Healthcare spending, insurance rates, and estimated procedure costs in Rhode Island (RI). Per-capita spending is 13% above the national average.
Estimates based on Rhode Island's cost index of 1.15x applied to national average procedure prices. Insured costs assume typical in-network copay/coinsurance at roughly 35% of the full price. Actual costs depend on provider, facility type, and insurance plan.
| Procedure | Estimated Cost | With Insurance | National Avg |
|---|---|---|---|
| Doctor Office Visit | $288 | $101 | $250 |
| Emergency Room Visit | $2,530 | $886 | $2,200 |
| MRI Scan | $1,524 | $533 | $1,325 |
| CT Scan | $949 | $332 | $825 |
| Childbirth (Vaginal) | $15,525 | $5,434 | $13,500 |
| Childbirth (C-Section) | $25,875 | $9,056 | $22,500 |
| Knee Replacement | $40,250 | $14,088 | $35,000 |
| Hip Replacement | $43,700 | $15,295 | $38,000 |
| Appendectomy | $18,400 | $6,440 | $16,000 |
| Colonoscopy | $3,162 | $1,107 | $2,750 |
| Dental Cleaning | $144 | $50 | $125 |
| Root Canal | $1,265 | $443 | $1,100 |
Rhode Island residents spend an average of $10,678 per person per year on healthcare, which is 13% higher than the national average of $9,421. The state's cost index of 1.15 means that a procedure costing $1,000 nationally would cost approximately $1,150 in Rhode Island.
Rhode Island has expanded Medicaid under the ACA, helping to reduce the uninsured rate to 3.7%. Residents with incomes up to 138% of the federal poverty level may qualify for Medicaid coverage.
For the best price on a planned procedure, compare quotes from at least three facilities. Hospital outpatient departments typically charge 2-3x more than ambulatory surgery centers for the same procedure. Under the CMS Hospital Price Transparency rule, all Rhode Island hospitals must publish their negotiated rates — use those files to comparison shop.
Data sources: CMS Hospital Price Transparency, Kaiser Family Foundation, Census Bureau ACS, Healthcare.gov marketplace data. Figures are estimates and may differ from actual billed amounts.
The average per-capita healthcare spending in Rhode Island is $10,678 per year. The cost index is 1.15x the national average, meaning medical procedures cost approximately 15% more than the US average.
Rhode Island has an uninsured rate of 3.7%, compared to the national average of approximately 8%. Rhode Island has expanded Medicaid under the ACA, which helps cover more low-income residents.
Top-rated hospitals in Rhode Island include Rhode Island Hospital, Miriam Hospital, Kent Hospital. Rankings are based on CMS Hospital Compare quality ratings, patient outcomes, and specialty accreditations.
The average monthly marketplace health insurance premium in Rhode Island is approximately $512. Actual costs vary based on plan tier (Bronze/Silver/Gold/Platinum), age, household size, and income-based subsidies available through Healthcare.gov.
Yes, Rhode Island has expanded Medicaid under the Affordable Care Act, extending coverage to adults with incomes up to 138% of the federal poverty level.
Data verified · Source: CMS, KFF, Census Bureau & Healthcare.gov data
Our healthcare economists track procedure costs, insurance coverage, and medical pricing across 40+ countries and major US insurance networks. Data sourced from CMS, FAIR Health, and international health ministry databases.
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