Are these the prices I'll pay?

These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.

Why do prices vary so much between hospitals?

Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.

Where does this data come from?

Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Home › Emergency department visit with high level of medical decision making › Rhode Island

Emergency Department Visit with High Level of Medical Decision Making Cost in Rhode Island

What this costs without insurance: real self-pay cash prices and insurance-negotiated rates at 8 Rhode Island hospitals. CPT 99285. Sourced directly from each facility's CMS-mandated transparency file. Dataset: Q4 2026.

📊 Median $1,060 📉 Low $421 📈 High $1,405 🏥 8 hospitals 🏛️ 5 with insurance contracts 🇺🇸 Medicare $173

Hospital comparison — Rhode Island

Sorted by cash price (lowest first). Showing top 8 of 8 hospitals.

Billed more than $1,060 for this? That gap is evidence. Build my dispute letter

Hospital	Cash	Aetna	UHC	Cigna	BCBS	Medicare	TRICARE	MultiPlan	Medicaid
WESTERLY HOSPITAL WELLS STREET WESTERLY	$421	$202	$205	$183	—	$185	$251	$514	—
LANDMARK MEDICAL CENTER WOONSOCKET	$666	$666	$410	—	$815	$666	$666	—	$461
BUTLER HOSPITAL PROVIDENCE	$1,060	—	—	—	—	—	—	—	—
KENT COUNTY MEMORIAL HOSPITAL WARWICK	$1,060	—	—	—	—	—	—	—	—
WOMEN AND INFANTS HOSPITAL PROVIDENCE	$1,060	—	—	—	—	—	—	—	—
OUR LADY OF FATIMA HOSPITAL NORTH PROVIDENCE	$1,192	$174	$655	$1,580	$1,176	—	—	—	—
ROGER WILLIAMS MEDICAL CENTER PROVIDENCE	$1,192	$381	$492	$1,534	$516	—	—	—	—
SOUTH COUNTY HEALTH KENYON AVE WAKEFIELD	$1,405	$58.80	$100	$4,619	$100	$100	$100	$80.00	$30.00

What these prices are. Each figure is the facility’s own published self-pay (cash) price for CPT 99285, filed under the federal price transparency rule (45 CFR Part 180). Hospital facility charges may not include separate physician, anesthesia, or pathology fees. National median for this code: $1,180 across all reporting facilities. Dataset: Q4 2026. Always confirm the final price with the facility before booking.

Billed more than $1,060 for this?

That is the median of what the 8 Rhode Island hospitals above publish for Emergency department visit with high level of medical decision making — their own figures, filed under federal law. A bill well above them is evidence you can put in writing.

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Medicare reimbursement benchmark

For CPT 99285 in Rhode Island, Medicare reimburses about $173 on the 2026 Physician Fee Schedule (non-facility, state average across localities). Hospital cash prices for the same code in Rhode Island range from $421 to $1,405 — that means hospital cash prices are typically 6.1x what Medicare pays. If a self-pay quote you receive is more than 2-3x the Medicare rate, ask the hospital for the cash-discount price in writing.

Frequently asked questions

How much does emergency department visit with high level of medical decision making cost in Rhode Island?: Cash prices for emergency department visit with high level of medical decision making (CPT 99285) in Rhode Island range from $421 to $1,405, with a median of $1,060. Prices vary widely by hospital.
Where can I find the cheapest emergency department visit with high level of medical decision making in Rhode Island?: The cheapest Rhode Island hospital published cash price for this procedure is $421. Use the table above sorted by cash price to find the lowest-priced facility near you.
Are these the prices I'll pay?: These are the rates hospitals publish. Final price depends on your insurance, deductible, and the specific services billed. Always confirm with the facility and your insurer before any procedure.
Why do prices vary so much between hospitals?: Hospitals set cash prices independently, and insurance contracts negotiate different rates per payer. Two facilities a few miles apart can charge 5-10x different prices for the same procedure.
Where does this data come from?: Federal law (45 CFR § 180) requires hospitals to publish their pricing in a machine-readable file. We aggregate these files and republish in a consumer-friendly format.

Emergency department visit with high level of medical decision making in nearby states

Other procedures in Rhode Island

Methodology. Cash prices and insurance-negotiated rates published by each Rhode Island facility under federal price transparency rules (45 CFR § 180). CPT code 99285 (Doctor Visits). Data refreshed regularly; verify with the facility before any procedure.