Prospect Medical Holdings · North Providence, RI
32
In-network payers
251
Disclosed rate categories
312
Beds
3
Care quality
Our Lady Of Fatima Hospital is a 312-bed proprietary hospital in North Providence, RI, affiliated with Prospect Medical Holdings. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 251 disclosed rate categories.
CCN (Medicare provider number)
410005
NPI
1871918870
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
312
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Our Lady Of Fatima Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$8,395 - $10,247
from 2 insurers · median $9,321
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,696 - $11,939
from 2 insurers · median $11,817
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$42,362 - $50,488
from 2 insurers · median $46,425
34 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$537 - $1,072
from 4 insurers · median $898
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$118,141 - $148,682
from 2 insurers · median $133,412
Hospital reports cardiac thoracic surgery services to CMS
Childbirth · Inpatient
MS-DRG 807
$8,395 - $10,247
from 2 insurers · median $9,321
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
X-ray and bone density
CPT 71046
$132 - $473
from 4 insurers · median $366
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$256 - $710
from 4 insurers · median $307
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,481 - $3,023
from 4 insurers · median $1,892
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$259 - $1,029
from 4 insurers · median $358
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$599 - $3,827
from 3 insurers · median $3,110
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,481 - $3,023
from 4 insurers · median $2,109
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,481 - $3,023
from 4 insurers · median $2,109
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$571 - $1,029
from 4 insurers · median $841
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,504 - $8,370
from 4 insurers · median $4,188
117 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 473
$30,093 - $33,986
from 2 insurers · median $32,040
Hospital reports neurosurgical services to CMS
CT imaging
CPT 71275
$571 - $1,029
from 4 insurers · median $795
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,031 - $2,008
from 4 insurers · median $1,364
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$23,242 - $29,316
from 2 insurers · median $26,279
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$2,424 - $4,339
from 4 insurers · median $3,591
87 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$552 - $1,099
from 4 insurers · median $854
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,481 - $3,023
from 4 insurers · median $1,806
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$140 - $644
from 4 insurers · median $360
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$525 - $1,579
from 4 insurers · median $957
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 17 | 326% | 13 | 3 |
| Insurer B* | 23 | 274% | 11 | 7 |
| Insurer C* | 17 | 215% | 2 | 1 |
| Insurer D* | 24 | 197% | 17 | 1 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Our Lady Of Fatima Hospital.
200 High Service Avenue, North Providence, RI 02904
(401) 456-3000
The nearest hospitals of similar type and size. Their rates are compared with Our Lady Of Fatima Hospital for the same insurers and services above.
The Miriam Hospital
Rates about the same as Our Lady Of Fatima Hospital (20 services)
Kent County Memorial Hospital
▼ Rates typically 19% lower than Our Lady Of Fatima Hospital (20 services)
Landmark Medical Center
▼ Rates typically 19% lower than Our Lady Of Fatima Hospital (20 services)
Saint Anne S Hospital
▼ Rates typically 45% lower than Our Lady Of Fatima Hospital (21 services)
Charlton Memorial Hospital
▲ Rates typically 22% higher than Our Lady Of Fatima Hospital (21 services)
Good Samaritan Medical Center
▼ Rates typically 54% lower than Our Lady Of Fatima Hospital (21 services)
Roger Williams Medical Center
Newport Hospital
Westerly Hospital
About Our Lady Of Fatima Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Our Lady Of Fatima Hospital range from $1,031 to $2,008 across 4 insurers. Aetna's rate is $2,008. The median at nearby comparable hospitals is $710. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Our Lady Of Fatima Hospital range from $537 to $1,072 across 4 insurers. Aetna's rate is $1,072. The median at nearby comparable hospitals is $731. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Our Lady Of Fatima Hospital range from $1,481 to $3,023 across 4 insurers. Cigna's rate is $1,481. The median at nearby comparable hospitals is $2,207. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Our Lady Of Fatima Hospital range from $8,395 to $10,247 across 2 insurers. UnitedHealthcare's rate is $8,395. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Our Lady Of Fatima Hospital range from $256 to $710 across 4 insurers. Cigna's rate is $283. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Our Lady Of Fatima Hospital range from $23,242 to $29,316 across 2 insurers. Blue Cross Blue Shield's rate is $29,316. The median at nearby comparable hospitals is $20,895. What a patient pays depends on their plan's deductible, coinsurance and network status.
Our Lady Of Fatima Hospital has 312 beds. Facility type: Short Term Acute Care Hospital.
Our Lady Of Fatima Hospital is located at 200 High Service Avenue, North Providence, RI 02904. Its main phone number is (401) 456-3000.
Our Lady Of Fatima Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 410005.
The National Provider Identifier (NPI) on file for Our Lady Of Fatima Hospital is 1871918870.
Our Lady Of Fatima Hospital is affiliated with Prospect Medical Holdings.
Our Lady Of Fatima Hospital lists 32 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
251 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers