ACL Surgery (ACL Reconstruction) Cost in Rhode Island (2026)
Somewhat above the national average · RPP 104.8 · RI
What Drives Pricing Here
Three factors explain most of why acl surgery (acl reconstruction) costs what it does in Rhode Island.
Regional Price Parity
Rhode Island's cost-of-living index sits at 104.8 — above the national benchmark (100). This directly scales facility and staffing overhead, which flow through to every procedure price.
Specialist Availability
7 facilities perform this procedure in Rhode Island — competition keeps pricing honest and gives you real leverage to shop quotes.
Vs. National Benchmark
At +4.8% above the national average ($20,000), Rhode Island sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.
ACL Surgery (ACL Reconstruction) in Rhode Island: What to Know
Rhode Island offers several locations for ACL reconstruction, with hubs in Warwick, Providence and Wakefield. Kent County Memorial Hospital in Warwick sees the highest volume. While specific data on out-of-state travel for this surgery is limited, Rhode Island's proximity to other states means you might encounter patients from nearby areas seeking care within the state. Keep in mind that new or expanded tertiary care services are subject to Rhode Island's Certificate of Need process, which regulates healthcare development.
If you have flexibility, consider exploring options outside of the main hospital systems. Ambulatory surgery centers may offer competitive pricing. Also, evaluate costs in neighboring states like Connecticut or Massachusetts, as prices and facility fees can vary. Verify current pricing directly with providers.
Estimated Cost Breakdown in Rhode Island
Rhode Island runs somewhat above the national average for acl surgery (acl reconstruction). Here's where the extra cost comes from.
Facility Fee
OR time and hospital staffing
Most significant cost
Surgeon Fee
Expertise and experience level
Implants & Supplies
Post-Op Care
Recovery and aftercare
Anesthesia
Anesthesiologist or CRNA fee
Total Estimated Cost
Rhode Island all-in range
Financing Options
Many Rhode Island clinics partner with CareCredit or Alphaeon. A typical 24-month, 0% APR term on $20,960 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Based on CMS Medicare data and regional price parities. Learn about our methodology →
Ranges adjusted for Rhode Island's regional price parity (104.8). See the national percentage breakdown →
Facility Costs in Rhode Island
Below are the top facilities performing acl surgery (acl reconstruction) in Rhode Island, ranked by volume. Rates shown are negotiated amounts from CMS Medicare data.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Kent County Memorial Hospital | Warwick | $3,106 | $2,470 | 83 |
| Rhode Island Hospital | Providence | $3,052 | $2,413 | 69 |
| South County Hospital Inc | Wakefield | $3,071 | $2,417 | 52 |
| Newport Hospital | Newport | $2,991 | $2,368 | 50 |
| The Miriam Hospital | Providence | $2,860 | $2,265 | 39 |
| Roger Williams Medical Center | Providence | $3,074 | $2,410 | 36 |
| Our Lady Of Fatima Hospital | North Providence | $3,168 | $2,518 | 27 |
ACL Surgery (ACL Reconstruction) Cost in Nearby States
Rhode Island has the lowest acl surgery (acl reconstruction) costs in the region. Neighboring states all run higher — here's how they compare.
Expert Answers for Rhode Island Patients
Local regulations, insurance nuance, and surgical standards specific to Rhode Island.
Compare Rhode Island with any other state
See national pricing, all 50 state comparisons, and detailed cost factors in the main acl surgery (acl reconstruction) cost guide.
View full acl surgery (acl reconstruction) guideWhat should I expect to pay for acl surgery (acl reconstruction) in Rhode Island?
Can I use insurance for acl surgery (acl reconstruction) in Rhode Island?
When can I return to work after acl surgery (acl reconstruction)?
What payment options exist for acl surgery (acl reconstruction) in Rhode Island?
How do I choose a acl surgery (acl reconstruction) facility in Rhode Island?
Can Medicaid help pay for acl surgery (acl reconstruction) in Rhode Island?
Can I use my HSA or FSA for acl surgery (acl reconstruction)?
How we calculate acl surgery (acl reconstruction) costs in Rhode Island
Cost estimates combine procedure-specific pricing data with regional cost-of-living and provider-supply adjustments. Primary sources:
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Hospital pricing transparency files — CMS-required machine-readable data published by hospitals under the CMS Hospital Price Transparency rule (effective January 2021). Provides actual negotiated rates between hospitals and insurers.
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HCUP (Healthcare Cost & Utilization Project) — AHRQ's HCUP databases provide nationally-representative procedure cost data by state, payer, and patient demographics.
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Bureau of Labor Statistics — Healthcare Practitioner Occupational Wages — BLS OEWS data on surgeon, anesthesiologist, and surgical staff wages by state, used to model regional labor-cost differences in procedure pricing.
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BEA Regional Price Parities (RPP) — U.S. Bureau of Economic Analysis state-level price-level indices, used to adjust national procedure averages for Rhode Island's cost-of-living relative to the national mean.
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FAIR Health Consumer Cost Lookup — the FAIR Health database aggregates billed and allowed amounts from over 36 billion claim records, providing a check on procedure-cost ranges by ZIP code.
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Medicare Provider Utilization & Payment Data — CMS public-use files on Medicare-allowed amounts and submitted charges by HCPCS/CPT code and state, used as a baseline for procedure-cost ranges.
Estimates are illustrative and reflect typical pricing ranges; actual costs depend on insurance coverage, surgical complexity, anesthesia type, hospital vs. ambulatory setting, and individual patient factors. Always confirm pricing directly with providers and your insurance carrier. See our methodology page for full calculation details.