facebook tracking Level 2 ICD and Similar Procedures cost in Connecticut: 18 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Connecticut

What 18 hospitals in Connecticut charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $97,544 Hospital list price billed
Average allowed $36,088 Medicare's payment + patient's share
Medicare paid $34,455 Average per service
State rank #45 of 47 1 = lowest average payment

Hospitals in Connecticut billed an average of $97,544 for level 2 icd and similar procedures, about 2.7 times the average medicare-allowed amount of $36,088. That payment is 16% above the U.S. average of $31,009.

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 $36,088Billed $97,544

About 37¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 2 icd and similar 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 62 $86,604 $35,768 $34,134
Hartford HospitalHartford 50 $93,858 $35,884 $34,252
St Vincent's Medical CenterBridgeport 25 $93,659 $35,527 $33,895
Stamford HospitalStamford 19 $136,676 $36,939 $35,307
Bridgeport HospitalBridgeport 19 $96,551 $36,939 $35,307
Danbury HospitalDanbury 15 $124,647 $36,436 $34,801
St Francis Hospital & Medical CenterHartford 13 $84,351 $36,583 $34,951
Waterbury HospitalWaterbury – – – –
Lawrence & Memorial HospitalNew London – – – –
Saint Marys HospitalWaterbury – – – –
Midstate Medical CenterMeriden – – – –
Greenwich Hospital AssociationGreenwich – – – –
Middlesex HospitalMiddletown – – – –
William W Backus HospitalNorwich – – – –
Griffin HospitalDerby – – – –
Norwalk HospitalNorwalk – – – –
Hospital of Central Connecticut, theNew Britain – – – –
John Dempsey HospitalFarmington – – – –
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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

St Vincent's Medical CenterBridgeport, CT$35,527
Yale-New Haven HospitalNew Haven, CT$35,768
Hartford HospitalHartford, CT$35,884
Danbury HospitalDanbury, CT$36,436
St Francis Hospital & Medical CenterHartford, CT$36,583

Highest

Stamford HospitalStamford, CT$36,939
Bridgeport HospitalBridgeport, CT$36,939
St Francis Hospital & Medical CenterHartford, CT$36,583
Danbury HospitalDanbury, CT$36,436
Hartford HospitalHartford, CT$35,884

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Connecticut?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 18 hospitals in Connecticut was billed at $97,544 on average, while the average medicare-allowed amount was $36,088, of which Medicare paid $34,455. 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 2.7 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.