South County Health · Wakefield, RI
30
In-network payers
230
Disclosed rate categories
100
Beds
5
Care quality
South County Hospital is a 100-bed voluntary non-profit - private hospital in Wakefield, RI, affiliated with South County Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 230 disclosed rate categories.
CCN (Medicare provider number)
410008
NPI
1952366106
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
100
Care Quality
5
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 South County 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$29,665 - $31,684
from 2 insurers · median $30,674
209 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$10,833 - $11,223
from 2 insurers · median $11,028
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 neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$14,471 - $15,311
from 2 insurers · median $14,891
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 neonatal nursery services to CMS
CT imaging
CPT 74177
$292 - $2,347
from 3 insurers · median $729
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$17,689 - $22,223
from 2 insurers · median $19,956
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$163 - $407
from 4 insurers · median $225
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$91 - $366
from 3 insurers · median $221
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,056 - $4,111
from 3 insurers · median $2,502
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,121 - $4,304
from 3 insurers · median $2,502
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$157,190 - $161,443
from 2 insurers · median $159,316
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 43239
$1,531 - $3,919
from 3 insurers · median $1,896
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,220 - $12,639
from 3 insurers · median $10,210
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Nuclear imaging
CPT 78815
$2,954 - $2,989
from 2 insurers · median $2,972
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$177 - $2,122
from 4 insurers · median $926
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$61,514
negotiated rate
15 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45378
$1,488 - $4,322
from 4 insurers · median $2,353
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$544 - $1,142
from 4 insurers · median $1,069
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$147 - $915
from 3 insurers · median $219
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$3,938 - $4,825
from 2 insurers · median $4,381
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$10,833 - $11,223
from 2 insurers · median $11,028
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 neonatal nursery services to CMS
Gynecology
CPT 58661
$2,496 - $12,639
from 3 insurers · median $9,894
Typical for a hospital with this service line
Gynecology
CPT 58662
$10,163 - $12,639
from 2 insurers · median $11,401
Typical for a hospital with this service line
CT imaging
CPT 71260
$227 - $2,294
from 3 insurers · median $367
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$533 - $4,596
from 3 insurers · median $729
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* | 14 | 439% | 10 | 2 |
| Insurer B* | 9 | 296% | 3 | 0 |
| Insurer C* | 24 | 205% | 18 | 1 |
| Insurer D* | 18 | 165% | 5 | 9 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 8 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 South County Hospital.
100 Kenyon Avenue, Wakefield, RI 02879
(401) 782-8020
The nearest hospitals of similar type and size. Their rates are compared with South County Hospital for the same insurers and services above.
Newport Hospital
▲ Rates typically 7% higher than South County Hospital (20 services)
Westerly Hospital
▼ Rates typically 17% lower than South County Hospital (19 services)
Backus Hospital
▲ Rates typically 7% higher than South County Hospital (17 services)
Sturdy Memorial Hospital
▼ Rates typically 48% lower than South County Hospital (15 services)
Morton Hospital
▼ Rates typically 29% lower than South County Hospital (21 services)
Day Kimball Hospital
▲ Rates typically 36% higher than South County Hospital (17 services)
The Miriam Hospital
Landmark Medical Center
Women & Infants Hospital
About South County Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at South County Hospital range from $533 to $4,596 across 3 insurers. Aetna's rate is $4,596. The median at nearby comparable hospitals is $764. 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 South County Hospital range from $292 to $2,347 across 3 insurers. Aetna's rate is $2,347. The median at nearby comparable hospitals is $858. 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 South County Hospital range from $2,056 to $4,111 across 3 insurers. Blue Cross Blue Shield's rate is $2,056. The median at nearby comparable hospitals is $1,765. 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 South County Hospital range from $10,833 to $11,223 across 2 insurers. Cigna's rate is $10,833. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at South County Hospital range from $91 to $366 across 3 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $313. 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 South County Hospital range from $29,665 to $31,684 across 2 insurers. UnitedHealthcare's rate is $31,684. The median at nearby comparable hospitals is $17,690. What a patient pays depends on their plan's deductible, coinsurance and network status.
South County Hospital has 100 beds. Facility type: Short Term Acute Care Hospital.
South County Hospital is located at 100 Kenyon Avenue, Wakefield, RI 02879. Its main phone number is (401) 782-8020.
South County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 410008.
The National Provider Identifier (NPI) on file for South County Hospital is 1952366106.
South County Hospital is affiliated with South County Health.
South County Hospital lists 30 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, BCBS, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
230 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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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.
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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