CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Rhode Island Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,774
about 1.3× the $14,044 Medicare rate · typically $14,421–$22,996
modeled estimate · not a bill or quote
What this hospital charges insurers
$21,653
Above the fair price
about $2,879 over the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $18,774 This hospital $21,653

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Highest price of the 5 RI hospitals we have prices for — worth calling around.

Cheapest $13,770 Priciest $21,653

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,774 (about 1.3× the $14,044 Medicare rate). Rhode Island Hospital charges insurers about $21,653 — above the fair price. Located in Providence, RI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $18,774. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $21,653 - $35,818 154%
Blue Cross Blue Shieldmajor $17,671 126%
Aetnamajor $22,140 - $45,491 158%
Cignamajor $21,653 154%
Tufts Health Plan $21,653 154%
WellCare $21,653 154%
+ 3 smaller / regional plans $21,653

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 593 Eddy Street, Providence, RI 02902
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals