facebook tracking Implantation of Drug Infusion Device cost in Connecticut: 9 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Connecticut

What 9 hospitals in Connecticut charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $55,060 Hospital list price billed
Average allowed $18,639 Medicare's payment + patient's share
Medicare paid $16,998 Average per service
State rank #29 of 32 1 = lowest average payment

Hospitals in Connecticut billed an average of $55,060 for implantation of drug infusion device, about 3.0 times the average medicare-allowed amount of $18,639. That payment is 13% above the U.S. average of $16,462.

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 $18,639Billed $55,060

About 34¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: implantation of drug infusion device

Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Yale-New Haven HospitalNew Haven 12 $55,060 $18,639 $16,998
St Francis Hospital & Medical CenterHartford – – – –
Stamford HospitalStamford – – – –
Lawrence & Memorial HospitalNew London – – – –
Greenwich Hospital AssociationGreenwich – – – –
Hartford HospitalHartford – – – –
Danbury HospitalDanbury – – – –
Hospital of Central Connecticut, theNew Britain – – – –
John Dempsey HospitalFarmington – – – –
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Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Connecticut?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 9 hospitals in Connecticut was billed at $55,060 on average, while the average medicare-allowed amount was $18,639, of which Medicare paid $16,998. 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 service in Connecticut, average charges were 3.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.