facebook tracking Level 1 Nerve Procedures cost in Connecticut: 26 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Connecticut

What 26 hospitals in Connecticut charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $11,122 Hospital list price billed
Average allowed $2,143 Medicare's payment + patient's share
Medicare paid $1,703 Average per service
State rank #47 of 49 1 = lowest average payment

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.

Paid $2,143Billed $11,122

About 19¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 1 nerve 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 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 – – – –
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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

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

Highest

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

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Connecticut?

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.

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.