Medical Procedure Costs in Rhode Island

Rhode Island medical procedure costs are generally above the national average. Rhode Island has a single Medicare pricing locality.

Cost vs National Avg
+2.2%
Higher than average
Pricing Localities
1
Medicare pricing regions
Procedures Covered
7,500+
CPT codes with pricing

Procedure Costs in Rhode Island

ProcedureRhode Island
Incision & Drainage of Abscess$132
Skin Biopsy (Tangential)$98
Skin Biopsy (Punch)$124
Destruction of Skin Lesion$68
Partial Mastectomy$637
Total Hip Replacement$1,172
Total Knee Replacement$1,170
Knee Arthroscopy$523
Upper Endoscopy (EGD)$331
Upper Endoscopy (EGD) With Biopsy$430
Colonoscopy (Diagnostic)$387
Colonoscopy With Biopsy$492
Colonoscopy With Polyp Removal$512
Laparoscopic Cholecystectomy$635
Laparoscopic Inguinal Hernia Repair$428
Laparoscopic Removal of Ovarian Cyst$590
Vaginal Delivery (Global)$2,221
Cesarean Delivery (Global)$2,475
Lumbar Discectomy$904
Cataract Surgery$472
MRI Brain Without Contrast$201
MRI Brain With Contrast$276
MRI Brain$326
Chest X-Ray$34
CT Chest Without Contrast$136
CT Chest With Contrast$171
MRI Cervical Spine$196
MRI Lumbar Spine$197
Shoulder X-Ray$37
MRI Shoulder$211
Knee X-Ray$35
MRI Knee$210
CT Abdomen & Pelvis Without Contrast$188
CT Abdomen & Pelvis With Contrast$309
Ultrasound Abdomen$117
Ultrasound Transvaginal$121
Ultrasound Pelvis$108
Diagnostic Mammogram$161
Screening Mammogram$130
Nuclear Stress Test$441
Psychiatric Evaluation$177
Psychiatric Evaluation With Medical Services$206
Psychotherapy (45 min)$116
Psychotherapy (60 min)$171
ECG/EKG$16
Echocardiogram$202
Stress Echocardiogram$191
Carotid Ultrasound$194
Laser Treatment for Skin$142
Physical Therapy (Therapeutic Exercise)$30
Physical Therapy (Manual Therapy)$28
PT Evaluation (Low Complexity)$100
PT Evaluation (Moderate Complexity)$100
Office Visit (New, Low)$120
Office Visit (New, Moderate-High)$181
Office Visit (New, High)$241
Office Visit (Established, Moderate)$97
Office Visit (Established, Moderate-High)$139
Office Visit (Established, High)$196

Prices shown are Medicare office (non-facility) rates. Click any procedure for full details including hospital rates and savings tips.

Understanding Medical Costs in Rhode Island

Medical procedure costs in Rhode Island are determined by Medicare's Geographic Practice Cost Indices (GPCIs), which account for differences in physician work, practice expenses, and malpractice insurance across regions.

The prices listed above represent Medicare reimbursement rates, which serve as a baseline for what healthcare costs in Rhode Island. Private insurance companies typically negotiate rates between 130% and 200% of these Medicare amounts. If you are paying out of pocket, many providers in Rhode Island offer cash discounts of 20% to 40% off their standard charges.

For the most accurate pricing, enter your ZIP code on any procedure page to see costs adjusted for your specific locality within Rhode Island.

Ways to Save on Medical Costs in Rhode Island

Compare Insurance Plans

Comparing marketplace plans in Rhode Island could save you thousands on procedures.

Compare plans on eHealth →

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

Book on Sesame Care →

Save on Prescriptions

If a procedure leads to a prescription, discount cards can save up to 80% at pharmacies.

Check prices on GoodRx →

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Compare Costs in Other States

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Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations.