Rhode Island / Our Lady of Fatima Hospital
CMS certification 410005 · North Providence, RI · 1 entry in CMS's price-transparency list
Our Lady of Fatima Hospital: charges and Medicare payments
Our Lady of Fatima Hospital reported 358 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 2.94 times what it was paid — mid-range in Rhode Island, number 4 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: 67 stays at an average charge of $40,804, 55% below the national average. It also billed 655 outpatient services, charging 3.66 times what Medicare paid.
- 1Medicare inpatient stays 358
- 2Charge ÷ paid, inpatient 2.94×
- 3Rank in RI (highest ratio = 1) 4 of 9
- 4CMS price-transparency actions 1
Inpatient stays
For the 17 DRGs that can be compared with the national average, Our Lady of Fatima 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 | 67 | $40,804 | -55% | $14,868 |
| 291 Heart Failure and Shock with MCC | 38 | $30,419 | -46% | $10,388 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $25,709 | -48% | $8,605 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 25 | $38,421 | -49% | $12,506 |
| 460 Spinal Fusion except Cervical without MCC | 24 | $71,572 | -58% | $27,868 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $33,851 | -33% | $9,683 |
| 683 Renal Failure with CC | 19 | $19,849 | -51% | $6,952 |
| 690 Kidney and Urinary Tract Infections without MCC | 19 | $21,040 | -44% | $6,804 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $26,872 | -55% | $10,074 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $40,144 | -43% | $11,787 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $19,154 | -48% | $6,407 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $104,347 | -54% | $34,674 |
| 194 Simple Pneumonia and Pleurisy with CC | 13 | $22,394 | -42% | $6,657 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $52,705 | -38% | $14,167 |
| 682 Renal Failure with MCC | 11 | $27,394 | -58% | $11,249 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $40,207 | -45% | $13,271 |
| 812 Red Blood Cell Disorders without MCC | 11 | $28,640 | -35% | $7,348 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Urology and Related Services | 117 | $9,047 | $3,468 |
| Level 3 Urology and Related Services | 102 | $8,000 | $2,045 |
| Level 5 Musculoskeletal Procedures | 90 | $35,127 | $13,335 |
| Level 1 Intraocular Procedures | 87 | $5,863 | $2,365 |
| Comprehensive Observation Services | 71 | $20,408 | $2,778 |
| Level 5 Urology and Related Services | 48 | $13,951 | $5,251 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 29 | $7,010 | $1,645 |
| Level 3 Musculoskeletal Procedures | 23 | $10,336 | $3,285 |
| Level 2 Upper GI Procedures | 23 | $8,671 | $1,931 |
| Level 3 Airway Endoscopy | 19 | $5,698 | $1,722 |
| Level 1 Nerve Procedures | 17 | $6,730 | $1,959 |
| Level 4 Musculoskeletal Procedures | 15 | $17,354 | $7,260 |
| Level 6 Musculoskeletal Procedures | 14 | $45,018 | $18,868 |
Against the Rhode Island average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Our Lady of Fatima Hospital charged $40,804 on average, 27% less than the Rhode Island average of $56,063, and was paid $14,868 against a state average of $18,474. For Heart Failure and Shock with MCC (DRG 291), Our Lady of Fatima Hospital charged $30,419 on average, 19% less than the Rhode Island average of $37,534, and was paid $10,388 against a state average of $12,554. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Our Lady of Fatima Hospital charged $25,709 on average, 23% less than the Rhode Island average of $33,268, and was paid $8,605 against a state average of $10,703. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Our Lady of Fatima Hospital charged $38,421 on average, 30% less than the Rhode Island average of $54,945, and was paid $12,506 against a state average of $17,096. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $9,047 was 14% below the state average of $10,492. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,000 was 7% above the state average of $7,502. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,127 was 11% above the state average of $31,558. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $5,863 was 18% below the state average of $7,186.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Our Lady of Fatima Hospital in North Providence, RI, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-03 (CMS case 3569)
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.