Level 2 Breast/Lymphatic Surgery and Related Procedures in Connecticut
What 23 hospitals in Connecticut charged and were paid for level 2 breast/lymphatic surgery and related procedures (APC 5092), from 2024 Medicare claims.
Average charge
$36,081
Hospital list price billed
Average allowed
$7,225
Medicare's payment + patient's share
Medicare paid
$5,741
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $36,081 for level 2 breast/lymphatic surgery and related procedures, about 5.0 times the average medicare-allowed amount of $7,225. That payment is 15% above the U.S. average of $6,262.
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 $7,225Billed $36,081
About 20¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 2 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 |
|---|---|---|---|---|
| Hartford HospitalHartford | 78 | $26,062 | $7,274 | $5,796 |
| Yale-New Haven HospitalNew Haven | 63 | $27,875 | $7,246 | $5,754 |
| Danbury HospitalDanbury | 40 | $55,554 | $7,339 | $5,847 |
| Bridgeport HospitalBridgeport | 34 | $27,814 | $7,345 | $5,852 |
| William W Backus HospitalNorwich | 34 | $30,950 | $7,104 | $5,623 |
| Middlesex HospitalMiddletown | 26 | $29,254 | $7,345 | $5,852 |
| St Francis Hospital & Medical CenterHartford | 25 | $48,344 | $7,094 | $5,616 |
| Saint Marys HospitalWaterbury | 25 | $32,731 | $6,811 | $5,332 |
| Hospital of Central Connecticut, theNew Britain | 21 | $29,991 | $7,345 | $5,852 |
| Stamford HospitalStamford | 18 | $58,229 | $7,345 | $5,852 |
| Greenwich Hospital AssociationGreenwich | 16 | $56,448 | $7,070 | $5,633 |
| St Vincent's Medical CenterBridgeport | 15 | $37,043 | $7,345 | $5,852 |
| John Dempsey HospitalFarmington | 15 | $30,402 | $6,888 | $5,410 |
| Manchester Memorial HospitalCentral Manchester | 13 | $45,015 | $7,274 | $5,796 |
| Norwalk HospitalNorwalk | 11 | $62,215 | $7,339 | $5,847 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Lawrence & Memorial HospitalNew London | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
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
| Saint Marys HospitalWaterbury, CT | $6,811 |
|---|---|
| John Dempsey HospitalFarmington, CT | $6,888 |
| Greenwich Hospital AssociationGreenwich, CT | $7,070 |
| St Francis Hospital & Medical CenterHartford, CT | $7,094 |
| William W Backus HospitalNorwich, CT | $7,104 |
Highest
| Stamford HospitalStamford, CT | $7,345 |
|---|---|
| Bridgeport HospitalBridgeport, CT | $7,345 |
| Middlesex HospitalMiddletown, CT | $7,345 |
| St Vincent's Medical CenterBridgeport, CT | $7,345 |
| Hospital of Central Connecticut, theNew Britain, CT | $7,345 |
Level 2 Breast/Lymphatic Surgery and Related Procedures in other states
Questions
How much does level 2 breast/lymphatic surgery and related procedures cost in Connecticut?
In 2024 Medicare data, level 2 breast/lymphatic surgery and related procedures (APC 5092) at 23 hospitals in Connecticut was billed at $36,081 on average, while the average medicare-allowed amount was $7,225, of which Medicare paid $5,741. 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 5.0 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.