facebook tracking Hip and femur procedures except major joint with major complications cost in Connecticut: 14 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Connecticut

What 14 hospitals in Connecticut charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $105,281 Hospital list price billed
Average payment $30,803 Medicare + patient + other payers
Medicare paid $27,361 Average per stay
State rank #40 of 46 1 = lowest average payment

Hospitals in Connecticut billed an average of $105,281 for hip and femur procedures except major joint with major complications, about 3.4 times the average total payment of $30,803. That payment is 17% above the U.S. average of $26,284.

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 $30,803Billed $105,281

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

Connecticut hospitals: hip and femur procedures except major joint 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 59 $107,161 $37,859 $31,945
Danbury HospitalDanbury 37 $91,856 $28,261 $26,000
Hartford HospitalHartford 36 $112,529 $31,596 $26,591
Bridgeport HospitalBridgeport 30 $76,220 $28,895 $26,799
Stamford HospitalStamford 25 $137,006 $27,617 $25,922
St Francis Hospital & Medical CenterHartford 18 $107,904 $29,004 $26,931
Lawrence & Memorial HospitalNew London 18 $85,829 $24,385 $22,820
Waterbury HospitalWaterbury 17 $140,760 $32,678 $27,297
William W Backus HospitalNorwich 16 $85,262 $24,840 $23,234
Middlesex HospitalMiddletown 14 $82,865 $25,268 $23,341
Greenwich Hospital AssociationGreenwich 13 $90,185 $28,618 $21,312
Hospital of Central Connecticut, theNew Britain 13 $183,798 $44,495 $41,952
St Vincent's Medical CenterBridgeport 12 $93,795 $27,468 $26,051
Norwalk HospitalNorwalk 12 $92,850 $27,925 $25,536
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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

Lawrence & Memorial HospitalNew London, CT$24,385
William W Backus HospitalNorwich, CT$24,840
Middlesex HospitalMiddletown, CT$25,268
St Vincent's Medical CenterBridgeport, CT$27,468
Stamford HospitalStamford, CT$27,617

Highest

Hospital of Central Connecticut, theNew Britain, CT$44,495
Yale-New Haven HospitalNew Haven, CT$37,859
Waterbury HospitalWaterbury, CT$32,678
Hartford HospitalHartford, CT$31,596
St Francis Hospital & Medical CenterHartford, CT$29,004

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 14 hospitals in Connecticut was billed at $105,281 on average, while the average total payment was $30,803, of which Medicare paid $27,361. 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.