The Price of Medicare Procedures in Rhode Island



This table shows the 100 most frequently charged procedures/diagnosis in Rhode Island to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Rhode-Island 74 $21662 $6232 $15430
Acute Myocardial Infarction Discharged Alive With Complications
 Rhode-Island 208 $26763 $9217 $17546
Acute Myocardial Infarction Discharged Alive With Major Complications
 Rhode-Island 335 $36548 $13423 $23125
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Rhode-Island 314 $13947 $5724 $8223
Atherosclerosis No Major Complications
 Rhode-Island 40 $18791 $5103 $13688
Back And Neck Proc Exc Spinal Fusion No Complications
 Rhode-Island 43 $22706 $8556 $14150
Bronchitis And Asthma No Complications
 Rhode-Island 71 $14880 $4819 $10061
Bronchitis And Asthma With Complications
 Rhode-Island 115 $19756 $7002 $12754
Cardiac Arrhythmia And Conduction Disorders No Complications
 Rhode-Island 364 $13569 $4388 $9181
Cardiac Arrhythmia And Conduction Disorders With Complications
 Rhode-Island 372 $18230 $6469 $11761
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Rhode-Island 276 $25418 $9327 $16091
Cellulitis No Major Complications
 Rhode-Island 597 $17718 $6540 $11178
Cellulitis With Major Complications
 Rhode-Island 49 $40248 $11907 $28341
Cervical Spinal Fusion No Complications
 Rhode-Island 58 $29612 $16326 $13286
Chest Pain
 Rhode-Island 249 $16579 $4466 $12113
Chronic Obstructive Pulmonary Disease No Complications
 Rhode-Island 474 $16321 $5721 $10600
Chronic Obstructive Pulmonary Disease With Complications
 Rhode-Island 600 $21210 $7438 $13772
Chronic Obstructive Pulmonary Disease With Major Complications
 Rhode-Island 607 $26087 $9037 $17050
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Rhode-Island 208 $32911 $8455 $24456
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Rhode-Island 41 $47565 $14861 $32704
Cranial And Peripheral Nerve Disorders No Major Complications
 Rhode-Island 65 $20271 $7514 $12757
Degenerative Nervous System Disorders No Major Complications
 Rhode-Island 62 $25142 $7330 $17812
Diabetes With Complications
 Rhode-Island 148 $19723 $6668 $13055
Disorders Of Pancreas Except Malignancy With Complications
 Rhode-Island 56 $26799 $8026 $18773
Dysequilibrium
 Rhode-Island 67 $17808 $5197 $12611
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Rhode-Island 780 $17386 $5638 $11748
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Rhode-Island 146 $31551 $10193 $21358
Extracranial Procedures No Complications
 Rhode-Island 76 $24314 $8430 $15884
Fractures Of Hip And Pelvis No Major Complications
 Rhode-Island 85 $19702 $5334 $14368
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Rhode-Island 67 $21119 $6488 $14631
Gi Hemorrhage No Complications
 Rhode-Island 54 $16184 $5530 $10654
Gi Hemorrhage With Complications
 Rhode-Island 510 $21900 $7586 $14314
Gi Hemorrhage With Major Complications
 Rhode-Island 169 $43215 $14394 $28821
Gi Obstruction No Complications
 Rhode-Island 112 $15129 $4476 $10653
Gi Obstruction With Complications
 Rhode-Island 133 $22592 $7476 $15116
Heart Failure And Shock No Complications
 Rhode-Island 281 $15776 $5330 $10446
Heart Failure And Shock With Complications
 Rhode-Island 821 $21321 $7724 $13597
Heart Failure And Shock With Major Complications
 Rhode-Island 621 $32785 $11381 $21404
Hip And Femur Procedures Except Major Joint No Complications
 Rhode-Island 57 $25904 $10991 $14913
Hip And Femur Procedures Except Major Joint With Complications
 Rhode-Island 273 $37463 $13812 $23651
Hip And Femur Procedures Except Major Joint With Major Complications
 Rhode-Island 53 $78582 $25433 $53149
Hypertension No Major Complications
 Rhode-Island 27 $19142 $5938 $13204
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Rhode-Island 90 $117874 $43409 $74465
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Rhode-Island 141 $21225 $6623 $14602
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Rhode-Island 288 $25466 $8829 $16637
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Rhode-Island 181 $45348 $16609 $28739
Kidney And Urinary Tract Infections No Major Complications
 Rhode-Island 872 $17854 $5911 $11943
Kidney And Urinary Tract Infections With Major Complications
 Rhode-Island 222 $26205 $9493 $16712
Laparoscopic Cholecystectomy No Cde No Complications
 Rhode-Island 29 $23936 $7754 $16182
Laparoscopic Cholecystectomy No Cde With Complications
 Rhode-Island 22 $36555 $13763 $22792
Major Cardiovasc Procedures No Major Complications
 Rhode-Island 82 $72537 $24244 $48293
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Rhode-Island 170 $27794 $9837 $17957
Major Joint Replacement Of Lower Extremity No Major Complications
 Rhode-Island 1206 $33838 $15601 $18237
Major Joint Replacement Of Lower Extremity With Major Complications
 Rhode-Island 13 $64385 $26727 $37658
Major Small And Large Bowel Procedures With Complications
 Rhode-Island 193 $43939 $18415 $25524
Major Small And Large Bowel Procedures With Major Complications
 Rhode-Island 126 $100327 $40647 $59680
Medical Back Problems No Major Complications
 Rhode-Island 142 $24816 $7164 $17652
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Rhode-Island 364 $15711 $5418 $10293
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Rhode-Island 74 $35293 $11565 $23728
Other Circulatory System Diagnoses With Complications
 Rhode-Island 47 $38435 $9985 $28450
Other Circulatory System Diagnoses With Major Complications
 Rhode-Island 85 $52214 $17020 $35194
Other Digestive System Diagnoses With Complications
 Rhode-Island 128 $21292 $7629 $13663
Other Kidney And Urinary Tract Diagnoses With Complications
 Rhode-Island 92 $29203 $8635 $20568
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Rhode-Island 65 $37225 $13291 $23934
Other Vascular Procedures No Complications
 Rhode-Island 81 $37996 $13017 $24979
Other Vascular Procedures With Complications
 Rhode-Island 104 $72112 $20067 $52045
Other Vascular Procedures With Major Complications
 Rhode-Island 57 $86827 $26389 $60438
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Rhode-Island 33 $61549 $14366 $47183
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Rhode-Island 174 $89856 $15886 $73970
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Rhode-Island 76 $115995 $24916 $91079
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Rhode-Island 70 $76400 $15331 $61069
Peripheral Vascular Disorders No Complications
 Rhode-Island 37 $18417 $5742 $12675
Peripheral Vascular Disorders With Complications
 Rhode-Island 130 $22048 $7752 $14296
Permanent Cardiac Pacemaker Implant No Complications
 Rhode-Island 44 $52739 $16204 $36535
Permanent Cardiac Pacemaker Implant With Complications
 Rhode-Island 69 $53607 $18654 $34953
Poisoning And Toxic Effects Of Drugs No Major Complications
 Rhode-Island 114 $18718 $5621 $13097
Poisoning And Toxic Effects Of Drugs With Major Complications
 Rhode-Island 69 $41195 $12054 $29141
Psychoses
 Rhode-Island 408 $23264 $7709 $15555
Pulmonary Edema And Respiratory Failure
 Rhode-Island 182 $36804 $11446 $25358
Pulmonary Embolism No Major Complications
 Rhode-Island 93 $25787 $8117 $17670
Red Blood Cell Disorders No Major Complications
 Rhode-Island 323 $16051 $6044 $10007
Red Blood Cell Disorders With Major Complications
 Rhode-Island 78 $26932 $9937 $16995
Renal Failure No Complications
 Rhode-Island 58 $16495 $5691 $10804
Renal Failure With Complications
 Rhode-Island 509 $21210 $8030 $13180
Renal Failure With Major Complications
 Rhode-Island 242 $34913 $13176 $21737
Respiratory Infections And Inflammations With Complications
 Rhode-Island 343 $29114 $11282 $17832
Respiratory Infections And Inflammations With Major Complications
 Rhode-Island 262 $42870 $16067 $26803
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Rhode-Island 101 $118172 $40186 $77986
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Rhode-Island 144 $58850 $20615 $38235
Seizures No Major Complications
 Rhode-Island 166 $17839 $6096 $11743
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Rhode-Island 331 $23550 $8497 $15053
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Rhode-Island 1056 $39819 $14491 $25328
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Rhode-Island 63 $145727 $46361 $99366
Signs And Symptoms No Major Complications
 Rhode-Island 120 $16546 $5676 $10870
Simple Pneumonia And Pleurisy No Complications
 Rhode-Island 298 $15047 $5213 $9834
Simple Pneumonia And Pleurisy With Complications
 Rhode-Island 786 $20549 $7512 $13037
Simple Pneumonia And Pleurisy With Major Complications
 Rhode-Island 389 $33362 $11892 $21470
Spinal Fusion Except Cervical No Major Complications
 Rhode-Island 237 $49275 $29851 $19424
Syncope And Collapse
 Rhode-Island 469 $17849 $5828 $12021
Transient Ischemia
 Rhode-Island 183 $18948 $6095 $12853


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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