Complex GI Procedures in Connecticut
What 22 hospitals in Connecticut charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$23,676
Hospital list price billed
Average allowed
$6,266
Medicare's payment + patient's share
Medicare paid
$4,968
Average per service
State rank
#46 of 48
1 = lowest average payment
Hospitals in Connecticut billed an average of $23,676 for complex gi procedures, about 3.8 times the average medicare-allowed amount of $6,266. That payment is 17% above the U.S. average of $5,364.
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 $6,266Billed $23,676
About 26¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: complex gi procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 145 | $15,250 | $6,381 | $5,075 |
| Hartford HospitalHartford | 67 | $38,444 | $6,135 | $4,842 |
| Danbury HospitalDanbury | 24 | $21,696 | $6,147 | $4,897 |
| Stamford HospitalStamford | 15 | $33,975 | $6,079 | $4,774 |
| Bridgeport HospitalBridgeport | 11 | $19,412 | $6,420 | $5,115 |
| William W Backus HospitalNorwich | 11 | $39,339 | $5,897 | $4,605 |
| St Francis Hospital & Medical CenterHartford | – | – | – | – |
| Day Kimball HospitalPutnam | – | – | – | – |
| Sharon HospitalSharon | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Greenwich Hospital AssociationGreenwich | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| St Vincent's Medical CenterBridgeport | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Norwalk HospitalNorwalk | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| William W Backus HospitalNorwich, CT | $5,897 |
|---|---|
| Stamford HospitalStamford, CT | $6,079 |
| Hartford HospitalHartford, CT | $6,135 |
| Danbury HospitalDanbury, CT | $6,147 |
| Yale-New Haven HospitalNew Haven, CT | $6,381 |
Highest
| Bridgeport HospitalBridgeport, CT | $6,420 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $6,381 |
| Danbury HospitalDanbury, CT | $6,147 |
| Hartford HospitalHartford, CT | $6,135 |
| Stamford HospitalStamford, CT | $6,079 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Connecticut?
In 2024 Medicare data, complex gi procedures (APC 5331) at 22 hospitals in Connecticut was billed at $23,676 on average, while the average medicare-allowed amount was $6,266, of which Medicare paid $4,968. 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 service in Connecticut, average charges were 3.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.