Lifespan · Providence, RI
38
In-network payers
283
Disclosed rate categories
719
Beds
3
Care quality
Rhode Island Hospital is a 719-bed voluntary non-profit - private hospital in Providence, RI, affiliated with Lifespan. Below you'll find publicly disclosed negotiated rates and facility details, including 38 in-network payers and 283 disclosed rate categories.
CCN (Medicare provider number)
410007
NPI
1588659528
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
719
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 Rhode Island 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.
CT imaging
CPT 74177
$292 - $1,665
from 4 insurers · median $978
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$4,628 - $15,299
from 3 insurers · median $5,597
35 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,344 - $4,287
from 3 insurers · median $4,099
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,683 - $5,656
from 3 insurers · median $4,099
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$80,048
negotiated rate
44 Medicare discharges for this DRG in CMS hospital data
Mammography
CPT 77067
$109 - $299
from 4 insurers · median $220
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$317 - $5,656
from 4 insurers · median $2,886
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,710 - $6,758
from 4 insurers · median $3,565
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,165 - $28,572
from 3 insurers · median $10,699
94 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$140 - $634
from 4 insurers · median $321
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$475 - $2,116
from 4 insurers · median $1,402
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$252 - $4,395
from 4 insurers · median $2,743
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$30 - $206
from 4 insurers · median $134
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$90,051 - $210,084
from 2 insurers · median $150,067
Hospital reports cardiac thoracic surgery services to CMS
Gynecology
CPT 58571
$9,165 - $50,238
from 3 insurers · median $15,734
30 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$381 - $1,070
from 4 insurers · median $614
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$252 - $949
from 4 insurers · median $560
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,164 - $16,922
from 3 insurers · median $7,127
56 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 70553
$480 - $3,338
from 4 insurers · median $1,090
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,165 - $28,572
from 3 insurers · median $10,954
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,628 - $27,978
from 3 insurers · median $8,793
Typical for a hospital with this service line
Gynecology
CPT 58662
$9,165 - $28,572
from 3 insurers · median $10,954
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$9,165 - $34,294
from 3 insurers · median $16,223
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$3,151 - $7,333
from 3 insurers · median $4,099
Typical for a hospital with this service line
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* | 22 | 463% | 13 | 7 |
| Insurer B* | 23 | 208% | 9 | 13 |
| Insurer C* | 22 | 171% | 7 | 6 |
| Insurer D* | 13 | 117% | 3 | 10 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 13 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 Rhode Island Hospital.
593 Eddy Street, Providence, RI 02903
(401) 444-4000
The nearest hospitals of similar type and size. Their rates are compared with Rhode Island Hospital for the same insurers and services above.
South Shore Hospital
▼ Rates typically 32% lower than Rhode Island Hospital (24 services)
Newton Wellesley Hospital
▼ Rates typically 17% lower than Rhode Island Hospital (14 services)
Umass Memorial Medical Center - University Campus
▲ Rates typically 9% higher than Rhode Island Hospital (22 services)
Brigham And Womens Hospital
▼ Rates typically 41% lower than Rhode Island Hospital (23 services)
Beth Israel Deaconess Medical Center
▼ Rates typically 44% lower than Rhode Island Hospital (23 services)
Boston Medical Center
▲ Rates typically 73% higher than Rhode Island Hospital (24 services)
The Miriam Hospital
Roger Williams Medical Center
Women & Infants Hospital
Newport Hospital
About Rhode Island Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Rhode Island Hospital range from $480 to $3,338 across 4 insurers. Aetna's rate is $480. The median at nearby comparable hospitals is $1,219. 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 Rhode Island Hospital range from $292 to $1,665 across 4 insurers. Aetna's rate is $307. The median at nearby comparable hospitals is $1,254. 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 Rhode Island Hospital range from $1,683 to $5,656 across 3 insurers. Cigna's rate is $5,656. The median at nearby comparable hospitals is $3,055. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Rhode Island Hospital range from $109 to $299 across 4 insurers. Aetna's rate is $109. The median at nearby comparable hospitals is $333. What a patient pays depends on their plan's deductible, coinsurance and network status.
Rhode Island Hospital has 719 beds. Facility type: Short Term Acute Care Hospital.
Rhode Island Hospital is located at 593 Eddy Street, Providence, RI 02903. Its main phone number is (401) 444-4000.
Rhode Island Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 410007.
The National Provider Identifier (NPI) on file for Rhode Island Hospital is 1588659528.
Rhode Island Hospital is affiliated with Lifespan.
Rhode Island Hospital lists 38 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.
283 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