CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: The Miriam Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$8,058
about 1.4× the $5,676 Medicare rate · typically $6,096–$9,025
modeled estimate · not a bill or quote
What this hospital charges insurers
$8,071
About the fair price
about $13 over the fair price · 1.4× Medicare
Medicare pays $5,676 Fair price $8,058 This hospital $8,071

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 $5,699 Priciest $9,417

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

A fair price for a Digestive disorders treatment (inpatient stay) is about $8,058 (about 1.4× the $5,676 Medicare rate). The Miriam Hospital charges insurers about $8,071 — 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 $8,071 - $15,375 142%
Blue Cross Blue Shieldmajor $5,565 - $8,071 98%
Aetnamajor $8,253 - $18,386 145%
Cignamajor $8,071 142%
Harvard Pilgrim $8,071 142%
Tufts Health Plan $8,071 142%
WellCare $8,071 142%
+ 3 smaller / regional plans $8,071 - $9,492

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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