CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: The Miriam Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,768
about 1.3× the $14,044 Medicare rate · typically $14,465–$21,204
modeled estimate · not a bill or quote
What this hospital charges insurers
$19,178
About the fair price
about $1,410 over the fair price · 1.4× Medicare
Medicare pays $14,044 Fair price $17,768 This hospital $19,178

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 $13,770 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 $17,768 (about 1.3× the $14,044 Medicare rate). The Miriam Hospital charges insurers about $19,178 — 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 $19,178 - $38,042 137%
Blue Cross Blue Shieldmajor $14,659 - $19,178 104%
Aetnamajor $19,610 - $45,491 140%
Cignamajor $19,178 137%
Harvard Pilgrim $19,178 137%
Tufts Health Plan $19,178 137%
WellCare $19,178 137%
+ 3 smaller / regional plans $19,178 - $22,553

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