facebook tracking Hip and femur procedures except major joint with complications cost in Connecticut: 20 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Connecticut

What 20 hospitals in Connecticut charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $73,375 Hospital list price billed
Average payment $21,587 Medicare + patient + other payers
Medicare paid $18,692 Average per stay
State rank #44 of 50 1 = lowest average payment

Hospitals in Connecticut billed an average of $73,375 for hip and femur procedures except major joint with complications, about 3.4 times the average total payment of $21,587. That payment is 17% above the U.S. average of $18,473.

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 $21,587Billed $73,375

About 29¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Connecticut hospitals: hip and femur procedures except major joint with 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 88 $72,760 $24,875 $21,896
Hartford HospitalHartford 78 $77,174 $22,222 $18,704
Danbury HospitalDanbury 66 $72,066 $20,691 $18,614
Middlesex HospitalMiddletown 55 $66,425 $18,866 $17,055
Bridgeport HospitalBridgeport 42 $62,809 $21,205 $18,230
Norwalk HospitalNorwalk 42 $84,558 $23,609 $18,679
Stamford HospitalStamford 39 $103,354 $21,128 $19,286
St Francis Hospital & Medical CenterHartford 35 $83,013 $21,416 $19,131
Lawrence & Memorial HospitalNew London 35 $57,446 $18,583 $15,933
St Vincent's Medical CenterBridgeport 35 $77,702 $23,141 $17,447
Greenwich Hospital AssociationGreenwich 32 $67,765 $18,575 $16,893
Midstate Medical CenterMeriden 28 $58,044 $17,599 $16,200
Hospital of Central Connecticut, theNew Britain 26 $69,947 $19,650 $18,054
William W Backus HospitalNorwich 24 $63,496 $19,293 $15,610
John Dempsey HospitalFarmington 22 $80,607 $29,958 $26,520
Saint Marys HospitalWaterbury 21 $65,172 $21,154 $19,236
Waterbury HospitalWaterbury 17 $101,914 $23,831 $15,488
Charlotte Hungerford HospitalTorrington 14 $56,632 $17,438 $15,922
Griffin HospitalDerby 13 $75,995 $20,205 $18,347
Sharon HospitalSharon 11 $51,878 $26,304 $24,672
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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

Charlotte Hungerford HospitalTorrington, CT$17,438
Midstate Medical CenterMeriden, CT$17,599
Greenwich Hospital AssociationGreenwich, CT$18,575
Lawrence & Memorial HospitalNew London, CT$18,583
Middlesex HospitalMiddletown, CT$18,866

Highest

John Dempsey HospitalFarmington, CT$29,958
Sharon HospitalSharon, CT$26,304
Yale-New Haven HospitalNew Haven, CT$24,875
Waterbury HospitalWaterbury, CT$23,831
Norwalk HospitalNorwalk, CT$23,609

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 20 hospitals in Connecticut was billed at $73,375 on average, while the average total payment was $21,587, of which Medicare paid $18,692. 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 3.4 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.