Level 1 Breast/Lymphatic Surgery and Related Procedures in Connecticut
What 25 hospitals in Connecticut charged and were paid for level 1 breast/lymphatic surgery and related procedures (APC 5091), from 2024 Medicare claims.
Average charge
$22,347
Hospital list price billed
Average allowed
$4,260
Medicare's payment + patient's share
Medicare paid
$3,390
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $22,347 for level 1 breast/lymphatic surgery and related procedures, about 5.2 times the average medicare-allowed amount of $4,260. That payment is 16% above the U.S. average of $3,688.
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 $4,260Billed $22,347
About 19¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 1 breast/lymphatic surgery 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 | 121 | $16,170 | $4,290 | $3,418 |
| Hartford HospitalHartford | 74 | $14,688 | $4,252 | $3,387 |
| Greenwich Hospital AssociationGreenwich | 57 | $31,510 | $4,294 | $3,421 |
| Danbury HospitalDanbury | 43 | $26,614 | $4,290 | $3,418 |
| Norwalk HospitalNorwalk | 36 | $29,978 | $4,290 | $3,418 |
| Bridgeport HospitalBridgeport | 35 | $19,736 | $4,293 | $3,421 |
| Stamford HospitalStamford | 33 | $39,682 | $4,294 | $3,421 |
| Saint Marys HospitalWaterbury | 30 | $20,642 | $4,252 | $3,377 |
| St Vincent's Medical CenterBridgeport | 28 | $24,665 | $4,171 | $3,299 |
| St Francis Hospital & Medical CenterHartford | 27 | $30,771 | $4,127 | $3,262 |
| Midstate Medical CenterMeriden | 22 | $16,529 | $4,252 | $3,388 |
| William W Backus HospitalNorwich | 20 | $19,567 | $4,252 | $3,388 |
| Middlesex HospitalMiddletown | 19 | $12,056 | $4,294 | $3,421 |
| Waterbury HospitalWaterbury | 15 | $32,070 | $4,027 | $3,149 |
| Manchester Memorial HospitalCentral Manchester | 14 | $24,759 | $4,252 | $3,388 |
| Hospital of Central Connecticut, theNew Britain | 14 | $18,010 | $4,294 | $3,421 |
| Charlotte Hungerford HospitalTorrington | 13 | $12,498 | $4,252 | $3,388 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Sharon HospitalSharon | – | – | – | – |
| Lawrence & Memorial HospitalNew London | – | – | – | – |
| Rockville General HospitalRockville | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
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
| Waterbury HospitalWaterbury, CT | $4,027 |
|---|---|
| St Francis Hospital & Medical CenterHartford, CT | $4,127 |
| St Vincent's Medical CenterBridgeport, CT | $4,171 |
| Charlotte Hungerford HospitalTorrington, CT | $4,252 |
| Midstate Medical CenterMeriden, CT | $4,252 |
Highest
| Stamford HospitalStamford, CT | $4,294 |
|---|---|
| Greenwich Hospital AssociationGreenwich, CT | $4,294 |
| Middlesex HospitalMiddletown, CT | $4,294 |
| Hospital of Central Connecticut, theNew Britain, CT | $4,294 |
| Bridgeport HospitalBridgeport, CT | $4,293 |
Level 1 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 1 breast/lymphatic surgery and related procedures cost in Connecticut?
In 2024 Medicare data, level 1 breast/lymphatic surgery and related procedures (APC 5091) at 25 hospitals in Connecticut was billed at $22,347 on average, while the average medicare-allowed amount was $4,260, of which Medicare paid $3,390. 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 5.2 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.