Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Connecticut
What 3 hospitals in Connecticut charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$162,466
Hospital list price billed
Average payment
$67,763
Medicare + patient + other payers
Medicare paid
$43,989
Average per stay
State rank
#31 of 33
1 = lowest average payment
Hospitals in Connecticut billed an average of $162,466 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 2.4 times the average total payment of $67,763. That payment is 22% above the U.S. average of $55,508.
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 $67,763Billed $162,466
About 42¢ 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 | 59 | $125,406 | $70,334 | $39,121 |
| Yale-New Haven HospitalNew Haven | 30 | $219,900 | $68,843 | $53,027 |
| Danbury HospitalDanbury | 15 | $193,372 | $55,491 | $45,061 |
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 | $55,491 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $68,843 |
| Hartford HospitalHartford, CT | $70,334 |
Highest
| Hartford HospitalHartford, CT | $70,334 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $68,843 |
| Danbury HospitalDanbury, CT | $55,491 |
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 220) at 3 hospitals in Connecticut was billed at $162,466 on average, while the average total payment was $67,763, of which Medicare paid $43,989. 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 2.4 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.