facebook tracking Cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Connecticut: 5 hospitals compared (DRG 219)

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Connecticut

What 5 hospitals in Connecticut charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.

DRG 219 Inpatient 2024 Medicare data
Average charge $222,391 Hospital list price billed
Average payment $89,971 Medicare + patient + other payers
Medicare paid $69,556 Average per stay
State rank #32 of 37 1 = lowest average payment

Hospitals in Connecticut billed an average of $222,391 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 2.5 times the average total payment of $89,971. That payment is 7% above the U.S. average of $83,705.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $89,971Billed $222,391

About 40¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Connecticut:

Connecticut hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization

Every Connecticut hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Hartford HospitalHartford 72 $175,082 $88,427 $65,224
Yale-New Haven HospitalNew Haven 56 $259,130 $102,402 $74,727
St Francis Hospital & Medical CenterHartford 20 $252,479 $81,388 $69,945
Bridgeport HospitalBridgeport 12 $240,152 $77,285 $74,386
Danbury HospitalDanbury 12 $266,892 $68,214 $65,940
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Lowest and highest payments in Connecticut

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Danbury HospitalDanbury, CT$68,214
Bridgeport HospitalBridgeport, CT$77,285
St Francis Hospital & Medical CenterHartford, CT$81,388
Hartford HospitalHartford, CT$88,427
Yale-New Haven HospitalNew Haven, CT$102,402

Highest

Yale-New Haven HospitalNew Haven, CT$102,402
Hartford HospitalHartford, CT$88,427
St Francis Hospital & Medical CenterHartford, CT$81,388
Bridgeport HospitalBridgeport, CT$77,285
Danbury HospitalDanbury, CT$68,214

Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states

Questions

How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Connecticut?

In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 5 hospitals in Connecticut was billed at $222,391 on average, while the average total payment was $89,971, of which Medicare paid $69,556. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Connecticut, average charges were 2.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.