Rhode Island / South County Hospital Inc
CMS certification 410008 · Wakefield, RI
South County Hospital Inc: charges and Medicare payments
South County Hospital Inc reported 884 Medicare inpatient stays across 35 DRGs in 2024. Across them it charged 3.24 times what it was paid — among the higher ratios in Rhode Island, number 3 of 9 hospitals with at least 100 stays (state median 2.81×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 92 stays at an average charge of $32,467, 42% below the national average. It also billed 1,631 outpatient services, charging 3.53 times what Medicare paid.
- 1Medicare inpatient stays 884
- 2Charge ÷ paid, inpatient 3.24×
- 3Rank in RI (highest ratio = 1) 3 of 9
- 4CMS price-transparency actions 0
Inpatient stays
For the 35 DRGs that can be compared with the national average, South County Hospital Inc 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 92 | $32,467 | -42% | $9,875 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 65 | $42,359 | -53% | $14,428 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 51 | $41,161 | -56% | $14,859 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $33,703 | -44% | $10,086 |
| 177 Respiratory Infections and Inflammations with MCC | 44 | $37,093 | -47% | $12,002 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $23,457 | -42% | $6,089 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $20,886 | -45% | $6,243 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $36,225 | -25% | $7,673 |
| 683 Renal Failure with CC | 30 | $23,007 | -43% | $6,941 |
| 467 Revision of Hip or Knee Replacement with CC | 26 | $67,709 | -57% | $27,810 |
| 603 Cellulitis without MCC | 26 | $19,216 | -48% | $6,815 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $17,364 | -52% | $6,138 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $38,655 | -33% | $9,573 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $32,299 | -13% | $7,225 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $22,461 | -41% | $6,314 |
| 552 Medical Back Problems without MCC | 23 | $24,377 | -50% | $7,386 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $28,253 | -50% | $8,906 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 20 | $65,992 | -47% | $21,100 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $44,963 | -56% | $16,013 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $47,194 | -53% | $15,668 |
| 682 Renal Failure with MCC | 17 | $49,189 | -25% | $11,462 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $35,758 | -27% | $7,936 |
| 178 Respiratory Infections and Inflammations with CC | 15 | $26,553 | -41% | $7,266 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $15,133 | -47% | $4,356 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $29,126 | -48% | $7,818 |
| 312 Syncope and Collapse | 14 | $22,619 | -50% | $6,736 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 14 | $39,820 | -49% | $12,067 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $24,089 | -53% | $8,767 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $21,598 | -57% | $8,404 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 13 | $48,622 | -61% | $18,931 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $38,738 | -36% | $10,140 |
| 069 Transient Ischemia without Thrombolytic | 12 | $25,957 | -49% | $6,229 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $60,366 | -35% | $12,712 |
| 812 Red Blood Cell Disorders without MCC | 12 | $27,568 | -38% | $6,932 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 11 | $24,053 | -48% | $8,605 |
Outpatient services
Against the Rhode Island average
For Heart Failure and Shock with MCC (DRG 291), South County Hospital Inc charged $32,467 on average, 13% less than the Rhode Island average of $37,534, and was paid $9,875 against a state average of $12,554. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South County Hospital Inc charged $42,359 on average, 24% less than the Rhode Island average of $56,063, and was paid $14,428 against a state average of $18,474. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), South County Hospital Inc charged $41,161 on average, 18% more than the Rhode Island average of $34,801, and was paid $14,859 against a state average of $16,780. For Simple Pneumonia and Pleurisy with MCC (DRG 193), South County Hospital Inc charged $33,703 on average, 4% less than the Rhode Island average of $35,281, and was paid $10,086 against a state average of $12,735. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $34,310 was 9% above the state average of $31,558. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,564 was 21% below the state average of $17,131. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,595 was 12% below the state average of $7,502. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,198 was 8% above the state average of $8,553.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.