Fractures of hip and pelvis with major complications in Connecticut
What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for fractures of hip and pelvis with major complications (DRG 535), from 2024 Medicare claims.
Average charge
$52,536
Hospital list price billed
Average payment
$15,222
Medicare + patient + other payers
Medicare paid
$12,714
Average per stay
Volume
32
Medicare hospital stays
Hospitals in Connecticut billed an average of $52,536 for fractures of hip and pelvis with major complications, about 3.5 times the average total payment of $15,222. That payment is 25% above the U.S. average of $12,153.
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 $15,222Billed $52,536
About 29¢ 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: fractures of hip and pelvis with 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 |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 20 | $55,041 | $16,990 | $13,876 |
| Greenwich Hospital AssociationGreenwich | 12 | $48,362 | $12,276 | $10,776 |
Fractures of hip and pelvis with major complications in other states
Questions
How much does fractures of hip and pelvis with major complications cost in Connecticut?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis with major complications (DRG 535) at 2 hospitals in Connecticut was billed at $52,536 on average, while the average total payment was $15,222, of which Medicare paid $12,714. 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 3.5 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.