facebook tracking Coronary bypass without cardiac catheterization without major complications cost in Connecticut: 2 hospitals compared (DRG 236)

Coronary bypass without cardiac catheterization without major complications in Connecticut

What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.

DRG 236 Inpatient 2024 Medicare data
Average charge $117,109 Hospital list price billed
Average payment $46,135 Medicare + patient + other payers
Medicare paid $34,399 Average per stay
Volume 32 Medicare hospital stays

Hospitals in Connecticut billed an average of $117,109 for coronary bypass without cardiac catheterization without major complications, about 2.5 times the average total payment of $46,135. That payment is 22% above the U.S. average of $37,830.

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 $46,135Billed $117,109

About 39¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Connecticut:

Connecticut hospitals: coronary bypass without cardiac catheterization without major complications

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 20 $118,576 $48,211 $34,950
St Vincent's Medical CenterBridgeport 12 $114,664 $42,676 $33,481
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Coronary bypass without cardiac catheterization without major complications in other states

Questions

How much does coronary bypass without cardiac catheterization without major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 2 hospitals in Connecticut was billed at $117,109 on average, while the average total payment was $46,135, of which Medicare paid $34,399. 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.