Spinal Fusion Cost in Rhode Island (2026): Average Prices & What You'll Pay
What does a spinal fusion cost in Rhode Island?
A typical spinal fusion in Rhode Island costs $6,724–$13,949 for a commercially insured patient, including facility and physician fees. The median reported facility price across 7 hospitals is $4,036. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.
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. Spinal fusion is among the highest-cost elective surgeries, with total episode costs (implant hardware, facility, anesthesia, and post-acute care) commonly exceeding $50,000 for multi-level procedures. The implant components alone can account for $15,000–$40,000 of the facility charge, and prices vary dramatically across hospitals for identical hardware. Seeking a second surgical opinion and confirming bundled vs. itemized billing before scheduling are the most impactful steps you can take.
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Example: two commercially insured patients in Providence could pay ~$3,607 and ~$5,637 for the identical procedure - a $2,030 difference driven entirely by facility choice.
Where spinal fusion 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.
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Cheapest Spinal Fusion 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 SJHSRI, LLC | North Providence, RI | $3,090 | -$946 |
| 2 | SOUTH COUNTY HEALTH | RI | $3,601 | -$435 |
| 3 | Prospect CharterCare RWMC, LLC | Providence, RI | $3,662 | -$374 |
| 4 | The Miriam Hospital | Providence, RI | $4,409 | +$373 |
| 5 | Newport Hospital | Newport, RI | $5,773 | +$1,737 |
| 6 | Rhode Island Hospital | Providence, RI | $6,880 | +$2,844 |
| 7 | Landmark Medical Center | RI | $19,617 | +$15,581 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Prospect CharterCare SJHSRI, LLC is the lowest-cost option at $3,090 - $946 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 $4,409, 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 spinal fusion
The same spinal fusion 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 $1,440–$19,617
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,440–$1,440
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
Rhode Island Spinal Fusion prices by facility
All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
How we calculate "Your Price"
We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Rhode Island Hospital | Providence, RI | $1,440 | -$2,596 | $1,440–$1,560 |
| #2 | Prospect CharterCare SJHSRI, LLC | North Providence, RI | $3,090 | -$946 | $1,298–$35,571 |
| #3 | SOUTH COUNTY HEALTH | RI | $3,601 | -$435 | $6,003–$48,852 |
| #4 | Prospect CharterCare RWMC, LLC | Providence, RI | $3,662 | -$374 | $1,147–$20,062 |
| #5 | The Miriam Hospital | Providence, RI | $4,409 | +$373 | $1,417–$171,337 |
| #6 | Newport Hospital | Newport, RI | $5,773 | +$1,737 | $1,656–$132,827 |
| #7 | Landmark Medical Center | RI | $19,617 | +$15,581 | $2,919–$3,869 |
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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
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Why prices vary - and what it means for your coverage
A small number of hospitals (1) report prices above $9,916, including Landmark Medical Center at $19,617, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $4,036 versus $1,440 inpatient, so where a procedure happens often matters more than which hospital you pick.
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 | ~$9,231 |
| Deductible met - 20% coinsurance | ~$1,846 |
| Out-of-network provider | $20,308+ |
Frequently asked questions: spinal fusion costs in Rhode Island
How much does a spinal fusion cost in Rhode Island?
Across 7 Rhode Island hospitals that publish prices, a spinal fusion ranges from $1,147 to $171,337, with a median of $4,036. Most facilities fall between $3,473 and $5,637. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a spinal fusion in Rhode Island?
Based on declared prices, the lowest-cost facility in our Rhode Island data is Rhode Island Hospital in Providence at about $1,440. By metro, Providence has the lowest median ($4,036). 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 spinal fusion so much cheaper at some Rhode Island hospitals?
Prices vary up to 149.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Rhode Island, the median cash (self-pay) price is $4,409 versus a median negotiated rate of $379 - about 11.6× 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 spinal fusion 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
Other procedures in Rhode Island
Spinal Fusion, elsewhere
Other Rhode Island Hospitals for Spinal Fusion
These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
ALBERTO V. ERFE, MD, INC.
4017650030 |
WOONSOCKET, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
ANESTHETICS OF MASS
4014902130 |
RIVERSIDE, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
APHMFP
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
BLACKSTONE MEDICAL CENTER, INC.
4017694100 |
WOONSOCKET, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CHARTERCARE OUR LADY OF FATIMA HOSPITAL
4014563000 |
NORTH PROVIDENCE, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
CHARTERCARE ROGER WILLIAMS MEDICAL CENTER
4014562000 |
PROVIDENCE, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
FERGUSON ANIMAL HOSPITAL
4013494280 |
NORTH PROVIDENCE, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
FIRST PHYSICIANS CORP
4013334411 |
LINCOLN, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
KENT COUNTY MEMORIAL HOSPITAL - NAVY RESOURCE SHARING
4017377000 |
WARWICK, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
KENT HOSPITAL
4017377010 |
WARWICK, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
MEMORIAL HOSPITAL OF RI
4018085991 |
PAWTUCKET, RI | Rural Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
MHRI/BROWN UNIVERSITY
4017292221 |
PAWTUCKET, RI | General Acute Care Hospital | $2,009–$27,401 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 31 more Rhode Island hospitals
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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
What's on your bill
A spinal fusion involves multiple providers who bill separately - typically Drg Facility Stay, Spine 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 spinal fusion changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
Prior authorization
Most commercial and Medicare Advantage plans require pre-approval for spinal fusion. Call the member services number on your insurance card before scheduling and get the authorization number in writing - a lapsed or missing authorization can leave you responsible for the full cost.
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 spinal fusion 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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