Rhode Island / Newport Hospital
CMS certification 410006 · Newport, RI · 3 entries in CMS's price-transparency list
Newport Hospital: charges and Medicare payments
Newport Hospital reported 766 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 2.81 times what it was paid — mid-range in Rhode Island, number 5 of 9 hospitals with at least 100 stays (state median 2.81×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 82 stays at an average charge of $42,351, 53% below the national average. It also billed 625 outpatient services, charging 3.34 times what Medicare paid.
- 1Medicare inpatient stays 766
- 2Charge ÷ paid, inpatient 2.81×
- 3Rank in RI (highest ratio = 1) 5 of 9
- 4CMS price-transparency actions 3
Inpatient stays
For the 35 DRGs that can be compared with the national average, Newport Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 82 | $42,351 | -53% | $15,672 |
| 291 Heart Failure and Shock with MCC | 69 | $27,522 | -51% | $10,312 |
| 177 Respiratory Infections and Inflammations with MCC | 43 | $30,120 | -57% | $13,187 |
| 378 Gastrointestinal Hemorrhage with CC | 40 | $27,656 | -43% | $8,059 |
| 193 Simple Pneumonia and Pleurisy with MCC | 32 | $29,114 | -51% | $10,495 |
| 194 Simple Pneumonia and Pleurisy with CC | 28 | $24,829 | -35% | $6,868 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $24,892 | -34% | $6,966 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $22,926 | -43% | $8,069 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $30,335 | -41% | $9,669 |
| 057 Degenerative Nervous System Disorders without MCC | 21 | $25,656 | -55% | $10,436 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $32,190 | -36% | $8,940 |
| 377 Gastrointestinal Hemorrhage with MCC | 20 | $42,357 | -50% | $13,713 |
| 603 Cellulitis without MCC | 19 | $23,284 | -38% | $7,584 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $19,541 | -47% | $6,133 |
| 312 Syncope and Collapse | 18 | $23,128 | -49% | $7,165 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 18 | $32,210 | -65% | $14,973 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $28,252 | -50% | $9,242 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $20,751 | -43% | $6,354 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $43,745 | -57% | $16,772 |
| 178 Respiratory Infections and Inflammations with CC | 16 | $27,498 | -39% | $8,065 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $34,424 | -43% | $10,596 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $30,023 | -39% | $9,202 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $27,219 | -51% | $8,148 |
| 812 Red Blood Cell Disorders without MCC | 15 | $22,456 | -49% | $7,344 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $43,726 | -57% | $18,571 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $33,921 | -66% | $13,867 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $17,510 | -37% | $6,087 |
| 682 Renal Failure with MCC | 13 | $33,161 | -50% | $11,795 |
| 683 Renal Failure with CC | 13 | $23,200 | -43% | $7,398 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 11 | $37,214 | -43% | $11,254 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $21,290 | -72% | $12,271 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $29,901 | -51% | $11,636 |
| 394 Other Digestive System Diagnoses with CC | 11 | $23,832 | -49% | $9,469 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $86,687 | -62% | $36,144 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 11 | $22,373 | -40% | $7,524 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 94 | $6,442 | $1,590 |
| Level 1 Nerve Procedures | 80 | $7,700 | $1,960 |
| Comprehensive Observation Services | 78 | $12,790 | $2,749 |
| Level 4 Musculoskeletal Procedures | 75 | $14,691 | $6,719 |
| Level 3 Musculoskeletal Procedures | 65 | $6,761 | $3,285 |
| Level 5 Musculoskeletal Procedures | 53 | $26,650 | $13,335 |
| Level 2 Upper GI Procedures | 29 | $7,754 | $1,931 |
| Level 2 Musculoskeletal Procedures | 23 | $5,170 | $1,631 |
| Level 3 Vascular Procedures | 23 | $11,970 | $3,235 |
| Level 3 Urology and Related Services | 21 | $6,807 | $2,067 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 20 | $8,223 | $3,511 |
| Level 2 Vascular Procedures | 19 | $6,972 | $1,625 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 16 | $9,634 | $3,868 |
| Level 1 Laparoscopy and Related Services | 16 | $12,287 | $5,381 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $6,726 | $2,662 |
Against the Rhode Island average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Newport Hospital charged $42,351 on average, 24% less than the Rhode Island average of $56,063, and was paid $15,672 against a state average of $18,474. For Heart Failure and Shock with MCC (DRG 291), Newport Hospital charged $27,522 on average, 27% less than the Rhode Island average of $37,534, and was paid $10,312 against a state average of $12,554. For Respiratory Infections and Inflammations with MCC (DRG 177), Newport Hospital charged $30,120 on average, 36% less than the Rhode Island average of $46,857, and was paid $13,187 against a state average of $15,760. For Gastrointestinal Hemorrhage with CC (DRG 378), Newport Hospital charged $27,656 on average, 13% less than the Rhode Island average of $31,711, and was paid $8,059 against a state average of $9,849. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,442 was 13% below the state average of $7,430. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,700 was 8% below the state average of $8,355. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,790 was 25% below the state average of $17,131. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $14,691 was 10% below the state average of $16,342.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Newport Hospital in Newport, RI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-10-27 (CMS case 456)
- CAP Request — 2023-03-23 (CMS case 456)
- Closure Notice — 2024-04-04 (CMS case 456)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.