What 26 hospitals in Connecticut charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
Hospitals in Connecticut billed an average of $11,122 for level 1 nerve procedures, about 5.2 times the average medicare-allowed amount of $2,143. That payment is 21% above the U.S. average of $1,774.
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.
About 19¢ was paid for every $1 hospitals in Connecticut billed for this service.
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 | 110 | $8,161 | $2,163 | $1,722 |
| Stamford HospitalStamford | 74 | $18,379 | $2,175 | $1,725 |
| Greenwich Hospital AssociationGreenwich | 52 | $4,872 | $2,150 | $1,713 |
| Midstate Medical CenterMeriden | 41 | $13,120 | $2,112 | $1,674 |
| Hartford HospitalHartford | 23 | $14,052 | $2,079 | $1,641 |
| Sharon HospitalSharon | 19 | $5,245 | $2,307 | $1,838 |
| Manchester Memorial HospitalCentral Manchester | 17 | $12,778 | $2,154 | $1,716 |
| St Francis Hospital & Medical CenterHartford | 15 | $14,948 | $2,154 | $1,716 |
| Hospital of Central Connecticut, theNew Britain | 15 | $9,579 | $2,175 | $1,733 |
| Lawrence & Memorial HospitalNew London | 14 | $10,611 | $1,647 | $1,287 |
| Bridgeport HospitalBridgeport | 11 | $7,148 | $2,174 | $1,732 |
| Windham Comm Mem Hosp & Hatch HospWillimantic | 11 | $11,188 | $2,154 | $1,716 |
| Norwalk HospitalNorwalk | 11 | $16,923 | $2,173 | $1,731 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Johnson Memorial HospitalStafford Springs | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| William W Backus HospitalNorwich | – | – | – | – |
| St Vincent's Medical CenterBridgeport | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Danbury HospitalDanbury | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
| Connecticut Childrens Medical CenterHartford | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Lawrence & Memorial HospitalNew London, CT | $1,647 |
|---|---|
| Hartford HospitalHartford, CT | $2,079 |
| Midstate Medical CenterMeriden, CT | $2,112 |
| Greenwich Hospital AssociationGreenwich, CT | $2,150 |
| St Francis Hospital & Medical CenterHartford, CT | $2,154 |
| Sharon HospitalSharon, CT | $2,307 |
|---|---|
| Stamford HospitalStamford, CT | $2,175 |
| Hospital of Central Connecticut, theNew Britain, CT | $2,175 |
| Bridgeport HospitalBridgeport, CT | $2,174 |
| Norwalk HospitalNorwalk, CT | $2,173 |
In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 26 hospitals in Connecticut was billed at $11,122 on average, while the average medicare-allowed amount was $2,143, of which Medicare paid $1,703. Your own cost depends on your insurance, deductible and the hospital.
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.