How many shoppable procedure prices are published for Rehabilitation Hospital of Rhode Island?

Rehabilitation Hospital of Rhode Island in North Smithfield, RI currently has 85 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile General Acute Care Hospital Updated: 2026-03-16

Rehabilitation Hospital of Rhode Island

116 Eddie Dowling Hwy, North Smithfield, RI 02896 · 85 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

8/100 · Quarantined

8/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness30

Price Logic0

Peer Alignment0

Clean Billing0

Real Cash Discount10

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Rehabilitation Hospital of Rhode Island prices routine shoppable procedures near 8.0× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 16.2× Medicare (p75 1.28×, +28% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

Regional Benchmark in RIU.S. National Reference Pool

Advantage

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 (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 10.0× markup over Medicare rates
Captive ER (11.6×) & laboratory (14.6×) services average 2.03× higher multiples than routine shoppable care (8.0×)
Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
Consolidated metro market (HHI 5,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

8.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER2.03× Divergence

16.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+28% Upper Tail

Q25 0.78× · Q50 1.00× · Q75 1.28×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

8.0× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

10.0× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

6.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

11.6× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

14.6× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

9.2× MedicareWatchout

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at Rehabilitation Hospital of Rhode Island

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$323,037	$323,037	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$194,248	$194,248	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$192,888	$192,888	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$176,298	$176,298	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$77,959	$77,959	$8,223	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,897	$4,897	$448	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$4,409	$4,409	$303	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$3,959	$3,959	$511	unverified
CT scan, head (with contrast) CPT Code: `70460`	$3,525	$3,525	$242	unverified
MRI, brain (no contrast) CPT Code: `70551`	$3,257	$3,257	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$3,058	$3,058	$338	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$2,603	$2,603	$258	unverified
CT scan, sinuses CPT Code: `70486`	$2,304	$2,304	$166	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$2,262	$2,262	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,246	$2,246	$168	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,150	$2,150	$369	unverified
CT scan, head (no contrast) CPT Code: `70450`	$2,046	$2,046	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,011	$2,011	$167	unverified
CT scan, pelvis CPT Code: `72192`	$2,033	$2,033	$163	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,114	$1,114	$583	1.9×
Ultrasound, pelvis CPT Code: `76856`	$859	$859	$130	unverified
Blood transfusion CPT Code: `36430`	$819	$819	$498	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$778	$778	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$541	$541	$126	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$541	$541	$272	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$521	$521	$123	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$469	$469	$148	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$474	$474	$87	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$407	$407	$38	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$293	$293	$132	unverified
X-ray, hip CPT Code: `73502`	$250	$250	$93	unverified
X-ray, foot CPT Code: `73630`	$259	$259	$92	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$207	$207	$123	1.7×
X-ray, chest (single view) CPT Code: `71045`	$210	$210	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$210	$210	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$210	$210	$93	unverified
X-ray, pelvis CPT Code: `72170`	$210	$210	$110	unverified
X-ray, shoulder CPT Code: `73030`	$210	$210	$92	unverified
X-ray, hand CPT Code: `73130`	$230	$230	$93	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$222	$222	$86	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$247	$247	$64	unverified
X-ray, ankle CPT Code: `73610`	$210	$210	$93	unverified
Orthotic fitting and training CPT Code: `97760`	$198	$198	$51	unverified
X-ray, lower back CPT Code: `72110`	$155	$155	$112	1.4×
Speech therapy (group session) CPT Code: `92508`	$172	$172	$27	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$133	$133	$14	unverified
Prosthetic fitting and training CPT Code: `97761`	$98	$98	$45	2.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$123	$123	$201	0.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$114	$114	$35	unverified
Physical therapy (gait training) CPT Code: `97116`	$138	$138	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$132	$132	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$114	$114	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$88	$88	$40	2.2×
Occupational therapy (self-care training) CPT Code: `97535`	$98	$98	$38	unverified
Blood test, vitamin D CPT Code: `82306`	$346	$346	$31	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$266	$266	$11	unverified
Blood test, liver function panel CPT Code: `80076`	$272	$272	$9	unverified
Culture, blood CPT Code: `87040`	$251	$251	$11	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$225	$225	$9	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$213	$213	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$194	$194	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$204	$204	$14	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$211	$211	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$206	$206	$15	unverified
Culture, bacterial CPT Code: `87070`	$199	$199	$9	unverified
Drug screening test HCPCS Code: `G0480`	$216	$216	$116	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$156	$156	$10	unverified
Blood test, lipase CPT Code: `83690`	$147	$147	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$170	$170	$19	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$156	$156	$8	unverified
Blood antibody screen CPT Code: `86850`	$173	$173	$46	unverified
Blood test, amylase CPT Code: `82150`	$132	$132	$7	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$106	$106	$3	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$98	$98	$5	unverified
Blood test, magnesium CPT Code: `83735`	$123	$123	$7	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$116	$116	$6	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$78	$78	$25	3.1×
Blood test, calcium CPT Code: `82310`	$63	$63	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$74	$74	$4	unverified
Blood test, potassium CPT Code: `84132`	$58	$58	$5	unverified
Blood test, sodium CPT Code: `84295`	$62	$62	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$73	$73	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$78	$78	$5	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$80	$80	$20	unverified
Blood test, hemoglobin CPT Code: `85018`	$47	$47	$3	unverified

Showing top 25 high-impact procedures of 85 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Rehabilitation Hospital of Rhode Island (Zero PHI Required)

CMS CCN: 413025

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $323,037

Insurer Median $323,037

1. Amount on Your Bill or Quote ($) Pre-filled with Rehabilitation Hospital of Rhode Island’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $323,037

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Rehabilitation Hospital of Rhode Island's published 45 CFR § 180 self-pay cash rate is $323,037 (vs. $323,037 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$292,262 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($323,037) is $292,262 above the denoised Fair BaseRate ($30,775) and 13.7× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Rehabilitation Hospital of Rhode Island as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Rehabilitation Hospital of Rhode Island.

Price Index: 1.26× regional baseline

Quality: 54/100 CMS composite

Median Household Income$109,436U.S. Census ACS

Local Uninsured Share3.0%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 8/100 · Quarantined CMS CCN 413025

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 413025) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-16

Validated Rate Rows0 (CMS v3.0.0)

File Integrity DigestVerified · CCN 413025

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.

Submit MRF Update Correction Policy