Prospect Medical Holdings · Providence, RI
32
In-network payers
237
Disclosed rate categories
220
Beds
3
Care quality
Roger Williams Medical Center is a 220-bed proprietary hospital in Providence, RI, affiliated with Prospect Medical Holdings. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 237 disclosed rate categories.
CCN (Medicare provider number)
410004
NPI
1013332014
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
220
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 Roger Williams Medical Center 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
$528 - $1,547
from 4 insurers · median $1,246
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$176 - $541
from 4 insurers · median $405
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$254 - $1,143
from 4 insurers · median $655
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$138 - $397
from 4 insurers · median $263
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$528 - $1,939
from 4 insurers · median $1,227
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$528 - $1,349
from 4 insurers · median $1,135
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,444 - $3,242
from 4 insurers · median $1,984
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$953 - $3,968
from 4 insurers · median $1,996
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,444 - $3,242
from 4 insurers · median $2,136
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,444 - $3,242
from 4 insurers · median $2,136
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,866 - $9,369
from 4 insurers · median $4,391
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70551
$485 - $1,887
from 4 insurers · median $1,454
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,444 - $3,242
from 4 insurers · median $1,947
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$499 - $1,504
from 4 insurers · median $878
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$1,013 - $3,914
from 4 insurers · median $1,996
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$15,774 - $20,237
from 3 insurers · median $17,032
Hospital reports inpatient surgical services to CMS
Medicine & Surgery
CPT 66984
$2,699 - $4,010
from 4 insurers · median $3,633
56 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 72148
$413 - $1,983
from 4 insurers · median $1,501
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,117 - $6,004
from 4 insurers · median $4,146
Common here, based on CMS Medicare volume
Urology
CPT 52000
$1,080 - $2,625
from 4 insurers · median $1,497
92 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$2,041 - $6,464
from 4 insurers · median $3,594
13 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Medicine & Surgery
CPT 29881
$2,041 - $5,522
from 4 insurers · median $3,594
33 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Mammography
CPT 77066
$176 - $585
from 4 insurers · median $486
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$130 - $510
from 4 insurers · median $259
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* | 24 | 434% | 18 | 5 |
| Insurer B* | 23 | 379% | 13 | 1 |
| Insurer C* | 24 | 244% | 16 | 8 |
| Insurer D* | 24 | 177% | 17 | 3 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 1 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 Roger Williams Medical Center.
825 Chalkstone Avenue, Providence, RI 02908
(401) 456-2025
The nearest hospitals of similar type and size. Their rates are compared with Roger Williams Medical Center for the same insurers and services above.
The Miriam Hospital
▲ Rates typically 6% higher than Roger Williams Medical Center (24 services)
Kent County Memorial Hospital
▼ Rates typically 23% lower than Roger Williams Medical Center (24 services)
Sturdy Memorial Hospital
▼ Rates typically 67% lower than Roger Williams Medical Center (20 services)
Landmark Medical Center
▼ Rates typically 18% lower than Roger Williams Medical Center (24 services)
Saint Anne S Hospital
▼ Rates typically 44% lower than Roger Williams Medical Center (24 services)
Charlton Memorial Hospital
Rates about the same as Roger Williams Medical Center (24 services)
Rhode Island Hospital
Women & Infants Hospital
Our Lady Of Fatima Hospital
About Roger Williams Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Roger Williams Medical Center range from $953 to $3,968 across 4 insurers. UnitedHealthcare's rate is $1,887. The median at nearby comparable hospitals is $748. 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 Roger Williams Medical Center range from $528 to $1,547 across 4 insurers. Blue Cross Blue Shield's rate is $528. The median at nearby comparable hospitals is $722. 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 Roger Williams Medical Center range from $1,444 to $3,242 across 4 insurers. Cigna's rate is $1,444. The median at nearby comparable hospitals is $1,765. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Roger Williams Medical Center range from $176 to $541 across 4 insurers. Aetna's rate is $541. The median at nearby comparable hospitals is $235. What a patient pays depends on their plan's deductible, coinsurance and network status.
Roger Williams Medical Center has 220 beds. Facility type: Short Term Acute Care Hospital.
Roger Williams Medical Center is located at 825 Chalkstone Avenue, Providence, RI 02908. Its main phone number is (401) 456-2025.
Roger Williams Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 410004.
The National Provider Identifier (NPI) on file for Roger Williams Medical Center is 1013332014.
Roger Williams Medical Center is affiliated with Prospect Medical Holdings.
Roger Williams Medical Center 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.
237 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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