Rhode Island Hospital
Providence, Rhode Island 02903
CCN: 410007 Acute Care Hospitals Emergency Services
3/5
CMS Star Rating
Average
155
DRG Categories
5,012
Total Discharges
$67,400
Avg Charges
$26,049
Avg Payment
$21,381
Avg Medicare
2.59x
Charge-to-Payment
Quality Ratings — CMS Hospital Compare
Based on CMS measures of mortality, safety of care, readmissions, patient experience, and timeliness
Mortality
Same as Average Safety of Care
Above Average Readmissions
Same as Average Patient Experience
Reported Rhode Island Average Rating
3.36 / 5 This hospital is below average
1 five-star hospitals of rated in Rhode Island
National Average Rating
3.08 / 5
288 five-star hospitals of 2866 rated nationally
Type: Acute Care Hospitals Ownership: Voluntary non-profit - Private
Compared to Rhode Island Average
How this hospital compares to the average of 9 hospitals in Rhode Island
Average Charges
$67,400 +46%
State avg: $46,199
Average Payment
$26,049 +53%
State avg: $17,032
Charge-to-Payment Ratio
2.59x Below avg
State avg: 2.85x
Top 20 DRGs by Volume
Most common diagnosis groups at this hospital, sorted by number of discharges
| DRG | Description | Discharges | Avg Charges | Avg Payment | Markup |
|---|---|---|---|---|---|
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 259 | $58,966 | $21,690 | 2.72x |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 200 | $45,886 | $14,948 | 3.07x |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 128 | $51,402 | $19,525 | 2.63x |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 115 | $59,323 | $22,088 | 2.69x |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 111 | $108,673 | $53,677 | 2.02x |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 106 | $34,301 | $11,055 | 3.1x |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 97 | $56,707 | $18,170 | 3.12x |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 82 | $92,862 | $48,222 | 1.93x |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 80 | $122,096 | $56,394 | 2.17x |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 80 | $52,601 | $21,987 | 2.39x |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 75 | $71,280 | $33,215 | 2.15x |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 71 | $136,162 | $67,388 | 2.02x |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 71 | $27,959 | $10,831 | 2.58x |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 65 | $44,409 | $14,974 | 2.97x |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 64 | $84,904 | $40,225 | 2.11x |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 61 | $32,943 | $14,633 | 2.25x |
| 312 | SYNCOPE AND COLLAPSE | 61 | $27,457 | $10,669 | 2.57x |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 61 | $43,558 | $18,432 | 2.36x |
| 683 | RENAL FAILURE WITH CC | 58 | $27,313 | $9,975 | 2.74x |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | 56 | $48,001 | $19,128 | 2.51x |
Showing top 20 of 155 DRG categories at this hospital.
About This Data
Hospital charges and payment data are from the CMS Medicare Inpatient Prospective Payment System (IPPS) Provider Summary. Quality star ratings (1-5) are from CMS Hospital Compare, based on measures of mortality, safety of care, readmissions, patient experience, and timeliness. Negotiated insurance rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule.