Affordability Heatmap

Hospital price index, Medicare markup, and household affordability burden across 5 counties in Rhode Island

<0.94× Affordable 0.94–1.06× Near Avg 1.06–1.20× Elevated >1.20× High-Markup

All Hospitals in Rhode Island (11)

Ranked by how their commercial prices compare to the fair BaseRate — best value first. Select any hospital to inspect its full procedure price list.

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Compare Prices by Procedure in Rhode Island (125)

High-impact surgeries, scans, and hospital stays are listed first with the typical Rhode Island price. Search any procedure below.

Browse Rhode Island by Metro Area

Local hospital comparison pages for each Rhode Island regional market.

Which Insurers Negotiate Prices in Rhode Island

Across the 11 Rhode Island hospitals that publish negotiated rates, here is how many hospitals each major insurance carrier has an in-network contract with.

Aetna 10 of 11 hospitals
Blue Cross Blue Shield 7 of 11 hospitals
UnitedHealthcare 7 of 11 hospitals
Cigna 6 of 11 hospitals
Humana 2 of 11 hospitals

Also negotiating in Rhode Island: Tufts Health Plan (6) · Harvard Pilgrim (5) · WellCare (5) · Ambetter (Centene) (1) · HealthLink (1) · Medica (1).

Prices are sourced from each hospital's federally-required public price file, most recently published October 2026. The BaseRate is a modeled fair-price estimate — not a bill or quote. How we build these numbers →