Rotator Cuff Surgery Cost in Rhode Island (2026)
Above-average costs · 4.8% over the US mean · RI
What Drives Pricing Here
Three factors explain most of why rotator cuff surgery 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
Limited local facility options in Rhode Island can reduce price competition. Consider quotes from neighboring states if the travel is feasible.
Vs. National Benchmark
At +4.8% above the national average ($15,000), Rhode Island sits in premium territory. Likely drivers: high demand, metro concentration, or tier-one facility networks.
Rotator Cuff Surgery in Rhode Island: What to Know
Rhode Island offers advanced rotator cuff surgery options. Rhode Island Hospital's Shoulder and Elbow Service performs over 450 shoulder and elbow surgeries annually, encompassing arthroscopic, open, and revision procedures. Ortho Rhode Island, with its Surgery Center in Warwick, was the first in the state to utilize the Stryker InSpace Balloon implant for irreparable tears and also offers the Arthrex CuffMend Rotator Cuff Augmentation System.
For potential cost savings, consider outpatient procedures at Ambulatory Surgery Centers (ASCs) like Ortho RI Surgery Center, which typically offer lower costs and same-day discharge compared to hospital-based procedures. University Orthopedics in Providence is a regional referral center offering a full spectrum of non-operative treatments as well. Verify current pricing directly with providers.
Estimated Cost Breakdown in Rhode Island
Rhode Island runs somewhat above the national average for rotator cuff surgery. 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 $15,720 looks like:
- Soft credit check — no hard pull
- Instant approval decisions
- HSA/FSA eligible for qualifying cases
Cost estimates are adjusted for regional pricing. See how we calculate state-level costs →
Ranges adjusted for Rhode Island's regional price parity (104.8). See the national percentage breakdown →
Facility Costs in Rhode Island
Here are the highest-volume rotator cuff surgery providers in Rhode Island. All rates come from CMS Medicare claims data — actual payments, not list prices.
| Facility | City | Negotiated Rate | Medicare | Volume |
|---|---|---|---|---|
| Rhode Island Hospital | Providence | $1,457 | $1,154 | 61 |
| Kent County Memorial Hospital | Warwick | $1,527 | $1,216 | 44 |
| The Miriam Hospital | Providence | $1,527 | $1,216 | 35 |
| Newport Hospital | Newport | $1,527 | $1,216 | 34 |
Rotator Cuff Surgery Cost in Nearby States
Among its neighbors, Rhode Island offers the best pricing for rotator cuff surgery. If you're already local, you're in a good spot cost-wise.
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 rotator cuff surgery cost guide.
View full rotator cuff surgery guideHow much does rotator cuff surgery cost in Rhode Island?
Will my health insurance pay for rotator cuff surgery?
When can I return to work after rotator cuff surgery?
What payment options exist for rotator cuff surgery in Rhode Island?
Can Medicaid help pay for rotator cuff surgery in Rhode Island?
Is rotator cuff surgery eligible for HSA/FSA funds?
What does the rotator cuff surgery cost in Rhode Island include?
How we calculate rotator cuff surgery 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.