facebook tracking Gastrointestinal obstruction with major complications cost in Connecticut: 2 hospitals compared (DRG 388)

Gastrointestinal obstruction with major complications in Connecticut

What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $56,629 Hospital list price billed
Average payment $17,679 Medicare + patient + other payers
Medicare paid $14,294 Average per stay
Volume 40 Medicare hospital stays

Hospitals in Connecticut billed an average of $56,629 for gastrointestinal obstruction with major complications, about 3.2 times the average total payment of $17,679. That payment is 23% above the U.S. average of $14,417.

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 $17,679Billed $56,629

About 31¢ 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: gastrointestinal obstruction 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 23 $59,834 $18,560 $15,598
Danbury HospitalDanbury 17 $52,292 $16,486 $12,531
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Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 2 hospitals in Connecticut was billed at $56,629 on average, while the average total payment was $17,679, of which Medicare paid $14,294. 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 3.2 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.