Lifespan · Providence, RI
35
In-network payers
261
Disclosed rate categories
247
Beds
5
Care quality
The Miriam Hospital is a 247-bed voluntary non-profit - private hospital in Providence, RI, affiliated with Lifespan. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 261 disclosed rate categories.
CCN (Medicare provider number)
410012
NPI
1487649430
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
247
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 The Miriam 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
$18,058 - $43,361
from 2 insurers · median $30,710
141 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$292 - $2,203
from 4 insurers · median $986
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$1,315 - $5,727
from 3 insurers · median $4,099
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,546 - $7,556
from 3 insurers · median $4,099
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$9,165 - $38,174
from 3 insurers · median $10,515
122 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$80,048
negotiated rate
32 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45380
$317 - $7,556
from 4 insurers · median $2,867
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$109 - $279
from 4 insurers · median $210
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,165 - $38,174
from 3 insurers · median $11,027
122 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$140 - $660
from 4 insurers · median $390
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$475 - $2,116
from 4 insurers · median $1,381
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$30 - $550
from 4 insurers · median $133
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,164 - $22,608
from 3 insurers · median $7,090
64 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 71275
$381 - $1,108
from 4 insurers · median $734
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$480 - $3,338
from 4 insurers · median $1,367
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$652 - $14,573
from 4 insurers · median $4,684
Typical for a hospital with this service line
CT imaging
CPT 71260
$252 - $1,108
from 4 insurers · median $620
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,765 - $22,258
from 3 insurers · median $9,165
153 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Gynecology
CPT 58661
$9,165 - $38,174
from 3 insurers · median $10,771
Typical for a hospital with this service line
Gynecology
CPT 58571
$9,165 - $67,122
from 3 insurers · median $15,406
17 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 70551
$300 - $1,507
from 4 insurers · median $975
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$9,165 - $38,174
from 3 insurers · median $10,771
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,628 - $20,441
from 3 insurers · median $5,597
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$9,165 - $45,819
from 3 insurers · median $15,996
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 | 618% | 11 | 1 |
| Insurer B* | 23 | 204% | 20 | 3 |
| Insurer C* | 22 | 176% | 15 | 6 |
| Insurer D* | 13 | 123% | 1 | 10 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 The Miriam Hospital.
164 Summit Avenue, Providence, RI 02906
(401) 793-2500
The nearest hospitals of similar type and size. Their rates are compared with The Miriam Hospital for the same insurers and services above.
Roger Williams Medical Center
▼ Rates typically 29% lower than The Miriam Hospital (23 services)
Our Lady Of Fatima Hospital
▼ Rates typically 28% lower than The Miriam Hospital (23 services)
Sturdy Memorial Hospital
Rates about the same as The Miriam Hospital (14 services)
Kent County Memorial Hospital
▼ Rates typically 20% lower than The Miriam Hospital (23 services)
Landmark Medical Center
▼ Rates typically 7% lower than The Miriam Hospital (23 services)
Morton Hospital
Rates about the same as The Miriam Hospital (24 services)
Rhode Island Hospital
Women & Infants Hospital
Newport Hospital
About The Miriam Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at The Miriam Hospital range from $480 to $3,338 across 4 insurers. Aetna's rate is $480. The median at nearby comparable hospitals is $1,172. 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 The Miriam Hospital range from $292 to $2,203 across 4 insurers. Aetna's rate is $307. The median at nearby comparable hospitals is $868. 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 The Miriam Hospital range from $2,546 to $7,556 across 3 insurers. Blue Cross Blue Shield's rate is $2,546. The median at nearby comparable hospitals is $1,746. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at The Miriam Hospital range from $109 to $279 across 4 insurers. Blue Cross Blue Shield's rate is $279. The median at nearby comparable hospitals is $284. 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 The Miriam Hospital range from $18,058 to $43,361 across 2 insurers. UnitedHealthcare's rate is $18,058. The median at nearby comparable hospitals is $23,242. What a patient pays depends on their plan's deductible, coinsurance and network status.
The Miriam Hospital has 247 beds. Facility type: Short Term Acute Care Hospital.
The Miriam Hospital is located at 164 Summit Avenue, Providence, RI 02906. Its main phone number is (401) 793-2500.
The Miriam Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 410012.
The National Provider Identifier (NPI) on file for The Miriam Hospital is 1487649430.
The Miriam Hospital is affiliated with Lifespan.
The Miriam Hospital lists 35 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.
261 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