facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Connecticut: 18 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Connecticut

What 18 hospitals in Connecticut charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $75,824 Hospital list price billed
Average payment $22,117 Medicare + patient + other payers
Medicare paid $19,249 Average per stay
State rank #44 of 50 1 = lowest average payment

Hospitals in Connecticut billed an average of $75,824 for hip replacement with principal diagnosis of hip fracture without major complications, about 3.4 times the average total payment of $22,117. That payment is 21% above the U.S. average of $18,301.

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 $22,117Billed $75,824

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: hip replacement with principal diagnosis of hip fracture 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
Yale-New Haven HospitalNew Haven 42 $71,563 $27,277 $21,308
Hartford HospitalHartford 32 $73,761 $23,618 $19,673
Greenwich Hospital AssociationGreenwich 28 $95,628 $19,412 $17,677
Danbury HospitalDanbury 28 $68,836 $20,311 $18,437
Norwalk HospitalNorwalk 27 $83,218 $22,541 $20,158
St Francis Hospital & Medical CenterHartford 24 $90,537 $21,370 $19,229
Stamford HospitalStamford 21 $106,968 $20,959 $19,218
Middlesex HospitalMiddletown 21 $80,703 $19,830 $17,956
Midstate Medical CenterMeriden 20 $55,811 $18,028 $16,559
Lawrence & Memorial HospitalNew London 18 $53,141 $19,526 $15,934
St Vincent's Medical CenterBridgeport 18 $72,338 $21,335 $19,630
John Dempsey HospitalFarmington 18 $61,933 $30,618 $27,542
Hospital of Central Connecticut, theNew Britain 17 $83,837 $22,130 $19,054
Saint Marys HospitalWaterbury 15 $69,948 $22,605 $18,448
William W Backus HospitalNorwich 15 $64,488 $19,185 $15,180
Bridgeport HospitalBridgeport 14 $62,902 $21,919 $20,117
Manchester Memorial HospitalCentral Manchester 14 $65,027 $20,644 $18,826
Waterbury HospitalWaterbury 11 $89,680 $21,172 $19,069
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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

Midstate Medical CenterMeriden, CT$18,028
William W Backus HospitalNorwich, CT$19,185
Greenwich Hospital AssociationGreenwich, CT$19,412
Lawrence & Memorial HospitalNew London, CT$19,526
Middlesex HospitalMiddletown, CT$19,830

Highest

John Dempsey HospitalFarmington, CT$30,618
Yale-New Haven HospitalNew Haven, CT$27,277
Hartford HospitalHartford, CT$23,618
Saint Marys HospitalWaterbury, CT$22,605
Norwalk HospitalNorwalk, CT$22,541

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 18 hospitals in Connecticut was billed at $75,824 on average, while the average total payment was $22,117, of which Medicare paid $19,249. 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.