Butler Hospital
345 Blackstone Blvd, Providence, RI 02906 · 68 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Butler Hospital concentrates commercial margin in outpatient surgical suites (7.2× Medicare) and specialty drug infusions (6.7× Medicare) relative to routine diagnostics (6.5×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (15.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.2× markup over Medicare rates
- Captive ER (8.4×) & laboratory (8.3×) services average 1.34× higher multiples than routine shoppable care (5.8×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 9.2× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Butler Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 68 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,700 | 3.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,554 | 3.0× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,309 | 4.3× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,184 | 3.5× |
| Blood transfusion CPT Code: 36430 | $727 | 1.5× |
| CT scan, sinuses CPT Code: 70486 | $647 | 3.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $567 | 3.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $567 | 1.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $493 | 3.1× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $425 | 1.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $304 | 1.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $278 | 2.1× |
| X-ray, shoulder CPT Code: 73030 | $224 | 2.4× |
| Psychological testing evaluation CPT Code: 96136 | $226 | 1.8× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $230 | 1.7× |
| Neurobehavioral status check CPT Code: 96116 | $244 | 1.1× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $222 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $177 | 1.6× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $183 | 1.5× |
| Family therapy session CPT Code: 90847 | $176 | 1.0× |
| Psychological testing by technician CPT Code: 96138 | $187 | 0.5× |
| X-ray, foot CPT Code: 73630 | $112 | 1.2× |
| X-ray, hand CPT Code: 73130 | $112 | 1.2× |
| X-ray, ankle CPT Code: 73610 | $112 | 1.2× |
| New patient office visit (30-44 min) CPT Code: 99203 | $128 | 1.2× |
Audit a Bill or Quote at Butler Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $735
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (15.1% of gross = $735).
Self-Pay Cash Rate ($1,700) Beats Your Bill
Butler Hospital's published 45 CFR § 180 self-pay cash rate is $1,700 (vs. $1,700 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($4,858) is $4,410 above the denoised Fair BaseRate ($448) and 13.6× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (15.1% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Butler Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-27·cap_corrective_action
CAP Request
Recorded - 2026-05-13·cap_corrective_action
CAP Request
Recorded - 2026-02-09·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Butler Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.