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Acute Care Hospital

Women & Infants Hospital of Rhode Island

Providence, Rhode Island · Providence County · Emergency services listed

Summary

Women & Infants Hospital of Rhode Island is an acute care hospital in Providence, Rhode Island. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 78 services, specialties and programs. Medicare lists 578 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

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

Call(401) 274‑1100 Directions Website Medicare profile
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Exterior of Women & Infants Hospital of Rhode Island
Photo: Bcartolo, CC BY-SA 4.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). 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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
578Doctors and clinicians
78Services listed

Quick answers

Does Women & Infants Hospital of Rhode Island have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Women & Infants Hospital of Rhode Island. In a medical emergency, call 911.
Where is Women & Infants Hospital of Rhode Island?
101 Dudley Street, Providence, RI 02905, in Providence County, Rhode Island.
What is the phone number of Women & Infants Hospital of Rhode Island?
(401) 274-1100, as listed by Medicare (CMS).
What is the Medicare star rating of Women & Infants Hospital of Rhode Island?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][10][12][13][16][17]

Conditions treated[8][9][12][13][15][16][19]

Treatments[5][8][10][11][12][13][14][15][17]

  • Chemotherapy infusion
  • Palliative care
  • Nutrition counseling
  • Physical and occupational therapy
  • Breast core biopsy
  • Breast-conserving surgery
  • Mastectomy
  • Breast reconstruction surgery
  • Sentinel lymph node biopsy
  • Axillary lymph node dissection
  • Cancer staging surgery
  • Hysterectomy
  • Myomectomy
  • Sacrocolpopexy
  • Laparoscopic surgery
  • Robotic-assisted surgery
  • Weight loss surgery
  • Colonoscopy

Programs and centers[4][7][8][9][12][15][16][17][18]

  • Center for Children and Families
  • Women & Infants Warm Line for new parents
  • Sexual Assault Nurse Examiner (SANE) Program
  • Day Hospital (perinatal mental health)
  • Perinatal OCD Intensive Outpatient Program
  • Neonatal Follow-Up Program
  • Cancer Rehabilitation and Survivorship Program
  • Robotic Surgery Program
  • Minimally Invasive Gynecologic Surgery program
  • Program in Women's Oncology
  • Tumor board
  • Cancer support groups

Emergency care (hospital website)[6]

Emergency roomYes
Open 24/7Yes

Visiting and practical information

ParkingFree valet parking at the main hospital for imaging tests, weekdays 5:30 a.m. to 5 p.m[10]
Interpreters and languagesMedical interpreters are free on request; ask any staff member or call (401) 430-3112[20]

Recognition[10]

  • American College of Radiology accredited diagnostic imaging department

Doctors and clinicians (578)

578 doctors and other clinicians list Women & Infants Hospital of Rhode Island 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 (578)

And 554 more: the button below opens the full list.

Other emergency rooms nearby

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

Other hospitals nearby

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 Women & Infants Hospital of Rhode Island 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) 3 of 5 stars
Overall rating of the hospital3 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines3 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night2 of 5 stars
Rated the hospital 9 or 10 out of 1063%National average: 72%
Would definitely recommend the hospital71%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean76%National average: 74%
Area around the room “always” quiet at night47%National average: 60%
Completed surveys503Response rate: 11%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 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)0.509No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)Not reported to Medicare
Surgical site infections after colon surgeryNot reported to Medicare
Surgical site infections after abdominal hysterectomy0No different from the national benchmark
MRSA bloodstream infections1.293No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 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 patientsNot reported to Medicare
Deaths within 30 days: heart failure patientsToo few cases to report
Deaths within 30 days: pneumonia patientsNot reported to Medicare
Deaths within 30 days: COPD patientsNot reported to Medicare
Deaths within 30 days: stroke patientsNot reported to Medicare
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1No different from the national rate
Complications after hip or knee replacementNot reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2024.

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)Not reported to Medicare
Readmitted within 30 days: heart attackNot reported to Medicare
Readmitted within 30 days: heart failureToo few cases to report
Readmitted within 30 days: pneumoniaToo few cases to report
Readmitted within 30 days: COPDNot reported to Medicare
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementNot reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.

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)234 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)54%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

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

ER wait times in ProvidenceBest hospitals in Providence

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 60 common services exactly as Women & Infants Hospital of Rhode Island 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 →

$ 13 amounts are marked with “!”: they are more than 100 times higher or lower than what other hospitals list for the same service, which usually means an error or a different unit in the hospital’s file. They are shown exactly as listed; ask the hospital before relying on them.

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient New 30 Minutes $366 $128.10 $28.62 – $336.72
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $95.19
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $83.46
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $105.77
  • Blue Cross & Blue Shield of Rhode Island — PPO: $105.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $144.02
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $131.20
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $187
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Office Outpatient New 30 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $366 $128.10 $28.62 – $336.72
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $95.19
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $83.46
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $105.77
  • Blue Cross & Blue Shield of Rhode Island — PPO: $105.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $144.02
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $131.20
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $187
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient New 45 Minutes $444 $155.40 $28.62 – $408.48
New patient office visit (about 45–59 minutes): 10 of 15 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $155.03
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $135.92
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $172.26
  • Blue Cross & Blue Shield of Rhode Island — PPO: $172.26
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $221.28
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $199.79
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $263
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Office Outpatient New 45 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $444 $155.40 $28.62 – $408.48
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $155.03
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $135.92
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $172.26
  • Blue Cross & Blue Shield of Rhode Island — PPO: $172.26
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $221.28
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $199.79
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $263
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient New 60 Minutes $501 $175.35 $28.62 – $460.92
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $210.87
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $184.88
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $234.30
  • Blue Cross & Blue Shield of Rhode Island — PPO: $234.30
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $275.65
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $250.76
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $340
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Office Outpatient New 60 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $501 $175.35 $28.62 – $460.92
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $210.87
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $184.88
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $234.30
  • Blue Cross & Blue Shield of Rhode Island — PPO: $234.30
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $275.65
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $250.76
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $340
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient Visit 15 Minutes $261 $91.35 $28.62 – $240.12
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $71.87
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $67.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $79.86
  • Blue Cross & Blue Shield of Rhode Island — PPO: $79.86
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $109.37
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $70.67
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $103
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Office Outpatient Visit 15 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $261 $91.35 $28.62 – $240.12
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $71.87
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $67.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $79.86
  • Blue Cross & Blue Shield of Rhode Island — PPO: $79.86
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $109.37
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $70.67
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $103
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: 91.8% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Office Outpatient Visit 25 Minutes $340 $119 $28.62 – $312.80
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $106.03
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $99.15
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $117.81
  • Blue Cross & Blue Shield of Rhode Island — PPO: $117.81
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $143.55
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $129.71
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $104.41
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $157
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Office Outpatient Visit 25 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $340 $119 $28.62 – $312.80
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
  • Blue Cross & Blue Shield of Rhode Island — HMO: $106.03
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $99.15
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $117.81
  • Blue Cross & Blue Shield of Rhode Island — PPO: $117.81
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $143.55
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $129.71
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $104.41
  • Tufts Health Public Plans — Managed Medicaid MA: $28.62
  • Tufts Health Public Plans — Managed Medicaid RI: $30.17
  • United Healthcare Insurance Company — Managed Medicaid: $157
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit Level 3 $1,478 $517.30 $82.50 – $1,513
Emergency room visit (moderate): 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $314.27
  • Blue Cross & Blue Shield of Rhode Island — HMO: $1,185.14
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $490.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $1,317.20
  • Blue Cross & Blue Shield of Rhode Island — PPO: $1,316.82
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $448.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $82.50
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $508.81
  • Neighborhood Health Plan of Rhode Island — Integrity: $305.41
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $299.30
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit Level 4 $2,502 $875.70 $157.38 – $2,301.84
Emergency room visit (moderately high): 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $480.39
  • Blue Cross & Blue Shield of Rhode Island — HMO: $1,896.16
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $784.33
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $2,107.44
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,106.84
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $686.27
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $157.38
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $777.77
  • Neighborhood Health Plan of Rhode Island — Integrity: $466.85
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $457.51
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER Visit Level 5 $3,029 $1,060.15 $231.30 – $3,167.22
Emergency room visit (high): 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $685.62
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,849.68
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,178.74
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $3,167.22
  • Blue Cross & Blue Shield of Rhode Island — PPO: $3,166.31
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $979.46
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $231.30
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,110.06
  • Neighborhood Health Plan of Rhode Island — Integrity: $666.30
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $652.97

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Basic Metabolic Panel Calcium Total - Bundled Charge $99 $34.65 $3.89 – $91.08
Basic metabolic panel (blood test): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $25.34
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $8.71
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $13.84
  • Blue Cross & Blue Shield of Rhode Island — HMO: $10.36
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $5.18
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $11.51
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $12.44
  • Connecticare, Inc — COMMERCIAL: $17.29
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $15.63
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Metabolic Panel,Comprehensive - Bundled Charge $124 $43.40 $4.86 – $114.08
Comprehensive metabolic panel (blood test): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $31.66
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $10.87
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $17.29
  • Blue Cross & Blue Shield of Rhode Island — HMO: $12.93
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $6.47
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $14.37
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $15.52
  • Connecticare, Inc — COMMERCIAL: $21.24
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $19.51
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Lipid Panel - Bundled Charge $107 $37.45 $6.16 – $98.44
Cholesterol panel (lipid panel): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $40.13
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $13.78
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $21.92
  • Blue Cross & Blue Shield of Rhode Island — HMO: $16.40
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $8.20
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $18.22
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $19.68
  • Connecticare, Inc — COMMERCIAL: $32.60
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $24.73
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Renal Function Panel - Bundled Charge $98 $34.30 $3.99 – $90.16
Kidney function panel: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $26.03
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $8.93
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $14.22
  • Blue Cross & Blue Shield of Rhode Island — HMO: $10.64
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $5.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $11.82
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $12.76
  • Connecticare, Inc — COMMERCIAL: $17.78
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $16.02
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hepatic Function Panel - Bundled Charge $96 $33.60 $3.76 – $88.32
Liver function panel: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $24.49
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $8.41
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $13.38
  • Blue Cross & Blue Shield of Rhode Island — HMO: $10
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $5
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $11.11
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $12.01
  • Connecticare, Inc — COMMERCIAL: $16.79
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $15.09
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Hepatic Function Panel - Bundled Charge|PN - NON-EXCEPTED OFF-CAMPUS SVC $96 $33.60 $3.76 – $88.32
Liver function panel: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $24.49
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $8.41
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $13.38
  • Blue Cross & Blue Shield of Rhode Island — HMO: $10
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $5
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $11.11
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $12.01
  • Connecticare, Inc — COMMERCIAL: $16.79
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $15.09
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic $31 $10.85 $1.46 – $28.52
Urine test (automated, with microscope): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $9.50
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $3.26
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $5.19
  • Blue Cross & Blue Shield of Rhode Island — HMO: $3.88
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1.94
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $4.31
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $4.66
  • Connecticare, Inc — COMMERCIAL: $6.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $5.85
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbb Urinalysis Nonauto W/O Scope $17 $5.95 $1.57 – $17.17
Urine test (manual, without microscope): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $7.66
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $3.58
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $4.18
  • Blue Cross & Blue Shield of Rhode Island — HMO: $3.13
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1.57
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $3.48
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $5.12
  • Connecticare, Inc — COMMERCIAL: $4.94
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $4.72
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Urinalysis, Auto, W/O Scope - Urinalysis Chem Only $36 $12.60 $1.04 – $33.12
Urine test (automated, without microscope): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $5.72
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $2.32
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $3.12
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2.34
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1.17
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2.60
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $3.31
  • Connecticare, Inc — COMMERCIAL: $4.45
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $4.15
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prostate Specific Antigen,Total - Psa $141 $49.35 $8.46 – $129.72
PSA (prostate specific antigen) blood test: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $54.93
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $18.92
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $30.01
  • Blue Cross & Blue Shield of Rhode Island — HMO: $22.46
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $11.23
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $24.95
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $27.03
  • Connecticare, Inc — COMMERCIAL: $37.05
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $33.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone $111 $38.85 $7.73 – $113.11
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $50.36
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $17.29
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $27.51
  • Blue Cross & Blue Shield of Rhode Island — HMO: $20.58
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $10.29
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $22.87
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $24.70
  • Connecticare, Inc — COMMERCIAL: $34.08
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier QW In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone|CLIA WAIVED TEST $111 $38.85 $7.73 – $113.11
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $50.36
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $17.29
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $27.51
  • Blue Cross & Blue Shield of Rhode Island — HMO: $20.58
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $10.29
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $22.87
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $24.70
  • Connecticare, Inc — COMMERCIAL: $34.08
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $31
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone|PN - NON-EXCEPTED OFF-CAMPUS SVC $111 $38.85 $7.73 – $113.11
Thyroid stimulating hormone (TSH) test: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $50.36
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $17.29
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $27.51
  • Blue Cross & Blue Shield of Rhode Island — HMO: $20.58
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $10.29
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $22.87
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $24.70
  • Connecticare, Inc — COMMERCIAL: $34.08
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $31
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc & Auto Diff Wbc - Additional Charge $78 $27.30 $3.57 – $71.76
Complete blood count (CBC) with differential: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $23.30
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $8
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $12.73
  • Blue Cross & Blue Shield of Rhode Island — HMO: $9.52
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $4.76
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $10.58
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $11.42
  • Connecticare, Inc — COMMERCIAL: $15.81
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $14.35
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Complete Cbc - Cbc $46 $16.10 $2.98 – $43.53
Complete blood count (CBC), automated: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $19.38
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $6.66
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $10.59
  • Blue Cross & Blue Shield of Rhode Island — HMO: $7.93
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $3.96
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $8.81
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $9.51
  • Connecticare, Inc — COMMERCIAL: $13.34
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $11.94
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Prothrombin Time - Protime-Inr, Fingerstick $55 $19.25 $1.97 – $50.60
Blood clotting time test (prothrombin time, PT): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $11.79
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $4.41
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $6.44
  • Blue Cross & Blue Shield of Rhode Island — HMO: $4.82
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $2.41
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $5.35
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $6.31
  • Connecticare, Inc — COMMERCIAL: $7.90
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $7.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Thromboplas Time Partial - Ptt Crrt System $62 $21.70 $2.76 – $57.04
Blood clotting test (partial thromboplastin time, PTT): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — COMMERCIAL: $18
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $6.18
  • AETNA HEALTH MANAGEMENT, LLC — RI Preferred Commercial: $9.83
  • Blue Cross & Blue Shield of Rhode Island — HMO: $7.35
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $3.68
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $11.51
  • Blue Cross & Blue Shield of Rhode Island — PPO: $8.17
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $8.83
  • Connecticare, Inc — COMMERCIAL: $12.35
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $11.07

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) · Hospital (facility) fee In the file: HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast $1,409 $493.15 $89.81 – $1,296.28
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $138.97
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $89.81
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $154.41
  • Blue Cross & Blue Shield of Rhode Island — PPO: $154.41
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $165.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $347.81
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC CT Scan,Head/Brain,W/O Contrast Matl - CT Head WO Contrast|TECHNICAL COMPONENT $1,409 $493.15 $89.81 – $1,296.28
CT scan of the head or brain, without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $138.97
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $89.81
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $154.41
  • Blue Cross & Blue Shield of Rhode Island — PPO: $154.41
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $165.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $347.81
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Brain Combo - MRI Brain W WO Contrast $4,440 $1,554 $307.14 – $4,084.80
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $401.64
  • Blue Cross & Blue Shield of Rhode Island — HMO: $502.38
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $307.14
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $558.20
  • Blue Cross & Blue Shield of Rhode Island — PPO: $558.20
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $573.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $650.27
  • Neighborhood Health Plan of Rhode Island — Integrity: $390.32
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $1,648.41
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC MRI Brain Combo - MRI Brain W WO Contrast|TECHNICAL COMPONENT $4,440 $1,554 $307.14 – $4,084.80
MRI of the brain, before and after contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $401.64
  • Blue Cross & Blue Shield of Rhode Island — HMO: $502.38
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $307.14
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $558.20
  • Blue Cross & Blue Shield of Rhode Island — PPO: $558.20
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $573.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $650.27
  • Neighborhood Health Plan of Rhode Island — Integrity: $390.32
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $1,648.41
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views $278 $97.30 $43.14 – $255.76
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $100.19
  • Blue Cross & Blue Shield of Rhode Island — HMO: $225.06
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $110.90
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $250.14
  • Blue Cross & Blue Shield of Rhode Island — PPO: $250.07
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $143.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $162.22
  • Neighborhood Health Plan of Rhode Island — Integrity: $97.37
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $43.14
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $95.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN|TC In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views|PN - NON-EXCEPTED OFF-CAMPUS SVC|TECHNICAL COMPONENT $278 $97.30 $43.14 – $255.76
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $100.19
  • Blue Cross & Blue Shield of Rhode Island — HMO: $225.06
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $110.90
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $250.14
  • Blue Cross & Blue Shield of Rhode Island — PPO: $250.07
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $143.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $162.22
  • Neighborhood Health Plan of Rhode Island — Integrity: $97.37
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $43.14
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $95.42
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC Radiologic Exam Chest 2 Views - Xr Chest 2 Views|TECHNICAL COMPONENT $278 $97.30 $43.14 – $255.76
Chest X-ray, 2 views: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $100.19
  • Blue Cross & Blue Shield of Rhode Island — HMO: $225.06
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $110.90
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $250.14
  • Blue Cross & Blue Shield of Rhode Island — PPO: $250.07
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $143.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $162.22
  • Neighborhood Health Plan of Rhode Island — Integrity: $97.37
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $43.14
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $95.42
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views $505 $176.75 $41.35 – $464.60
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $256.66
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $126.47
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $285.27
  • Blue Cross & Blue Shield of Rhode Island — PPO: $285.18
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $46.99
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $116.97
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC X-Ray Lumbar Spine 4 Vw - Xr Lumbar Spine Complete 4+ Views|TECHNICAL COMPONENT $505 $176.75 $41.35 – $464.60
X-ray of the lower spine, at least 4 views: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $256.66
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $126.47
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $285.27
  • Blue Cross & Blue Shield of Rhode Island — PPO: $285.18
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $46.99
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $116.97
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast $1,930 $675.50 $185.92 – $1,775.60
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $274.69
  • Blue Cross & Blue Shield of Rhode Island — HMO: $339.75
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $185.92
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $377.50
  • Blue Cross & Blue Shield of Rhode Island — PPO: $377.50
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $392.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $444.74
  • Neighborhood Health Plan of Rhode Island — Integrity: $266.95
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $850
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC MRI, Lumbar Spine - MRI Lumbar Spine WO Contrast|TECHNICAL COMPONENT $1,930 $675.50 $185.92 – $1,775.60
MRI of the lower back (lumbar spine), without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $274.69
  • Blue Cross & Blue Shield of Rhode Island — HMO: $339.75
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $185.92
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $377.50
  • Blue Cross & Blue Shield of Rhode Island — PPO: $377.50
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $392.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $444.74
  • Neighborhood Health Plan of Rhode Island — Integrity: $266.95
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $850
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Scan of Pelvis Contrast - CT Pelvis W Contrast $2,114 $739.90 $165.13 – $1,944.88
CT scan of the pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $201.93
  • Blue Cross & Blue Shield of Rhode Island — HMO: $231.95
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $195.33
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $257.72
  • Blue Cross & Blue Shield of Rhode Island — PPO: $257.72
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $288.47
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $165.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $326.94
  • Neighborhood Health Plan of Rhode Island — Integrity: $196.24
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $496.92
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - MRI WO Cont $1,620 $567 $205.15 – $1,490.40
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $274.69
  • Blue Cross & Blue Shield of Rhode Island — HMO: $236.02
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $205.15
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $262.24
  • Blue Cross & Blue Shield of Rhode Island — PPO: $262.24
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $392.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $444.74
  • Neighborhood Health Plan of Rhode Island — Integrity: $266.95
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $808.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - MRI Ankle WO Cont $1,620 $567 $205.15 – $1,490.40
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $274.69
  • Blue Cross & Blue Shield of Rhode Island — HMO: $236.02
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $205.15
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $262.24
  • Blue Cross & Blue Shield of Rhode Island — PPO: $262.24
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $392.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $444.74
  • Neighborhood Health Plan of Rhode Island — Integrity: $266.95
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $808.38
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI Jnt of Lwr Extre W/O Dye - MR Lower Ext Joint WO IV Cont $1,620 $567 $205.15 – $1,490.40
MRI of a leg joint (such as the knee), without contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $274.69
  • Blue Cross & Blue Shield of Rhode Island — HMO: $236.02
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $205.15
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $262.24
  • Blue Cross & Blue Shield of Rhode Island — PPO: $262.24
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $392.42
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $389.70
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $444.74
  • Neighborhood Health Plan of Rhode Island — Integrity: $266.95
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $808.38
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast $4,858 $1,700.30 $165.13 – $4,469.36
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $401.64
  • Blue Cross & Blue Shield of Rhode Island — HMO: $275.66
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $256.93
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $306.29
  • Blue Cross & Blue Shield of Rhode Island — PPO: $306.29
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $573.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $165.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $650.27
  • Neighborhood Health Plan of Rhode Island — Integrity: $390.32
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $506.92
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC CT Abd & Pelv W/Contrast - CT Abdomen Pelvis W Contrast|TECHNICAL COMPONENT $4,858 $1,700.30 $165.13 – $4,469.36
CT scan of the abdomen and pelvis, with contrast: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $401.64
  • Blue Cross & Blue Shield of Rhode Island — HMO: $275.66
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $256.93
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $306.29
  • Blue Cross & Blue Shield of Rhode Island — PPO: $306.29
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $573.77
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $165.13
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $650.27
  • Neighborhood Health Plan of Rhode Island — Integrity: $390.32
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $506.92
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete $794 $277.90 $29.27 – $730.48
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $359.85
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $177.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $399.94
  • Blue Cross & Blue Shield of Rhode Island — PPO: $399.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $29.27
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $466.29
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC US, Abdom,B-Scan &/or Real Time,Complete - US Abdomen Complete|TECHNICAL COMPONENT $794 $277.90 $29.27 – $730.48
Ultrasound of the abdomen, complete: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $359.85
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $177.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $399.94
  • Blue Cross & Blue Shield of Rhode Island — PPO: $399.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $29.27
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $466.29
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 Wks Sngl Fetus - US OB 14+ Weeks Single or First Gest $794 $277.90 $60.77 – $730.48
Pregnancy ultrasound (after the first trimester): 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $359.85
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $177.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $399.94
  • Blue Cross & Blue Shield of Rhode Island — PPO: $399.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $60.77
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $465.41
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Echography,Transvaginal $675 $236.25 $60.77 – $621
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $359.85
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $177.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $399.94
  • Blue Cross & Blue Shield of Rhode Island — PPO: $399.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $60.77
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $560.75
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC Echography,Transvaginal|TECHNICAL COMPONENT $675 $236.25 $60.77 – $621
Transvaginal ultrasound: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $120.36
  • Blue Cross & Blue Shield of Rhode Island — HMO: $359.85
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $177.32
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $399.94
  • Blue Cross & Blue Shield of Rhode Island — PPO: $399.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $171.95
  • HARVARD PILGRIM HEALTHCARE, INC. — COMMERCIAL: $60.77
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $194.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $116.97
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $560.75
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views $640 $224 $86.50 – $588.80
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $90.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $129.76
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $147.06
  • Neighborhood Health Plan of Rhode Island — Integrity: $88.27
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $192.64
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $86.50
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $92.65
  • Tufts Health Public Plans — Managed Medicaid RI: $152.02
  • United Healthcare Insurance Company — Commercial: $380.44
  • United Healthcare Insurance Company — Managed Medicaid: $199.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN|TC In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views|PN - NON-EXCEPTED OFF-CAMPUS SVC|TECHNICAL COMPONENT $640 $224 $86.50 – $588.80
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $90.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $129.76
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $147.06
  • Neighborhood Health Plan of Rhode Island — Integrity: $88.27
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $192.64
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $86.50
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $92.65
  • Tufts Health Public Plans — Managed Medicaid RI: $152.02
  • United Healthcare Insurance Company — Commercial: $380.44
  • United Healthcare Insurance Company — Managed Medicaid: $199.14
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC Dx Mammo Incl Cad Uni - Mammo Additional Views|TECHNICAL COMPONENT $640 $224 $86.50 – $588.80
Diagnostic mammogram, one breast: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $90.83
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $129.76
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $147.06
  • Neighborhood Health Plan of Rhode Island — Integrity: $88.27
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $192.64
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $86.50
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $92.65
  • Tufts Health Public Plans — Managed Medicaid RI: $152.02
  • United Healthcare Insurance Company — Commercial: $380.44
  • United Healthcare Insurance Company — Managed Medicaid: $199.14
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Dx Mammo Incl Cad Bi - Mg Breast Bilateral Post Biopsy Clip $695 $243.25 $110.21 – $639.40
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $115.72
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $165.32
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $187.36
  • Neighborhood Health Plan of Rhode Island — Integrity: $112.46
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $244.48
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $110.21
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $118.13
  • Tufts Health Public Plans — Managed Medicaid RI: $194.17
  • United Healthcare Insurance Company — Commercial: $486.64
  • United Healthcare Insurance Company — Managed Medicaid: $254.73
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC Dx Mammo Incl Cad Bi - Mg Breast Bilateral Post Biopsy Clip|TECHNICAL COMPONENT $695 $243.25 $110.21 – $639.40
Diagnostic mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $115.72
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $165.32
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $187.36
  • Neighborhood Health Plan of Rhode Island — Integrity: $112.46
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $244.48
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $110.21
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $118.13
  • Tufts Health Public Plans — Managed Medicaid RI: $194.17
  • United Healthcare Insurance Company — Commercial: $486.64
  • United Healthcare Insurance Company — Managed Medicaid: $254.73
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening $524 $183.40 $91.17 – $482.08
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $95.73
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $136.75
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $154.99
  • Neighborhood Health Plan of Rhode Island — Integrity: $93.03
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $197.42
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $91.17
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $97.96
  • Tufts Health Public Plans — Managed Medicaid RI: $160.56
  • United Healthcare Insurance Company — Commercial: $401.96
  • United Healthcare Insurance Company — Managed Medicaid: $210.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN|TC In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening|PN - NON-EXCEPTED OFF-CAMPUS SVC|TECHNICAL COMPONENT $524 $183.40 $91.17 – $482.08
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $95.73
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $136.75
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $154.99
  • Neighborhood Health Plan of Rhode Island — Integrity: $93.03
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $197.42
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $91.17
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $97.96
  • Tufts Health Public Plans — Managed Medicaid RI: $160.56
  • United Healthcare Insurance Company — Commercial: $401.96
  • United Healthcare Insurance Company — Managed Medicaid: $210.40
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: HC Scr Mammo Bi Incl Cad - Mammo Breast Screening|TECHNICAL COMPONENT $524 $183.40 $91.17 – $482.08
Screening mammogram, both breasts: 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $95.73
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $136.75
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $154.99
  • Neighborhood Health Plan of Rhode Island — Integrity: $93.03
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $197.42
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $91.17
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $97.96
  • Tufts Health Public Plans — Managed Medicaid RI: $160.56
  • United Healthcare Insurance Company — Commercial: $401.96
  • United Healthcare Insurance Company — Managed Medicaid: $210.40

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Therapeutic Exercises $149 $52.15 $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $30.62
  • Blue Cross & Blue Shield of Rhode Island — HMO: $125.21
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $57.10
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $139.16
  • Blue Cross & Blue Shield of Rhode Island — PPO: $139.12
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $43.75
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $49.58
  • Neighborhood Health Plan of Rhode Island — Integrity: $29.76
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $61.51
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $29.16
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Ot Therapeutic Exercises $149 $52.15 $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $30.62
  • Blue Cross & Blue Shield of Rhode Island — HMO: $125.21
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $57.10
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $139.16
  • Blue Cross & Blue Shield of Rhode Island — PPO: $139.12
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $43.75
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $49.58
  • Neighborhood Health Plan of Rhode Island — Integrity: $29.76
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $61.51
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $29.16
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Low Complex 20 Mins $303 $106.05 $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316
Physical therapy evaluation (low complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $103.59
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $147.98
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $167.72
  • Neighborhood Health Plan of Rhode Island — Integrity: $100.67
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $115.33
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $98.66
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $89.13
  • Tufts Health Public Plans — Managed Medicaid RI: $126.81
  • United Healthcare Insurance Company — Commercial: $316
  • United Healthcare Insurance Company — MANAGED MEDICARE: $98.66
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation Mod Complex 30 Mins $303 $106.05 $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $316
Physical therapy evaluation (moderate complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $103.59
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $147.98
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $167.72
  • Neighborhood Health Plan of Rhode Island — Integrity: $100.67
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $115.33
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $98.66
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $89.13
  • Tufts Health Public Plans — Managed Medicaid MA: $64.80
  • Tufts Health Public Plans — Managed Medicaid RI: $126.81
  • United Healthcare Insurance Company — Commercial: $316
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pt Physical Therapy Evaluation High Complex 45 Mins $399 $139.65 $0.85 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $367.08
Physical therapy evaluation (high complexity): 10 of 26 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $103.59
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $147.98
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $167.72
  • Neighborhood Health Plan of Rhode Island — Integrity: $100.67
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $115.33
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $98.66
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $89.13
  • Tufts Health Public Plans — Managed Medicaid RI: $126.81
  • United Healthcare Insurance Company — Commercial: $316
  • United Healthcare Insurance Company — MANAGED MEDICARE: $98.66
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy Patient &/ Family 30 Minutes $327 $114.45 $27.03 – $360.69
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $324.53
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $147.93
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $360.69
  • Blue Cross & Blue Shield of Rhode Island — PPO: $360.59
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $88.26
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Psychotherapy Patient &/ Family 30 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $327 $114.45 $27.03 – $360.69
Psychotherapy, 30 minutes: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $324.53
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $147.93
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $360.69
  • Blue Cross & Blue Shield of Rhode Island — PPO: $360.59
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $88.26
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy Patient &/ Family 45 Minutes $432 $151.20 $34.25 – $479.54
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $431.46
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $196.66
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $479.54
  • Blue Cross & Blue Shield of Rhode Island — PPO: $479.40
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $113.23
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier PN In the file: HC Psychotherapy Patient &/ Family 45 Minutes|PN - NON-EXCEPTED OFF-CAMPUS SVC $432 $151.20 $34.25 – $479.54
Psychotherapy, 45 minutes: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $431.46
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $196.66
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $479.54
  • Blue Cross & Blue Shield of Rhode Island — PPO: $479.40
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $113.23
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Psychotherapy Patient &/ Family 60 Minutes $432 $151.20 $34.25 – $479.54
Psychotherapy, 60 minutes: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $431.46
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $196.66
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $479.54
  • Blue Cross & Blue Shield of Rhode Island — PPO: $479.40
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $165.74
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy,No Pt $503 $176.05 $38.03 – $558.11
Family psychotherapy, without the patient: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $502.16
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $228.89
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $558.11
  • Blue Cross & Blue Shield of Rhode Island — PPO: $557.95
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $101.78
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Family Psychotherapy W Phys $503 $176.05 $38.03 – $558.11
Family psychotherapy, with the patient: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $204.35
  • Blue Cross & Blue Shield of Rhode Island — HMO: $502.16
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $228.89
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $558.11
  • Blue Cross & Blue Shield of Rhode Island — PPO: $557.95
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $291.93
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $330.85
  • Neighborhood Health Plan of Rhode Island — Integrity: $198.59
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $194.62
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $106.14
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Group Psychotherapy $240 $84 $19.24 – $264.06
Group psychotherapy: 10 of 23 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $116.96
  • Blue Cross & Blue Shield of Rhode Island — HMO: $237.58
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $108.29
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $264.06
  • Blue Cross & Blue Shield of Rhode Island — PPO: $263.98
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $167.08
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $189.36
  • Neighborhood Health Plan of Rhode Island — Integrity: $113.66
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $111.39
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $24.98

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Excise Breast Cyst $3,304 $1,156.40 $1,652 – $8,108.77
Removal of breast growth (open surgery): 10 of 22 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $4,507.72
  • Blue Cross & Blue Shield of Rhode Island — HMO: $6,985.63
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $3,325.62
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $8,108.77
  • Blue Cross & Blue Shield of Rhode Island — PPO: $7,761.81
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $6,439.60
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $7,298.21
  • Neighborhood Health Plan of Rhode Island — Integrity: $4,380.68
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $4,293.07
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Esophagogastroduodenoscopy Transoral Diagnostic - Egd $959 $335.65 $412.66 – $6,431
Upper GI endoscopy (diagnostic): 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,044.18
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,338.02
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,113.05
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $2,713.92
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,597.80
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,491.68
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,690.57
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,014.75
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $994.46
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Egd Transoral Biopsy Single/Multiple - Egd $853 $298.55 $367.05 – $6,431
Upper GI endoscopy with biopsy: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,044.18
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,338.02
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,113.05
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $2,713.92
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,597.80
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,491.68
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,690.57
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,014.75
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $994.46
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy Flx Dx W/Collj Spec When Pfrmd - Colonoscopy $1,703 $596.05 $535.56 – $6,431
Colonoscopy (diagnostic): 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,070.63
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,592.54
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,234.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $3,009.36
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,880.60
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,529.48
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,733.41
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,040.46
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $1,019.65
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colonoscopy W/Biopsy Single/Multiple - Colonoscopy $1,279 $447.65 $535.56 – $6,431
Colonoscopy with biopsy: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,377.66
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,592.54
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,234.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $3,009.36
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,880.60
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,968.08
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $2,230.49
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,338.83
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $1,312.05
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Colsc Flx W/Rmvl of Tumor Polyp Lesion Snare Tq - Colonoscopy $1,279 $447.65 $550.35 – $6,431
Colonoscopy with removal of polyps (snare): 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,377.66
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,592.54
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,234.22
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $3,009.36
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,880.60
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,968.08
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $2,230.49
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,338.83
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $1,312.05
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Pbb Colon Ca Scrn Not Hi Rsk Ind $2,260 $791 $535.56 – $6,212
Screening colonoscopy (not high risk): 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,070.63
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,396.12
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,092.20
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $2,663.08
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,662.36
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,529.48
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,733.41
  • Neighborhood Health Plan of Rhode Island — Integrity: $1,040.46
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $1,019.65
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Hysteroscopy,W/Endo Bx $3,276 $1,146.60 $870.94 – $7,322.12
Hysteroscopy with biopsy of the uterus lining: 10 of 21 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $3,726.80
  • Blue Cross & Blue Shield of Rhode Island — HMO: $6,307.94
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $3,003
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $7,322.12
  • Blue Cross & Blue Shield of Rhode Island — PPO: $7,008.82
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $5,324
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $6,033.87
  • Neighborhood Health Plan of Rhode Island — Integrity: $3,621.77
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $3,549.33
  • United Healthcare Insurance Company — Managed Medicaid: $3,292
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC Njx Aa&/Strd Tfrml Epi Lumbar/Sacral Level 1 $1,544 $540.40 $535.56 – $6,212
Nerve root injection, lower back, with imaging guidance: 10 of 25 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $1,018.27
  • Blue Cross & Blue Shield of Rhode Island — HMO: $2,121.63
  • Blue Cross & Blue Shield of Rhode Island — MANAGED MEDICARE: $1,010.03
  • Blue Cross & Blue Shield of Rhode Island — OUT OF STATE: $2,462.75
  • Blue Cross & Blue Shield of Rhode Island — PPO: $2,357.37
  • Blue Cross & Blue Shield of Rhode Island — Prime EPO: $1,454.67
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $1,648.62
  • Neighborhood Health Plan of Rhode Island — Integrity: $989.57
  • Neighborhood Health Plan of Rhode Island — Managed Medicaid: $4,151
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $969.78

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) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $41.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $93.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 20 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $102,371
  • Blue Cross & Blue Shield of Rhode Island — Managed Medicare: $119,521.85
  • Blue Cross & Blue Shield of Rhode Island — Prime: $146,244.28
  • COMMUNITY CARE ALLIANCE — MANAGED MEDICARE: $97,496.19
  • Connecticare, Inc — COMMERCIAL: $3,900
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $37,406.70
  • Neighborhood Health Plan of Rhode Island — MANAGED MEDICARE: $99,485.91
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $97,496.19
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $104,935.11
  • United Healthcare Insurance Company — ACO Tiered: $15,266
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC Not listed in the file Not listed in the file $17,033.91 – $18,423.93
Spinal fusion (not neck), without major complications: rates for 1 insurance plan
  • United Healthcare Insurance Company — Rite Care: $9,730
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $41.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $93.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Hip or knee replacement (major joint of the leg), without major complications: 10 of 20 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $29,591.88
  • Blue Cross & Blue Shield of Rhode Island — Managed Medicare: $23,566.43
  • Blue Cross & Blue Shield of Rhode Island — Prime: $42,274.11
  • COMMUNITY CARE ALLIANCE — MANAGED MEDICARE: $28,182.74
  • Connecticare, Inc — COMMERCIAL: $3,900
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $10,812.97
  • Neighborhood Health Plan of Rhode Island — MANAGED MEDICARE: $28,757.90
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $28,182.74
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $19,833.39
  • United Healthcare Insurance Company — ACO Tiered: $15,266
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $41.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $93.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Neck (cervical) spinal fusion, without complications: 10 of 20 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $34,340.09
  • Blue Cross & Blue Shield of Rhode Island — Managed Medicare: $29,826.70
  • Blue Cross & Blue Shield of Rhode Island — Prime: $49,057.28
  • COMMUNITY CARE ALLIANCE — MANAGED MEDICARE: $32,704.85
  • Connecticare, Inc — COMMERCIAL: $3,900
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $12,547.98
  • Neighborhood Health Plan of Rhode Island — MANAGED MEDICARE: $33,372.30
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $32,704.85
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $21,540.34
  • United Healthcare Insurance Company — ACO Tiered: $15,266
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $41.36 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.) – $93.40 (Far outside what other hospitals list for this service: probably an error in the hospital’s file. Ask the hospital.)
Uterus and ovary surgery (not for cancer), without complications: 10 of 20 insurance plan rates
  • AETNA HEALTH MANAGEMENT, LLC — MANAGED MEDICARE: $23,214.59
  • Blue Cross & Blue Shield of Rhode Island — Managed Medicare: $15,158.31
  • Blue Cross & Blue Shield of Rhode Island — Prime: $33,163.70
  • COMMUNITY CARE ALLIANCE — MANAGED MEDICARE: $22,109.13
  • Connecticare, Inc — COMMERCIAL: $3,900
  • Neighborhood Health Plan of Rhode Island — COMMERCIAL: $8,482.69
  • Neighborhood Health Plan of Rhode Island — MANAGED MEDICARE: $22,560.34
  • TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION, INC. — DIRECT: $22,109.13
  • Tufts Associated Health Maintenance Organization, Inc. — USHFP: $12,065.70
  • United Healthcare Insurance Company — ACO Tiered: $15,266

Source: Women & Infants Hospital of Rhode Island’s standard charges file (carenewengland.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 28, 2026; retrieved November 1, 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
Address101 Dudley Street, Providence, RI 02905
CountyProvidence County
StateRhode Island
Phone(401) 274‑1100
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number410010
Name in Medicare recordsWOMEN & INFANTS HOSPITAL OF RHODE ISLAND
Profile levelMedicare data + hospital website
Name on the hospital’s websiteWomen & Infants Hospital
Official websitewomenandinfants.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  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 2026-10-30.

  1. Women & Infants Hospital — womenandinfants.org
  2. Women & Infants | Essential Healthcare For Women In Rhode Island — womenandinfants.org
  3. Emergency Care for Women | Women & Infants Hospital in Rhode Island — womenandinfants.org
  4. Sexual Assault — womenandinfants.org
  5. Women's Cancer Treatment & Care — womenandinfants.org
  6. Gynecologic Cancer Treatment | Women & Infants Hospital — womenandinfants.org
  7. Diagnostic Imaging Services — womenandinfants.org
  8. General Radiology — womenandinfants.org
  9. Comprehensive Surgery Services | Women & Infants Hospital — womenandinfants.org
  10. Breast Cancer Surgery | Women & Infants Hospital — womenandinfants.org
  11. Cancer Staging — womenandinfants.org
  12. Rehabilitation and Survivorship Program — womenandinfants.org
  13. Women Behavioral Health Services | Women & Infants Hospital — womenandinfants.org
  14. Pediatric Care Services | Women & Infants Hospital In Rhode Island — womenandinfants.org
  15. NICU Neonatal Follow-Up Program | Women and Infants in Rhode Island — womenandinfants.org
  16. Child & Family Development | Women & Infants Hospital — womenandinfants.org
  17. Interpreter Services — womenandinfants.org