Cost Calculator

This price transparency tool is offered by Neighborhood Health Plan of Rhode Island to provide total cost pricing information on a limited number of medical services based on the “shoppable” services as identified by the Center of Medicaid and Medicare Services (CMS).  Cost estimates are based on historical average cost and are not member specific. Costs are informational only, and are not a guarantee of total price.  Actual costs may differ depending on your coverage, and are subject to change based on the specific services and supplies you receive.  Neighborhood Health Plan of Rhode Island does not provide medical advice, and medical benefits coverage cannot be bound via this site. You should always consult with your doctor about changes that impact your health or diagnosis and treatment of medical conditions. In all cases, your eligibility and benefits will be determined in accordance with and subject to the applicable plan document.  You should not rely exclusively on this or any other price estimate to make your health care purchasing decisions.

Cost Calculator Tool

This price transparency tool only provides pricing information for medical services.

Using the tool:

  • Find your Member ID on your ID card
  • Contact your provider for the procedure code (Preferred method for using the tool)
  • If using procedure description, use 1-2 key words about the service. For example, knee or knee surgery. Locate the procedure code and enter it into the search.

Please note, using procedure description will take longer to produce results.

To access pricing information for most of your covered behavioral health services visit the Consumer Price Transparency Tool located in our Behavioral Health portal at: You will need your Member ID to create your account.