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Acute Care Hospital

Landmark Medical Center

Woonsocket, Rhode Island · Providence County · Emergency services listed

Landmark Medical Center is an acute care hospital at 115 Cass Avenue, Woonsocket, RI 02895. Phone: (401) 769-4100. It has an emergency department. Medicare overall rating: 2 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked November 2, 2026).

Summary

Landmark Medical Center is an acute care hospital in Woonsocket, Rhode Island. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 23 services, specialties and programs. Medicare lists 188 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-11-02). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
214Beds (hospital website)
23Services listed

Quick answers

Does Landmark Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Landmark Medical Center. In a medical emergency, call 911.
Where is Landmark Medical Center?
115 Cass Avenue, Woonsocket, RI 02895, in Providence County, Rhode Island.
What is the phone number of Landmark Medical Center?
(401) 769-4100, as listed by Medicare (CMS).
What is the Medicare star rating of Landmark Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Landmark Medical Center for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Landmark Medical Center under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -0.0401; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][5][6][7]

Treatments[4][6]

  • Oncology and infusion care
  • Cancer survivorship programs

Procedures[4]

  • Aquablation (prostate)

Programs and centers[4][5][7]

  • Primary Stroke Center
  • Heart Center
  • Medical education (New York Medical College program)
  • FastTrackCare ER arrival reservation
  • Case management / clinical social work services

Emergency care (hospital website)[7]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

VisitingInpatient units 8 a.m.-8 p.m., two adult visitors at a time; mental health unit hours are limited; one person with ED patients[6]
ParkingFree valet Mon-Fri 7:30 a.m.-4 p.m. at the main entrance; visitor lots at the Cass Avenue entrance[6]
Patient portalMyChart

Recognition[4]

  • American Heart Association Gold Plus award (2021, 2022)
  • Patient Safety Excellence Award

Doctors and clinicians (188)

188 doctors and other clinicians list Landmark Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (188)

And 164 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Woonsocket

Hospitals in Providence County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Landmark Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 2 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well2 of 5 stars
Doctors communicated well2 of 5 stars
Patients got help quickly from staff2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Restfulness of Environment1 of 5 stars
Care Coordination2 of 5 stars
Symptoms After Stay1 of 5 stars
Rated the hospital 9 or 10 out of 1055%National average: 72%
Would definitely recommend the hospital58%National average: 71%
Nurses “always” communicated well73%National average: 80%
Doctors “always” communicated well71%National average: 80%
“Always” got help as soon as they wanted50%National average: 64%
Staff “always” explained medicines before giving them53%National average: 62%
Were given information about recovery at home82%National average: 86%
Room and bathroom “always” clean74%National average: 73%
Completed surveys439Response rate: 33%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.516No different from the national benchmark
MRSA bloodstream infections1.442No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.273No different from the national benchmark
Not reported to MedicareSurgical site infections after colon surgery; Surgical site infections after abdominal hysterectomy

Source: Healthcare Associated Infections - Hospital — CMS, released October 19, 2026; data from January 2025 to December 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients10.9%
Deaths within 30 days: heart failure patients11.9%
Deaths within 30 days: pneumonia patients13.1%
Deaths within 30 days: COPD patients10.2%
Deaths within 30 days: stroke patients12.8%
Serious complications (patient safety indicator PSI-90)0.93No different from the national rate
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement

Source: Complications and Deaths - Hospital — CMS, released October 20, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)20%
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure25.3%
Readmitted within 30 days: pneumonia21.6%
Readmitted within 30 days: COPD21.7%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)218 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)61%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Landmark Medical Center, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-0.0401Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart attack1.0715More readmissions than expected
Heart failure1.0992More readmissions than expected
Pneumonia1.0674More readmissions than expected
COPD (chronic lung disease)1.0840More readmissions than expected
No result publishedHip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Hospital Value-Based Purchasing Program

What this means: Medicare scores hospitals in four areas, each from 0 to 100, and combines them into a Total Performance Score from 0 to 100. A higher score means better results on these measures. Medicare uses the score to adjust what it pays the hospital.

CMS says: This program adjusts payments to hospitals under the Inpatient Prospective Payment System (IPPS) based on the quality of care they deliver.

Total Performance Score26.12 out of 100Median of the 2,455 hospitals in the program: 29.50
Clinical outcomes (deaths and complications)22.50 out of 100
Person and community engagement (patient survey)24.00 out of 100
Safety (infections and sepsis care)28.00 out of 100
Efficiency and cost reduction (Medicare spending)30.00 out of 100

Source: Hospital Value-Based Purchasing (HVBP) - Total Performance Score — CMS, released January 26, 2026, fiscal year 2026. Program description: The Hospital Value-Based Purchasing (VBP) Program — CMS, page last modified September 10, 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.97Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 73 common services exactly as Landmark Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 73 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Low Mdm 30-44 Minutes - 99203 - 76100003 $296 Not listed in the file $27.79 – $281.20
New patient office visit (about 30–44 minutes): rates for 6 insurance plans
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $206.21
  • BCBS Of RI — BCBS RI Medicare: $142.35
  • Traditional Medicaid — Traditional Medicaid: $127.67
  • Tufts Health Plan — Tufts Health Plan Medicaid: $29.53
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $83.45
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New Moderate Mdm 45-59 Minutes - 99204 - 76100004 $419 Not listed in the file $27.79 – $398.05
New patient office visit (about 45–59 minutes): rates for 6 insurance plans
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $313.32
  • BCBS Of RI — BCBS RI Medicare: $216.30
  • Traditional Medicaid — Traditional Medicaid: $161.56
  • Tufts Health Plan — Tufts Health Plan Medicaid: $29.53
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $136.04
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient New High Mdm 60-74 Minutes - 99205 - 76100005 $476 Not listed in the file $27.79 – $452.20
New patient office visit (about 60–74 minutes): rates for 6 insurance plans
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $392.47
  • BCBS Of RI — BCBS RI Medicare: $270.95
  • Traditional Medicaid — Traditional Medicaid: $230.04
  • Tufts Health Plan — Tufts Health Plan Medicaid: $29.53
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $185.08
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Low Mdm 20-29 Min - 99213 - 76100008 $176 Not listed in the file $27.79 – $167.20
Established patient office visit (about 20–29 minutes): rates for 10 insurance plans
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $119.59
  • BCBS Of RI — BCBS RI Medicare: $103.02
  • Traditional Medicaid — Traditional Medicaid: $98.11
  • Tufts Health Plan — Tufts Health Plan Medicaid: $29.53
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $67.28
  • Aetna — Aetna Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Keenan — Keenan: 30% (a percentage in the contract, not a dollar amount)
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: 35.5% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Medicaid: 67.01% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: Hc Office/Outpatient Established Mod Mdm 30-39 Min - 99214 - 76100009 $296 Not listed in the file $27.79 – $281.20
Established patient office visit (about 30–39 minutes): rates for 9 insurance plans
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $182.04
  • BCBS Of RI — BCBS RI Medicare: $136.72
  • Traditional Medicaid — Traditional Medicaid: $127.67
  • Tufts Health Plan — Tufts Health Plan Medicaid: $29.53
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $99.02
  • Aetna — Aetna Commercial: 60% (a percentage in the contract, not a dollar amount)
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: 35.5% (a percentage in the contract, not a dollar amount)
  • UHC — UHC Medicaid: 67.01% (a percentage in the contract, not a dollar amount)
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) In the file: Hc Office Consultation Visit 40 Min (Level 3) - 99243 - 51000003 $155 Not listed in the file $27.79 – $147.25
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $110.42
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) In the file: Hc Office Consultation Visit 60 Min (Level 4) - 99244 - 51000004 $197 Not listed in the file $27.79 – $187.15
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Tufts Health Plan — Tufts Health Plan Medicaid - MassHealth Mass subsidized: $27.79
  • UHC VA CCN — UHC VA CCN: $157.14
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: Hc Ed Level 3 $1,553 $305 $174.99 – $1,553
Emergency room visit (moderate): 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $305.41
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $834.27
  • BCBS Of RI — BCBS RI Medicare: $328.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $311.52
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $320.68
  • Employer Direct Healthcare — Employer Direct Healthcare: $427.57
  • Humana — HUMANA MILITARY TRICARE: $305.41
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $325.57
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $271.51
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $310
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: Hc Ed Level 4 $2,618 $466 $279.98 – $2,487.10
Emergency room visit (moderately high): 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $466.84
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,391.99
  • BCBS Of RI — BCBS RI Medicare: $548.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $476.18
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $490.18
  • Employer Direct Healthcare — Employer Direct Healthcare: $653.58
  • Humana — HUMANA MILITARY TRICARE: $466.84
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $497.65
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $415.02
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $542
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: Hc Ed Level 5 $3,747 $666 $410 – $3,559.65
Emergency room visit (high): 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $666.29
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $2,069.06
  • BCBS Of RI — BCBS RI Medicare: $814.95
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $679.62
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $699.60
  • Employer Direct Healthcare — Employer Direct Healthcare: $932.81
  • Humana — HUMANA MILITARY TRICARE: $666.29
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $710.27
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $592.33
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $805

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: Hc Basic Metabolic Panel Calcium Total $213 $8 $6.88 – $202.35
Basic metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $8.46
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $10.83
  • BCBS Of RI — BCBS RI Medicare: $6.88
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $8.63
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $8.88
  • Employer Direct Healthcare — Employer Direct Healthcare: $11.84
  • Humana — HUMANA MILITARY TRICARE: $8.46
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $9.02
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $8.46
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: Hc Metabolic Panel,Comprehensive $373 $10 $8.60 – $354.35
Comprehensive metabolic panel (blood test): 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $10.56
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $13.52
  • BCBS Of RI — BCBS RI Medicare: $8.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $10.77
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $11.09
  • Employer Direct Healthcare — Employer Direct Healthcare: $14.78
  • Humana — HUMANA MILITARY TRICARE: $10.56
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $11.26
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $10.56
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $10.56
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: Hc Obstetric Panel $239.05 $47 $21.09 – $227.10
Obstetric blood test panel: 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $47.81
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $61.20
  • BCBS Of RI — BCBS RI Medicare: $38.95
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $48.77
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $50.20
  • Employer Direct Healthcare — Employer Direct Healthcare: $66.93
  • Humana — HUMANA MILITARY TRICARE: $47.81
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $50.97
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $47.81
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: Hc Lipid Panel $355.74 $13 $10.90 – $337.95
Cholesterol panel (lipid panel): 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $13.39
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $17.14
  • BCBS Of RI — BCBS RI Medicare: $10.90
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $13.66
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $14.06
  • Employer Direct Healthcare — Employer Direct Healthcare: $18.75
  • Humana — HUMANA MILITARY TRICARE: $13.39
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $14.27
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $13.39
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $13.39
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: Hc Renal Function Panel $288 $8 $7.08 – $273.60
Kidney function panel: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $8.68
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $11.11
  • BCBS Of RI — BCBS RI Medicare: $7.08
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $8.85
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $9.11
  • Employer Direct Healthcare — Employer Direct Healthcare: $12.15
  • Humana — HUMANA MILITARY TRICARE: $8.68
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $9.25
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $8.68
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $8.68
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: Hc Hepatic Function Panel $204 $8 $6.66 – $193.80
Liver function panel: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $8.17
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $10.46
  • BCBS Of RI — BCBS RI Medicare: $6.66
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $8.33
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $8.58
  • Employer Direct Healthcare — Employer Direct Healthcare: $11.44
  • Humana — HUMANA MILITARY TRICARE: $8.17
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $8.71
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $8.17
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $8.17
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/Scope $108 $3 $2.58 – $102.60
Urine test (automated, with microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $3.17
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $4.06
  • BCBS Of RI — BCBS RI Medicare: $2.58
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $3.23
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $3.33
  • Employer Direct Healthcare — Employer Direct Healthcare: $4.44
  • Humana — HUMANA MILITARY TRICARE: $3.17
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $3.38
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3.17
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $3.17
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: Hc Urinalysis Nonauto W/O Scope $38 $3 $2.72 – $36.10
Urine test (manual, without microscope): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $3.48
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $4.45
  • BCBS Of RI — BCBS RI Medicare: $2.83
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $3.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $3.65
  • Employer Direct Healthcare — Employer Direct Healthcare: $4.87
  • Humana — HUMANA MILITARY TRICARE: $3.48
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $3.71
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3.48
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $3.48
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: Hc Urinalysis, Auto, W/O Scope $71 $2 $1.84 – $67.45
Urine test (automated, without microscope): 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $2.25
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $2.88
  • BCBS Of RI — BCBS RI Medicare: $1.84
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $2.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $2.36
  • Employer Direct Healthcare — Employer Direct Healthcare: $3.15
  • Humana — HUMANA MILITARY TRICARE: $2.25
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $2.40
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $2.25
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Assay Of Prostate Specific Antigen Total - 84153 - 30100312 - 30100312 $229 $18 $14.98 – $217.55
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $18.39
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $23.54
  • BCBS Of RI — BCBS RI Medicare: $14.98
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $18.76
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $19.31
  • Employer Direct Healthcare — Employer Direct Healthcare: $25.75
  • Humana — HUMANA MILITARY TRICARE: $18.39
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $19.60
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $18.39
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: Hc Prostate Specific Antigen,Total $229 $18 $14.98 – $217.55
PSA (prostate specific antigen) blood test: 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $18.39
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $23.54
  • BCBS Of RI — BCBS RI Medicare: $14.98
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $18.76
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $19.31
  • Employer Direct Healthcare — Employer Direct Healthcare: $25.75
  • Humana — HUMANA MILITARY TRICARE: $18.39
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $19.60
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $18.39
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: Hc Assay Thyroid Stim Hormone $320 $16 $13.68 – $304
Thyroid stimulating hormone (TSH) test: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $16.80
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $21.50
  • BCBS Of RI — BCBS RI Medicare: $13.68
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $17.14
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $17.64
  • Employer Direct Healthcare — Employer Direct Healthcare: $23.52
  • Humana — HUMANA MILITARY TRICARE: $16.80
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $17.91
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $16.80
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $16.80
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: Hc Complete Cbc & Auto Diff Wbc $131 $7 $6.33 – $124.45
Complete blood count (CBC) with differential: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $7.77
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $9.95
  • BCBS Of RI — BCBS RI Medicare: $6.33
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $7.93
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $8.16
  • Employer Direct Healthcare — Employer Direct Healthcare: $10.88
  • Humana — HUMANA MILITARY TRICARE: $7.77
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $8.28
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $7.77
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $7.77
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: Hc Complete Cbc $119 $6 $5.27 – $113.05
Complete blood count (CBC), automated: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $6.47
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $8.28
  • BCBS Of RI — BCBS RI Medicare: $5.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $6.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $6.79
  • Employer Direct Healthcare — Employer Direct Healthcare: $9.06
  • Humana — HUMANA MILITARY TRICARE: $6.47
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $6.90
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $6.47
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: Hc Prothrombin Time $62 $4 $3.49 – $58.90
Blood clotting time test (prothrombin time, PT): 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $4.29
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $5.49
  • BCBS Of RI — BCBS RI Medicare: $3.49
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $4.38
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $4.50
  • Employer Direct Healthcare — Employer Direct Healthcare: $6.01
  • Humana — HUMANA MILITARY TRICARE: $4.29
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $4.57
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $4.29
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: Hc Thromboplas Time Partial $87 $6 $4.90 – $82.65
Blood clotting test (partial thromboplastin time, PTT): 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $6.01
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $7.69
  • BCBS Of RI — BCBS RI Medicare: $4.90
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $6.13
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $6.31
  • Employer Direct Healthcare — Employer Direct Healthcare: $8.41
  • Humana — HUMANA MILITARY TRICARE: $6.01
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $6.41
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $6.01
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: Hc Ct Scan,Head/Brain,W/O Contrast Matl $2,235 $116 $103.98 – $2,123.25
CT scan of the head or brain, without contrast: 10 of 30 insurance plan rates
  • Aetna — Aetna Medicare: $116.96
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $207.28
  • BCBS Of RI — BCBS RI Medicare: $143.10
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $119.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $122.81
  • Employer Direct Healthcare — Employer Direct Healthcare: $163.74
  • Humana — HUMANA MILITARY TRICARE: $116.96
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $124.68
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $103.98
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $116.96
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: Hc Mri Brain Combo $4,866 $390 $347 – $4,622.70
MRI of the brain, before and after contrast: 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $390.33
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $837.15
  • BCBS Of RI — BCBS RI Medicare: $577.92
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $398.14
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $409.85
  • Employer Direct Healthcare — Employer Direct Healthcare: $546.46
  • Humana — HUMANA MILITARY TRICARE: $390.33
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $416.09
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $347
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $390.33
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: Hc Chest X-Ray 2 Vw $469.85 $97 $64.71 – $446.36
Chest X-ray, 2 views: 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $97.36
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $112.04
  • BCBS Of RI — BCBS RI Medicare: $77.34
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $99.31
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $102.23
  • Employer Direct Healthcare — Employer Direct Healthcare: $136.30
  • Humana — HUMANA MILITARY TRICARE: $97.36
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $103.79
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $86.55
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $97.36
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: Hc X-Ray Lumbar Spine 4 Vw $548 $116 $76.98 – $520.60
X-ray of the lower spine, at least 4 views: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $116.96
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $185.54
  • BCBS Of RI — BCBS RI Medicare: $128.09
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $119.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $122.81
  • Employer Direct Healthcare — Employer Direct Healthcare: $163.74
  • Humana — HUMANA MILITARY TRICARE: $116.96
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $124.68
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $103.98
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $116.96
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: Hc Mri, Lumbar Spine $3,481 $266 $237.32 – $3,306.95
MRI of the lower back (lumbar spine), without contrast: 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $266.95
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $504.04
  • BCBS Of RI — BCBS RI Medicare: $347.97
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $272.29
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $280.30
  • Employer Direct Healthcare — Employer Direct Healthcare: $373.73
  • Humana — HUMANA MILITARY TRICARE: $266.95
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $284.57
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $237.32
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $266.95
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: Hc Ct Scan Of Pelvis Contrast $2,835 $196 $174.45 – $2,693.25
CT scan of the pelvis, with contrast: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $196.23
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $436.45
  • BCBS Of RI — BCBS RI Medicare: $301.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $200.15
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $206.04
  • Employer Direct Healthcare — Employer Direct Healthcare: $274.72
  • Humana — HUMANA MILITARY TRICARE: $196.23
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $209.18
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $174.45
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $196.23
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: Hc Mri Lower Extrem Jt, W/O Contrast $3,298 $266 $237.32 – $3,133.10
MRI of a leg joint (such as the knee), without contrast: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $266.95
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $504.04
  • BCBS Of RI — BCBS RI Medicare: $347.97
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $272.29
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $280.30
  • Employer Direct Healthcare — Employer Direct Healthcare: $373.73
  • Humana — HUMANA MILITARY TRICARE: $266.95
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $284.57
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $237.32
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $266.95
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: Hc Ct Scan Abdomen/Pelvis W Contrast $3,222.65 $390 $312.34 – $3,061.52
CT scan of the abdomen and pelvis, with contrast: 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $390.33
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $640.72
  • BCBS Of RI — BCBS RI Medicare: $442.32
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $398.14
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $409.85
  • Employer Direct Healthcare — Employer Direct Healthcare: $546.46
  • Humana — HUMANA MILITARY TRICARE: $390.33
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $416.09
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $347
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $390.33
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: Hc Us, Abdom,B-Scan &/Or Real Time,Complete $1,192 $116 $98.47 – $1,132.40
Ultrasound of the abdomen, complete: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $116.96
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $283
  • BCBS Of RI — BCBS RI Medicare: $195.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $119.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $122.81
  • Employer Direct Healthcare — Employer Direct Healthcare: $163.74
  • Humana — HUMANA MILITARY TRICARE: $116.96
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $124.68
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $103.98
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $116.96
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: Hc Us, Ob >/= 14 Wks, Sngl Fetus $971 $116 $98.47 – $922.45
Pregnancy ultrasound (after the first trimester): 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $116.96
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $283
  • BCBS Of RI — BCBS RI Medicare: $195.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $119.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $122.81
  • Employer Direct Healthcare — Employer Direct Healthcare: $163.74
  • Humana — HUMANA MILITARY TRICARE: $116.96
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $124.68
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $103.98
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $116.96
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: Hc Ultrasound,Transvaginal $832 $116 $98.47 – $790.40
Transvaginal ultrasound: 10 of 29 insurance plan rates
  • Aetna — Aetna Medicare: $116.96
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $283
  • BCBS Of RI — BCBS RI Medicare: $195.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $119.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $122.81
  • Employer Direct Healthcare — Employer Direct Healthcare: $163.74
  • Humana — HUMANA MILITARY TRICARE: $116.96
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $124.68
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $103.98
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $116.96
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: Hc Mammography; Unilateral $375 $88 $74.81 – $375
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $88.97
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $259.44
  • BCBS Of RI — BCBS RI Medicare: $179.09
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $90.75
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $93.42
  • Employer Direct Healthcare — Employer Direct Healthcare: $124.56
  • Humana — HUMANA MILITARY TRICARE: $88.97
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $94.84
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $76.34
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $88.97
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: Hc Mammography; Bilateral $474 $114 $94.56 – $450.30
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $114.11
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $329.27
  • BCBS Of RI — BCBS RI Medicare: $227.31
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $116.39
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $119.82
  • Employer Direct Healthcare — Employer Direct Healthcare: $159.75
  • Humana — HUMANA MILITARY TRICARE: $114.11
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $121.64
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $97.91
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $114.11
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: Hc Mammogram, Screening $415 $94 $80.78 – $415
Screening mammogram, both breasts: 10 of 28 insurance plan rates
  • Aetna — Aetna Medicare: $94.15
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $265.92
  • BCBS Of RI — BCBS RI Medicare: $183.58
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $96.03
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $98.86
  • Employer Direct Healthcare — Employer Direct Healthcare: $131.81
  • Humana — HUMANA MILITARY TRICARE: $94.15
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $100.36
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $80.78
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $94.15

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: Hc Left Heart Cath Inj Vetriculography, Rs/I $15,601 $3,627 $1,045.33 – $14,820.95
Left heart catheterization (diagnostic): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $3,627.16
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $4,982.11
  • BCBS Of RI — BCBS RI Medicare: $3,242.66
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $3,699.70
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $3,808.52
  • Employer Direct Healthcare — Employer Direct Healthcare: $5,078.02
  • Humana — HUMANA MILITARY TRICARE: $3,627.16
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $3,866.55
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3,224.55
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $3,627.16
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: Hc Electrophys Ev,R A-V Pace/Rec,W/ Induct $23,489.80 $8,726 $693.61 – $22,315.31
Heart rhythm study (electrophysiology evaluation): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $8,726.47
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $9,181.92
  • BCBS Of RI — BCBS RI Medicare: $5,976.14
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $8,901
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $9,162.79
  • Employer Direct Healthcare — Employer Direct Healthcare: $12,217.06
  • Humana — HUMANA MILITARY TRICARE: $8,726.47
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $9,302.42
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $7,757.83
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $8,726.47
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: Hc Ephys Evl Trnsptl Tx Atril Fib Isolat Pulm Vein $77,805.60 $29,243 $1,657 – $73,915.32
Heart rhythm study with ablation for atrial fibrillation: 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $29,243.74
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $30,413.32
  • BCBS Of RI — BCBS RI Medicare: $19,794.83
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $29,828.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $30,705.93
  • Employer Direct Healthcare — Employer Direct Healthcare: $40,941.24
  • Humana — HUMANA MILITARY TRICARE: $29,243.74
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $31,173.83
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $25,997.68
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $29,243.74
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: Hc Polysom 6/>Yrs Sleep 4/> Addl Param Attnd $4,542 $960 $774 – $4,314.90
Sleep study (overnight, in a sleep lab): 10 of 23 insurance plan rates
  • Aetna — Aetna Medicare: $960.78
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,578.11
  • BCBS Of RI — BCBS RI Medicare: $1,089.45
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $980
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,008.82
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,345.09
  • Humana — HUMANA MILITARY TRICARE: $960.78
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,024.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $854.13
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $960.78

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises Complex, Ea 15 Min $215 $29 $25.53 – $228
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $29.76
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $61.95
  • BCBS Of RI — BCBS RI Medicare: $42.77
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $30.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $31.25
  • Employer Direct Healthcare — Employer Direct Healthcare: $41.66
  • Humana — HUMANA MILITARY TRICARE: $29.76
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $31.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $25.53
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $29.76
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: Hc Therapeutic Exercises, Ea 15 Min $228 $29 $25.53 – $228
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $29.76
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $61.95
  • BCBS Of RI — BCBS RI Medicare: $42.77
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $30.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $31.25
  • Employer Direct Healthcare — Employer Direct Healthcare: $41.66
  • Humana — HUMANA MILITARY TRICARE: $29.76
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $31.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $25.53
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $29.76
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Low Complexity, 20 Min $573.19 $100 $86.08 – $544.53
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $100.33
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $155.33
  • BCBS Of RI — BCBS RI Medicare: $107.23
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $102.34
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $105.35
  • Employer Direct Healthcare — Employer Direct Healthcare: $140.46
  • Humana — HUMANA MILITARY TRICARE: $100.33
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $106.95
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $86.08
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $100.33
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, Moderate Complexity, 30 Min $573.19 $100 $86.09 – $544.53
Physical therapy evaluation (moderate complexity): 10 of 23 insurance plan rates
  • Aetna — Aetna Medicare: $100.34
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $155.33
  • BCBS Of RI — BCBS RI Medicare: $107.23
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $102.35
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $105.36
  • Employer Direct Healthcare — Employer Direct Healthcare: $140.48
  • Humana — HUMANA MILITARY TRICARE: $100.34
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $106.96
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $86.09
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $100.34
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: Hc Phys Thrp Eval, High Complexity, 45 Min $460 $100 $86.10 – $458
Physical therapy evaluation (high complexity): 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $100.35
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $155.33
  • BCBS Of RI — BCBS RI Medicare: $107.23
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $102.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $105.37
  • Employer Direct Healthcare — Employer Direct Healthcare: $140.49
  • Humana — HUMANA MILITARY TRICARE: $100.35
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $106.97
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $86.10
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $100.35
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: Hc Psytx Pt&/Family 30 Minutes $348.25 $198 $26.24 – $330.84
Psychotherapy, 30 minutes: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $198.58
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $128.34
  • BCBS Of RI — BCBS RI Medicare: $88.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $202.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $208.51
  • Employer Direct Healthcare — Employer Direct Healthcare: $278.01
  • Humana — HUMANA MILITARY TRICARE: $198.58
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $211.69
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $176.54
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $198.58
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: Hc Psychotherapy Patient &/ Family 45 Minutes $625.20 $198 $33.26 – $593.94
Psychotherapy, 45 minutes: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $198.58
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $230.41
  • BCBS Of RI — BCBS RI Medicare: $159.06
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $202.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $208.51
  • Employer Direct Healthcare — Employer Direct Healthcare: $278.01
  • Humana — HUMANA MILITARY TRICARE: $198.58
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $211.69
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $176.54
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $198.58
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: Hc Psychotherapy W/Patient 60 Minutes $625.20 $198 $33.26 – $593.94
Psychotherapy, 60 minutes: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $198.58
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $230.41
  • BCBS Of RI — BCBS RI Medicare: $159.06
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $202.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $208.51
  • Employer Direct Healthcare — Employer Direct Healthcare: $278.01
  • Humana — HUMANA MILITARY TRICARE: $198.58
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $211.69
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $176.54
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $198.58
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/O Patient $625.20 $198 $36.92 – $593.94
Family psychotherapy, without the patient: 10 of 21 insurance plan rates
  • Aetna — Aetna Medicare: $198.58
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $230.41
  • BCBS Of RI — BCBS RI Medicare: $159.06
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $202.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $208.51
  • Employer Direct Healthcare — Employer Direct Healthcare: $278.01
  • Humana — HUMANA MILITARY TRICARE: $198.58
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $211.69
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $176.54
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $198.58
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: Hc Family Psytx W/Patient $625.20 $198 $36.92 – $593.94
Family psychotherapy, with the patient: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $198.58
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $230.41
  • BCBS Of RI — BCBS RI Medicare: $159.06
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $202.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $208.51
  • Employer Direct Healthcare — Employer Direct Healthcare: $278.01
  • Humana — HUMANA MILITARY TRICARE: $198.58
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $211.69
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $176.54
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $198.58
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy $348.25 $113 $18.68 – $330.84
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $113.66
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $128.34
  • BCBS Of RI — BCBS RI Medicare: $88.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $115.93
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $119.34
  • Employer Direct Healthcare — Employer Direct Healthcare: $159.12
  • Humana — HUMANA MILITARY TRICARE: $113.66
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $121.16
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $101.04
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $113.66
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: Hc Group Psychotherapy Iop $348.25 $113 $18.68 – $330.84
Group psychotherapy: 10 of 22 insurance plan rates
  • Aetna — Aetna Medicare: $113.66
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $128.34
  • BCBS Of RI — BCBS RI Medicare: $88.60
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $115.93
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $119.34
  • Employer Direct Healthcare — Employer Direct Healthcare: $159.12
  • Humana — HUMANA MILITARY TRICARE: $113.66
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $121.16
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $101.04
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $113.66

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: Removal Of Breast Lesion $7,914.01 $4,380 $1,251 – $7,518.31
Removal of breast growth (open surgery): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $4,380.69
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $4,276.21
  • BCBS Of RI — BCBS RI Medicare: $2,783.21
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $4,468.30
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $4,599.72
  • Employer Direct Healthcare — Employer Direct Healthcare: $6,132.97
  • Humana — HUMANA MILITARY TRICARE: $4,380.69
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $4,669.82
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3,894.43
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: Sho arthrs srg decompression $2,269.88 Not listed in the file $290 – $2,269.88
Shoulder arthroscopy: shaving of shoulder bone: rates for 4 insurance plans
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
  • Traditional Medicaid — Traditional Medicaid: $2,269.88
  • UHC — UHC Commercial All Payer: $2,269.88
  • UHC — UHC Medicaid: $290
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Egd Diagnostic Brush Wash $6,615.28 $1,014 $519.96 – $6,284.52
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,014.75
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,456.76
  • BCBS Of RI — BCBS RI Medicare: $948.15
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,035.05
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,065.49
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,420.65
  • Humana — HUMANA MILITARY TRICARE: $1,014.75
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,081.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $902.11
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $948
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Diagnostic $4,044 $1,014 $519.96 – $6,284.52
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,014.75
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,456.76
  • BCBS Of RI — BCBS RI Medicare: $948.15
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,035.05
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,065.49
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,420.65
  • Humana — HUMANA MILITARY TRICARE: $1,014.75
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,081.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $902.11
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $948
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Egd Biopsy Single/Multiple $6,595.28 $1,014 $519.96 – $6,265.52
Upper GI endoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $1,014.75
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,456.76
  • BCBS Of RI — BCBS RI Medicare: $948.15
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,035.05
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,065.49
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,420.65
  • Humana — HUMANA MILITARY TRICARE: $1,014.75
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,081.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $902.11
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: Hc Egd Transoral Biopsy Single/Multiple $4,044 $1,014 $519.96 – $6,265.52
Upper GI endoscopy with biopsy: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $1,014.75
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,456.76
  • BCBS Of RI — BCBS RI Medicare: $948.15
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,035.05
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,065.49
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,420.65
  • Humana — HUMANA MILITARY TRICARE: $1,014.75
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,081.72
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $902.11
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Diagnostic Colonoscopy $6,569.01 $1,040 $519.96 – $6,240.56
Colonoscopy (diagnostic): 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $1,040.46
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,061.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,092.48
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,456.64
  • Humana — HUMANA MILITARY TRICARE: $1,040.46
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,109.13
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $924.97
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Diagnostic $3,763.80 $1,040 $519.96 – $6,240.56
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,040.46
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,061.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,092.48
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,456.64
  • Humana — HUMANA MILITARY TRICARE: $1,040.46
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,109.13
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $924.97
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Screen, Colonoscopy High Risk - 45378 - 75000068 $3,763.80 $1,040 $519.96 – $6,240.56
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,040.46
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,061.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,092.48
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,456.64
  • Humana — HUMANA MILITARY TRICARE: $1,040.46
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,109.13
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $924.97
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Colonoscopy And Biopsy $6,808.42 $1,338 $519.96 – $6,468
Colonoscopy with biopsy: 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $1,338.83
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,365.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,405.77
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,874.36
  • Humana — HUMANA MILITARY TRICARE: $1,338.83
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,427.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,190.22
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Biopsy $3,763.80 $1,338 $519.96 – $6,468
Colonoscopy with biopsy: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $1,338.83
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,365.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,405.77
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,874.36
  • Humana — HUMANA MILITARY TRICARE: $1,338.83
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,427.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,190.22
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Colonoscopy W/Lesion Removal - 45385 - OR36045385 $6,591.73 $1,338 $844.72 – $6,262.14
Colonoscopy with removal of polyps (snare): 10 of 27 insurance plan rates
  • Aetna — Aetna Medicare: $1,338.83
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,365.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,405.77
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,874.36
  • Humana — HUMANA MILITARY TRICARE: $1,338.83
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,427.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,190.22
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: Hc Colonoscopy,Remv Lesn,Snare $3,763.80 $1,338 $844.72 – $6,262.14
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,338.83
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,365.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,405.77
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,874.36
  • Humana — HUMANA MILITARY TRICARE: $1,338.83
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,427.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,190.22
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: Hc Colonoscopy Flex Endoscope Us $3,763.80 $1,338 $844.72 – $3,763.80
Ultrasound of the lower bowel by endoscope: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $1,338.83
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,471.22
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,365.61
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,405.77
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,874.36
  • Humana — HUMANA MILITARY TRICARE: $1,338.83
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,427.19
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,190.22
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) In the file: Hc Colorectal Cancer Scrn, Colonoscopy Not High Risk - G0121 - 75000071 $3,763.80 $1,040 $519.96 – $3,763.80
Screening colonoscopy (not high risk): 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $1,040.46
  • BCBS Of RI — BCBS RI Medicare: $957.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,061.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,092.48
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,456.64
  • Humana — HUMANA MILITARY TRICARE: $1,040.46
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,109.13
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $924.97
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $1,040.46
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Laparoscopic Cholecystectomy $12,386.30 $6,763 $1,423 – $19,005.51
Gallbladder removal by laparoscope: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $6,763.89
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $7,820.02
  • BCBS Of RI — BCBS RI Medicare: $5,089.74
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $6,899.17
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $7,102.08
  • Employer Direct Healthcare — Employer Direct Healthcare: $9,469.45
  • Humana — HUMANA MILITARY TRICARE: $6,763.89
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $7,210.31
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $6,013.10
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,541
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: Hc Lap,Cholecystectomy $20,005.80 $6,763 $1,423 – $19,005.51
Gallbladder removal by laparoscope: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $6,763.89
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $7,820.02
  • BCBS Of RI — BCBS RI Medicare: $5,089.74
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $6,899.17
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $7,102.08
  • Employer Direct Healthcare — Employer Direct Healthcare: $9,469.45
  • Humana — HUMANA MILITARY TRICARE: $6,763.89
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $7,210.31
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $6,013.10
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,541
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Hc Repair Initial Inguinal Hernia, Age 5 Years Or Older; Reducible $6,790.65 $4,005 $1,324 – $9,417.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $4,005.84
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $5,106.12
  • BCBS Of RI — BCBS RI Medicare: $3,323.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $4,085.96
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $4,206.13
  • Employer Direct Healthcare — Employer Direct Healthcare: $5,608.18
  • Humana — HUMANA MILITARY TRICARE: $4,005.84
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $4,270.23
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3,561.19
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: Prp I/Hern Init Reduc >5 Yr $9,913.22 $4,005 $1,324 – $9,417.56
Groin (inguinal) hernia repair, age 5 or older: 10 of 26 insurance plan rates
  • Aetna — Aetna Medicare: $4,005.84
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $5,106.12
  • BCBS Of RI — BCBS RI Medicare: $3,323.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $4,085.96
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $4,206.13
  • Employer Direct Healthcare — Employer Direct Healthcare: $5,608.18
  • Humana — HUMANA MILITARY TRICARE: $4,005.84
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $4,270.23
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3,561.19
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: Hc Biopsy Of Prostate,Needle/Punch $7,532.10 $2,243 $519.96 – $7,155.49
Prostate biopsy: 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $2,243.33
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $2,944.21
  • BCBS Of RI — BCBS RI Medicare: $1,916.27
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $2,288.20
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $2,355.50
  • Employer Direct Healthcare — Employer Direct Healthcare: $3,140.66
  • Humana — HUMANA MILITARY TRICARE: $2,243.33
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $2,391.39
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $1,994.32
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: Hysteroscopy Biopsy $6,606.69 $3,621 $1,251 – $6,276.36
Hysteroscopy with biopsy of the uterus lining: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $3,621.78
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $3,637.57
  • BCBS Of RI — BCBS RI Medicare: $2,367.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $3,694.22
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $3,802.87
  • Employer Direct Healthcare — Employer Direct Healthcare: $5,070.49
  • Humana — HUMANA MILITARY TRICARE: $3,621.78
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $3,860.82
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $3,219.76
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: Hc Inj Dx/Ther Sbst Intrlmnr Lmbr/Sac W Img - 62323 - 36100565 $2,534.90 $789 $613 – $2,534.90
Spinal injection, lower back (epidural), with imaging guidance: 10 of 24 insurance plan rates
  • Aetna — Aetna Medicare: $789.75
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,143.67
  • BCBS Of RI — BCBS RI Medicare: $744.38
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $805.55
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $829.24
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,105.65
  • Humana — HUMANA MILITARY TRICARE: $789.75
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $841.87
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $702.09
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,541
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: Hc Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $2,925.85 $989 $519.96 – $2,925.85
Nerve root injection, lower back, with imaging guidance: 10 of 23 insurance plan rates
  • Aetna — Aetna Medicare: $989.57
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $1,143.67
  • BCBS Of RI — BCBS RI Medicare: $744.38
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $1,009.36
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $1,039.05
  • Employer Direct Healthcare — Employer Direct Healthcare: $1,385.40
  • Humana — HUMANA MILITARY TRICARE: $989.57
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $1,054.88
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $879.73
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $948
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: Hc Cataract Secondary Discission (Yag Laser) $2,201.90 $615 $494.77 – $2,201.90
Laser treatment of clouding after cataract surgery: 10 of 25 insurance plan rates
  • Aetna — Aetna Medicare: $615.35
  • BCBS Of RI — BCBS RI Comm & Ins Exchange: $860.70
  • BCBS Of RI — BCBS RI Medicare: $560.20
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $627.66
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $646.12
  • Employer Direct Healthcare — Employer Direct Healthcare: $861.49
  • Humana — HUMANA MILITARY TRICARE: $615.35
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $655.96
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $547.05
  • Neighborhood Health Plan — Neighborhood Health Plan Medicaid: $1,900

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file $90,031 $46,309.60 – $166,558.66
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 21 insurance plan rates
  • Aetna — Aetna Medicare: $81,168.20
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $82,791.56
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $85,226.61
  • Employer Direct Healthcare — Employer Direct Healthcare: $117,041.22
  • Humana — HUMANA MILITARY TRICARE: $90,031.71
  • NATIONAL HEALTHCARE SOLUTIONS — NATIONAL HEALTHCARE SOLUTIONS & INDEPENDENT MEDICAL SYSTEMS: $144,050.74
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $80,128.22
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $86,430.44
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $81,168.20
  • Traditional Medicare — Traditional Medicare: $90,031.71
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file $18,110 $7,357.60 – $44,063.79
Hip or knee replacement (major joint of the leg), without major complications: 10 of 21 insurance plan rates
  • Aetna — Aetna Medicare: $16,362.80
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $16,690.06
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $17,180.94
  • Employer Direct Healthcare — Employer Direct Healthcare: $23,543.53
  • Humana — HUMANA MILITARY TRICARE: $18,110.41
  • NATIONAL HEALTHCARE SOLUTIONS — NATIONAL HEALTHCARE SOLUTIONS & INDEPENDENT MEDICAL SYSTEMS: $28,976.66
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $16,118.26
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $17,385.99
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $16,362.80
  • Traditional Medicare — Traditional Medicare: $18,110.41
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CCMCC Not listed in the file $22,802 $6,924.80 – $55,769.06
Neck (cervical) spinal fusion, without complications: 10 of 21 insurance plan rates
  • Aetna — Aetna Medicare: $20,590.80
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $21,002.62
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $21,620.34
  • Employer Direct Healthcare — Employer Direct Healthcare: $29,643.46
  • Humana — HUMANA MILITARY TRICARE: $22,802.66
  • NATIONAL HEALTHCARE SOLUTIONS — NATIONAL HEALTHCARE SOLUTIONS & INDEPENDENT MEDICAL SYSTEMS: $36,484.26
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $20,294.37
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $21,890.55
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $20,590.80
  • Traditional Medicare — Traditional Medicare: $22,802.66
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CCMCC Not listed in the file $11,808 $6,492 – $46,809.64
Uterus and ovary surgery (not for cancer), without complications: 10 of 21 insurance plan rates
  • Aetna — Aetna Medicare: $10,684.20
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare Advantage: $10,897.88
  • Common Wellthcare Alliance — Commonwealth Care Alliance Medicare One Care: $11,218.41
  • Employer Direct Healthcare — Employer Direct Healthcare: $15,350.78
  • Humana — HUMANA MILITARY TRICARE: $11,808.29
  • NATIONAL HEALTHCARE SOLUTIONS — NATIONAL HEALTHCARE SOLUTIONS & INDEPENDENT MEDICAL SYSTEMS: $18,893.26
  • Neighborhood Health Plan — Neighborhood Health Plan Commercial: $10,509.38
  • Neighborhood Health Plan — Neighborhood Health Plan Integrity: $11,335.96
  • Neighborhood Health Plan — Neighborhood Health Plan Medicare: $10,684.20
  • Traditional Medicare — Traditional Medicare: $11,808.29

Source: Landmark Medical Center’s standard charges file (landmarkmedical.org, JSON, CMS template 3.0; it can be a very large file), last updated by the hospital on September 1, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address115 Cass Avenue, Woonsocket, RI 02895
CountyProvidence County
StateRhode Island
Phone(401) 769‑4100
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number410011
Name in Medicare recordsLANDMARK MEDICAL CENTER
Profile levelMedicare data + hospital website
Official websitelandmarkmedical.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

  1. Landmark Medical Center | Community Hospital in Woonsocket, RI — landmarkmedical.org
  2. Comprehensive Medical Services | Landmark Medical Center — landmarkmedical.org
  3. Visitor Information & Guidelines for Landmark Medical Center — landmarkmedical.org
  4. Landmark FastTrackCare Reserve Your Emergency Room Arrival — landmarkmedical.org