Yale New Haven Health System · Westerly, RI
29
In-network payers
251
Disclosed rate categories
125
Beds
4
Care quality
Westerly Hospital is a 125-bed voluntary non-profit - private hospital in Westerly, RI, affiliated with Yale New Haven Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 251 disclosed rate categories.
CCN (Medicare provider number)
410013
NPI
1447595368
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
125
Care Quality
4
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 Westerly 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
$6,562 - $23,597
from 2 insurers · median $15,079
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
$7,610 - $33,558
from 2 insurers · median $20,584
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
CT imaging
CPT 74177
$551 - $1,464
from 4 insurers · median $654
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$174 - $482
from 4 insurers · median $389
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,875 - $11,745
from 3 insurers · median $9,898
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$362 - $6,973
from 4 insurers · median $2,132
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$6,562 - $23,597
from 2 insurers · median $15,079
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
Nuclear imaging
CPT 78815
$2,602 - $5,000
from 3 insurers · median $2,801
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,875 - $20,140
from 2 insurers · median $12,508
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$462 - $2,269
from 4 insurers · median $1,835
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$57 - $133
from 4 insurers · median $122
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$462 - $2,546
from 4 insurers · median $1,584
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$4,875 - $5,538
from 2 insurers · median $5,207
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$165 - $265
from 4 insurers · median $221
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$388 - $657
from 4 insurers · median $499
Common here, based on CMS Medicare volume
Urology
CPT 52000
$289 - $1,874
from 4 insurers · median $1,552
255 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$500 - $903
from 4 insurers · median $693
Common here, based on CMS Medicare volume
CT imaging
CPT 71260
$282 - $515
from 4 insurers · median $414
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$554 - $987
from 4 insurers · median $829
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,598 - $4,829
from 3 insurers · median $4,059
112 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Urology
CPT 50590
$1,853 - $11,311
from 4 insurers · median $7,131
68 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Mammography
CPT 77065
$166 - $456
from 4 insurers · median $372
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$2,971 - $7,669
from 2 insurers · median $5,320
20 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77066
$208 - $582
from 4 insurers · median $475
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* | 22 | 249% | 9 | 9 |
| Insurer B* | 20 | 214% | 12 | 4 |
| Insurer C* | 23 | 176% | 3 | 16 |
| Insurer D* | 16 | 155% | 2 | 13 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 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 Westerly Hospital.
25 Wells Street, Westerly, RI 02891
(401) 596-6000
The nearest hospitals of similar type and size. Their rates are compared with Westerly Hospital for the same insurers and services above.
South County Hospital
▲ Rates typically 8% higher than Westerly Hospital (21 services)
Backus Hospital
Rates about the same as Westerly Hospital (20 services)
Newport Hospital
▲ Rates typically 104% higher than Westerly Hospital (21 services)
Stony Brook Eastern Long Island Hospital
▲ Rates typically 40% higher than Westerly Hospital (21 services)
Day Kimball Hospital
▲ Rates typically 23% higher than Westerly Hospital (20 services)
Roger Williams Medical Center
Rates about the same as Westerly Hospital (21 services)
Kent County Memorial Hospital
The Miriam Hospital
About Westerly Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Westerly Hospital range from $554 to $987 across 4 insurers. Cigna's rate is $554. The median at nearby comparable hospitals is $2,014. 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 Westerly Hospital range from $551 to $1,464 across 4 insurers. Aetna's rate is $1,464. The median at nearby comparable hospitals is $1,376. 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 Westerly Hospital range from $462 to $2,269 across 4 insurers. UnitedHealthcare's rate is $2,269. The median at nearby comparable hospitals is $3,731. 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 Westerly Hospital range from $6,562 to $23,597 across 2 insurers. Aetna's rate is $23,597. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Westerly Hospital range from $174 to $482 across 4 insurers. Blue Cross Blue Shield's rate is $313. The median at nearby comparable hospitals is $266. What a patient pays depends on their plan's deductible, coinsurance and network status.
Westerly Hospital has 125 beds. Facility type: Short Term Acute Care Hospital.
Westerly Hospital is located at 25 Wells Street, Westerly, RI 02891. Its main phone number is (401) 596-6000.
Westerly Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 410013.
The National Provider Identifier (NPI) on file for Westerly Hospital is 1447595368.
Westerly Hospital is affiliated with Yale New Haven Health System.
Westerly Hospital lists 29 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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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