Cataract Surgery Cost in Rhode Island (2026): Average Prices & What You'll Pay
What does a cataract surgery cost in Rhode Island?
Where you have a cataract surgery done in Rhode Island swings the bill from $927 to $1,129 for identical care. The median cash price across 5 reporting hospitals is $989. The numbers are pulled directly from federally mandated hospital price transparency files.
Where cataract surgery costs vary in Rhode Island
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
26+ people checked prices near them this month.
Insurance covers cataract surgery - but the premium lens it won't cover can add $1,500–$3,000 per eye.
Your personalized cost report includes:
- ✓ Why the standard lens is covered but a toric/multifocal upgrade is billed directly to you
- ✓ The four separate bills (facility, surgeon, anesthesia, lens) and which to scrutinize
- ✓ Why an ambulatory surgery center usually costs less than a hospital for the identical operation
- ✓ How anesthesia ends up out-of-network even at an in-network surgery center
- ✓ A real patient billing breakdown, line by line
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Cheapest Cataract Surgery Providers in Rhode Island
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Prospect CharterCare RWMC, LLC | Providence, RI | $912 | -$77 |
| 2 | The Miriam Hospital | Providence, RI | $989 | +$0 |
| 3 | Prospect CharterCare SJHSRI, LLC | North Providence, RI | $1,164 | +$175 |
| 4 | Rhode Island Hospital | Providence, RI | $2,432 | +$1,443 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Prospect CharterCare RWMC, LLC is the lowest-cost option at $912 - $77 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $989, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for cataract surgery
The same cataract surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $805–$2,432
- Professional fee $803–$2,932
Estimated from CMS fee schedules + commercial rate multipliers
Lifespan (Rhode Island Hospital, Miriam Hospital) and Care New England (Women & Infants, Kent Hospital) dominate a market that is effectively a single metro area - Providence and its immediate suburbs. Rhode Island approved a merger between the two systems, which when complete will create a near-monopoly in the state's hospital market. Prices here already trend above the Northeast average. Medicare covers cataract surgery at a defined allowed amount wage-adjusted for your location - the main cost variable isn't geography but lens type. Standard monofocal lenses are fully covered; premium multifocal or toric lenses add $1,500–$3,000 per eye out-of-pocket regardless of insurance. Ambulatory surgery centers consistently charge less than hospital outpatient departments for the identical procedure.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $1,542, including Rhode Island Hospital at $2,432, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$989 |
| Deductible met - 20% coinsurance | ~$198 |
| Out-of-network provider | $2,176+ |
Frequently asked questions: cataract surgery costs in Rhode Island
How much does a cataract surgery cost in Rhode Island?
Across 5 Rhode Island hospitals that publish prices, a cataract surgery ranges from $805 to $20,234, with a median of $989. Most facilities fall between $912 and $1,129. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a cataract surgery in Rhode Island?
Based on declared prices, the lowest-cost facility in our Rhode Island data is Newport Hospital in Newport at about $805. By metro, Providence has the lowest median ($989). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a cataract surgery so much cheaper at some Rhode Island hospitals?
Prices vary up to 25.1× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $989 versus a median negotiated rate of $989 - about 1× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a cataract surgery in Rhode Island?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read a Medicare Summary Notice
Other procedures in Rhode Island
Cataract Surgery, elsewhere
Other Rhode Island Hospitals and ambulatory surgery centers for Cataract Surgery
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Rhode Island. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALBERTO V. ERFE, MD, INC.
4017650030 |
WOONSOCKET, RI | General Acute Care Hospital | $1,608–$5,364 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ANESTHETICS OF MASS
4014902130 |
RIVERSIDE, RI | General Acute Care Hospital | $1,608–$5,364 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
APHMFP
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $1,608–$5,364 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ARTISTIC CONTOURS LLC
4017395500 |
WARWICK, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ARTISTIC SURGICAL CENTER
4015417170 |
EAST GREENWICH, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BAYSIDE ENDOSCOPY CENTER LLC
4012741810 |
EAST GREENWICH, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLACKSTONE MEDICAL CENTER, INC.
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $1,608–$5,364 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLACKSTONE VALLEY SURGICARE ACQUISITION LP
4014593800 |
JOHNSTON, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BROWN MEDICINE
4016494030 |
EAST PROVIDENCE, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CANDESCENT EYE SURGICENTER LLC
4013846537 |
WARWICK, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CHARTERCARE BLACKSTONE SURGERY CENTER, LLC
4014593800 |
JOHNSTON, RI | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CHARTERCARE OUR LADY OF FATIMA HOSPITAL
4014563000 |
NORTH PROVIDENCE, RI | General Acute Care Hospital | $1,608–$5,364 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 60 more Rhode Island hospitals and ambulatory surgery centers
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same cataract surgery - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A cataract surgery involves multiple providers who bill separately - typically Facility Fee, Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this cataract surgery changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for cataract surgery before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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