CMS Price Transparency Data

Diagnostic procedure preparation

Facility: The Miriam Hospital

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$46
about 1.1× the $40 Medicare rate · typically $15–$81
modeled estimate · not a bill or quote
What this hospital charges insurers
$52
About the fair price
about $6 over the fair price · 1.3× Medicare
Medicare pays $40 Fair price $46 This hospital $52

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

On the higher side — 3 of 4 other RI hospitals charge less.

Cheapest $13 Priciest $55

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

A fair price for a Diagnostic procedure preparation is about $46 (about 1.1× the $40 Medicare rate). The Miriam Hospital charges insurers about $52 — about the fair price. Located in Providence, RI.

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 $52 129%
Blue Cross Blue Shieldmajor $13 32%
Aetnamajor $13 32%
Cignamajor $74 183%
Harvard Pilgrim $59 146%
Tufts Health Plan $90 223%
+ 1 smaller / regional plan $24

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Facility Profile & Credentials

  • Address: 164 Summit Avenue, Providence, RI 02906
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals