Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Connecticut
What 25 hospitals in Connecticut charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$18,619
Hospital list price billed
Average allowed
$3,837
Medicare's payment + patient's share
Medicare paid
$3,049
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $18,619 for level 1 abdominal/peritoneal/biliary and related procedures, about 4.9 times the average medicare-allowed amount of $3,837. That payment is 15% above the U.S. average of $3,323.
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 $3,837Billed $18,619
About 21¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 | 172 | $14,781 | $3,841 | $3,047 |
| Stamford HospitalStamford | 97 | $22,356 | $3,877 | $3,087 |
| Danbury HospitalDanbury | 47 | $27,135 | $3,893 | $3,101 |
| Middlesex HospitalMiddletown | 43 | $18,028 | $3,825 | $3,033 |
| Greenwich Hospital AssociationGreenwich | 42 | $25,911 | $3,674 | $2,927 |
| William W Backus HospitalNorwich | 40 | $14,605 | $3,783 | $2,994 |
| Bridgeport HospitalBridgeport | 38 | $17,840 | $3,897 | $3,100 |
| Charlotte Hungerford HospitalTorrington | 37 | $9,393 | $3,859 | $3,073 |
| Hartford HospitalHartford | 37 | $12,194 | $3,776 | $2,991 |
| St Francis Hospital & Medical CenterHartford | 36 | $13,560 | $3,859 | $3,075 |
| Hospital of Central Connecticut, theNew Britain | 34 | $12,476 | $3,806 | $3,014 |
| John Dempsey HospitalFarmington | 33 | $11,976 | $3,859 | $3,075 |
| Norwalk HospitalNorwalk | 30 | $31,789 | $3,893 | $3,102 |
| Waterbury HospitalWaterbury | 26 | $30,648 | $3,785 | $3,009 |
| Bristol HospitalBristol | 19 | $34,440 | $3,859 | $3,073 |
| Saint Marys HospitalWaterbury | 18 | $23,404 | $3,859 | $3,075 |
| Midstate Medical CenterMeriden | 17 | $16,125 | $3,746 | $2,985 |
| Lawrence & Memorial HospitalNew London | 15 | $15,596 | $3,747 | $2,963 |
| St Vincent's Medical CenterBridgeport | 14 | $20,461 | $3,897 | $3,105 |
| Griffin HospitalDerby | 14 | $30,008 | $3,897 | $3,105 |
| Sharon HospitalSharon | 13 | $12,470 | $4,134 | $3,284 |
| Day Kimball HospitalPutnam | 12 | $8,937 | $3,608 | $2,819 |
| Johnson Memorial HospitalStafford Springs | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
Lowest and highest allowed amounts in Connecticut
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Day Kimball HospitalPutnam, CT | $3,608 |
|---|---|
| Greenwich Hospital AssociationGreenwich, CT | $3,674 |
| Midstate Medical CenterMeriden, CT | $3,746 |
| Lawrence & Memorial HospitalNew London, CT | $3,747 |
| Hartford HospitalHartford, CT | $3,776 |
Highest
| Sharon HospitalSharon, CT | $4,134 |
|---|---|
| Bridgeport HospitalBridgeport, CT | $3,897 |
| St Vincent's Medical CenterBridgeport, CT | $3,897 |
| Griffin HospitalDerby, CT | $3,897 |
| Danbury HospitalDanbury, CT | $3,893 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Connecticut?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 25 hospitals in Connecticut was billed at $18,619 on average, while the average medicare-allowed amount was $3,837, of which Medicare paid $3,049. 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 4.9 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.