Level 2 Upper GI Procedures in Connecticut
What 26 hospitals in Connecticut charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$10,695
Hospital list price billed
Average allowed
$2,108
Medicare's payment + patient's share
Medicare paid
$1,678
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $10,695 for level 2 upper gi procedures, about 5.1 times the average medicare-allowed amount of $2,108. That payment is 16% above the U.S. average of $1,815.
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 $2,108Billed $10,695
About 20¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 2 upper gi 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 | 557 | $9,467 | $2,117 | $1,684 |
| Danbury HospitalDanbury | 255 | $9,888 | $2,122 | $1,696 |
| Hartford HospitalHartford | 249 | $11,124 | $2,075 | $1,644 |
| Norwalk HospitalNorwalk | 105 | $8,744 | $2,141 | $1,716 |
| Bridgeport HospitalBridgeport | 91 | $9,567 | $2,143 | $1,714 |
| Saint Marys HospitalWaterbury | 91 | $10,319 | $1,995 | $1,585 |
| Midstate Medical CenterMeriden | 83 | $12,429 | $2,062 | $1,632 |
| Stamford HospitalStamford | 82 | $19,407 | $2,143 | $1,712 |
| William W Backus HospitalNorwich | 78 | $11,683 | $2,082 | $1,651 |
| St Vincent's Medical CenterBridgeport | 74 | $10,116 | $2,120 | $1,685 |
| Middlesex HospitalMiddletown | 66 | $10,042 | $2,118 | $1,679 |
| Hospital of Central Connecticut, theNew Britain | 61 | $9,815 | $2,115 | $1,683 |
| St Francis Hospital & Medical CenterHartford | 59 | $13,808 | $2,122 | $1,701 |
| Greenwich Hospital AssociationGreenwich | 54 | $10,136 | $2,143 | $1,713 |
| John Dempsey HospitalFarmington | 54 | $12,153 | $2,093 | $1,662 |
| Bristol HospitalBristol | 51 | $8,816 | $2,123 | $1,698 |
| Manchester Memorial HospitalCentral Manchester | 44 | $16,928 | $2,050 | $1,625 |
| Charlotte Hungerford HospitalTorrington | 36 | $9,246 | $2,123 | $1,694 |
| Lawrence & Memorial HospitalNew London | 27 | $11,029 | $2,122 | $1,703 |
| Griffin HospitalDerby | 12 | $12,852 | $2,143 | $1,717 |
| Sharon HospitalSharon | 11 | $4,832 | $2,273 | $1,811 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Johnson Memorial HospitalStafford Springs | – | – | – | – |
| Rockville General HospitalRockville | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
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 | $1,995 |
|---|---|
| Manchester Memorial HospitalCentral Manchester, CT | $2,050 |
| Midstate Medical CenterMeriden, CT | $2,062 |
| Hartford HospitalHartford, CT | $2,075 |
| William W Backus HospitalNorwich, CT | $2,082 |
Highest
| Sharon HospitalSharon, CT | $2,273 |
|---|---|
| Stamford HospitalStamford, CT | $2,143 |
| Greenwich Hospital AssociationGreenwich, CT | $2,143 |
| Griffin HospitalDerby, CT | $2,143 |
| Bridgeport HospitalBridgeport, CT | $2,143 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Connecticut?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 26 hospitals in Connecticut was billed at $10,695 on average, while the average medicare-allowed amount was $2,108, of which Medicare paid $1,678. 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 5.1 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.