Level 3 Lower GI Procedures in Connecticut
What 23 hospitals in Connecticut charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$14,619
Hospital list price billed
Average allowed
$3,097
Medicare's payment + patient's share
Medicare paid
$2,481
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $14,619 for level 3 lower gi procedures, about 4.7 times the average medicare-allowed amount of $3,097. That payment is 15% above the U.S. average of $2,703.
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 $3,097Billed $14,619
About 21¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 lower 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 |
|---|---|---|---|---|
| Danbury HospitalDanbury | 48 | $12,007 | $3,159 | $2,544 |
| Yale-New Haven HospitalNew Haven | 46 | $11,030 | $3,160 | $2,528 |
| Saint Marys HospitalWaterbury | 43 | $11,366 | $3,012 | $2,477 |
| William W Backus HospitalNorwich | 38 | $12,897 | $3,001 | $2,363 |
| Hartford HospitalHartford | 32 | $12,828 | $3,059 | $2,422 |
| St Francis Hospital & Medical CenterHartford | 26 | $23,113 | $3,132 | $2,507 |
| Stamford HospitalStamford | 24 | $21,013 | $3,162 | $2,551 |
| Bridgeport HospitalBridgeport | 19 | $12,671 | $3,162 | $2,536 |
| Waterbury HospitalWaterbury | 18 | $26,578 | $3,132 | $2,496 |
| Hospital of Central Connecticut, theNew Britain | 16 | $12,728 | $3,005 | $2,362 |
| Norwalk HospitalNorwalk | 15 | $17,950 | $3,159 | $2,549 |
| Middlesex HospitalMiddletown | 14 | $11,987 | $3,163 | $2,520 |
| Greenwich Hospital AssociationGreenwich | 13 | $17,695 | $2,871 | $2,287 |
| Lawrence & Memorial HospitalNew London | 12 | $15,287 | $3,132 | $2,509 |
| Charlotte Hungerford HospitalTorrington | 12 | $12,081 | $3,132 | $2,493 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Sharon HospitalSharon | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| St Vincent's Medical CenterBridgeport | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
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
| Greenwich Hospital AssociationGreenwich, CT | $2,871 |
|---|---|
| William W Backus HospitalNorwich, CT | $3,001 |
| Hospital of Central Connecticut, theNew Britain, CT | $3,005 |
| Saint Marys HospitalWaterbury, CT | $3,012 |
| Hartford HospitalHartford, CT | $3,059 |
Highest
| Middlesex HospitalMiddletown, CT | $3,163 |
|---|---|
| Bridgeport HospitalBridgeport, CT | $3,162 |
| Stamford HospitalStamford, CT | $3,162 |
| Yale-New Haven HospitalNew Haven, CT | $3,160 |
| Danbury HospitalDanbury, CT | $3,159 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Connecticut?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 23 hospitals in Connecticut was billed at $14,619 on average, while the average medicare-allowed amount was $3,097, of which Medicare paid $2,481. 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 4.7 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.