CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Rehabilitation Hospital of Rhode Island

Billing Code: 470 (MS-DRG)

The BaseRate · fair price medium confidence

A fair price for this

$22,816

about 1.6× the $14,044 Medicare rate · typically $12,896–$48,453

modeled estimate · not a bill or quote

Medicare pays $14,044 Fair price $22,816 Cash price $192,888 Hospital's list price $192,888

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ Blue Cross Blue Shield UnitedHealthcareAetnaCignaHumanaKaiser 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
Blue Cross Blue Shieldmajor	$194,817	1387%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 192,888), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 470.

Insurance Before you use insurance

Call your insurance company to confirm Rehabilitation Hospital of Rhode Island is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 470.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Rehabilitation Hospital of Rhode Island

Compare: Hip or knee replacement (inpatient stay) at other RI hospitals

South County Hospital Inc · Wakefield $13,770
Newport Hospital · Newport $16,418
Landmark Medical Center · Woonsocket $16,936
The Miriam Hospital · Providence $19,178
Rhode Island Hospital · Providence $21,653

Insurance negotiated median for the same procedure, sorted lowest first.