Rotator Cuff Surgery Cost in Rhode Island (2026): Average Prices & What You'll Pay
What does a rotator cuff surgery cost in Rhode Island?
You could pay $1,626 or $7,475 for the same rotator cuff surgery in Rhode Island - depending entirely on which facility you choose. The median cash price across 7 reporting hospitals is $2,145. This data comes directly from hospital price transparency files published under federal law.
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Where rotator cuff surgery costs vary in Rhode Island
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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What you pay for a rotator cuff surgery depends on where you go and what is billed separately. Most patients find out after.
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Cheapest Rotator Cuff Surgery Providers in Rhode Island
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs median ($2,145) |
|---|---|---|---|---|
| 1 | Prospect CharterCare SJHSRI, LLC | North Providence, RI | $1,625 | $520 below |
| 2 | Prospect CharterCare RWMC, LLC | Providence, RI | $1,626 | $519 below |
| 3 | The Miriam Hospital | Providence, RI | $2,145 | $0 above |
| 4 | Rhode Island Hospital | Providence, RI | $7,466 | $5,321 above |
| 5 | Newport Hospital | Newport, RI | $7,510 | $5,365 above |
| 6 | Landmark Medical Center | RI | $8,118 | $5,973 above |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Before you book: three questions that change the price
- Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
- Can you give me the price in writing, with the billing codes it covers?
- What happens to the price if something extra is needed during the procedure?
Estimate your out-of-pocket cost → · When the bills arrive, we check them for errors →
Quick take
- Prospect CharterCare SJHSRI, LLC is the lowest-cost option at $1,625 - $520 below the median posted price ($2,145), just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $2,145, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
How where you go changes what you pay for rotator cuff surgery
The same rotator cuff 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 $1,552–$8,118
- Professional fee $1,236–$4,264
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.
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Why prices vary - and what it means for your coverage
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.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$2,145 |
| Deductible met - 20% coinsurance | ~$429 |
| Out-of-network provider | $4,719+ |
Frequently asked questions: rotator cuff surgery costs in Rhode Island
How much does a rotator cuff surgery cost in Rhode Island?
The typical insurer-negotiated rate is $1,626, with most facilities between $1,320 and $3,209 (based on 7 hospitals reporting negotiated rates). Posted cash prices start at $1,625, with a median of $2,145; outlier facilities are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a rotator cuff surgery in Rhode Island?
Based on declared prices, the lowest posted price in our Rhode Island data is Prospect CharterCare SJHSRI, LLC in North Providence at about $1,625. By metro, Providence has the lowest median ($2,145). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a rotator cuff surgery so much cheaper at some Rhode Island hospitals?
Typical prices vary about 2.4× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $2,145 versus a median negotiated rate of $1,626 - about 1.3× higher. Asking for the cash price as well as 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 rotator cuff 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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
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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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