Level 3 Musculoskeletal Procedures in Connecticut
What 25 hospitals in Connecticut charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$18,372
Hospital list price billed
Average allowed
$3,562
Medicare's payment + patient's share
Medicare paid
$2,825
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $18,372 for level 3 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $3,562. That payment is 19% above the U.S. average of $2,995.
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 $3,562Billed $18,372
About 19¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 musculoskeletal 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 | 95 | $14,701 | $3,612 | $2,868 |
| Stamford HospitalStamford | 67 | $33,807 | $3,559 | $2,815 |
| Danbury HospitalDanbury | 46 | $21,864 | $3,643 | $2,902 |
| St Francis Hospital & Medical CenterHartford | 39 | $23,306 | $3,611 | $2,877 |
| Midstate Medical CenterMeriden | 37 | $15,348 | $3,611 | $2,877 |
| Middlesex HospitalMiddletown | 36 | $11,541 | $3,646 | $2,902 |
| Lawrence & Memorial HospitalNew London | 35 | $15,226 | $3,611 | $2,875 |
| William W Backus HospitalNorwich | 35 | $12,724 | $3,447 | $2,712 |
| John Dempsey HospitalFarmington | 35 | $14,028 | $3,611 | $2,877 |
| Hartford HospitalHartford | 30 | $15,808 | $3,515 | $2,781 |
| Griffin HospitalDerby | 30 | $20,483 | $3,549 | $2,807 |
| Johnson Memorial HospitalStafford Springs | 26 | $9,574 | $3,611 | $2,877 |
| St Vincent's Medical CenterBridgeport | 26 | $26,904 | $3,646 | $2,898 |
| Bridgeport HospitalBridgeport | 24 | $18,032 | $3,411 | $2,661 |
| Hospital of Central Connecticut, theNew Britain | 24 | $16,922 | $3,525 | $2,784 |
| Sharon HospitalSharon | 22 | $7,831 | $3,727 | $2,933 |
| Saint Marys HospitalWaterbury | 21 | $18,988 | $3,611 | $2,877 |
| Day Kimball HospitalPutnam | 19 | $8,154 | $3,421 | $2,725 |
| Greenwich Hospital AssociationGreenwich | 18 | $20,322 | $2,877 | $2,259 |
| Manchester Memorial HospitalCentral Manchester | 17 | $19,098 | $3,611 | $2,875 |
| Norwalk HospitalNorwalk | 16 | $27,659 | $3,643 | $2,902 |
| Waterbury HospitalWaterbury | 14 | $34,157 | $3,611 | $2,877 |
| Windham Comm Mem Hosp & Hatch HospWillimantic | 14 | $13,301 | $3,611 | $2,877 |
| Bristol HospitalBristol | 13 | $19,871 | $3,396 | $2,656 |
| Charlotte Hungerford HospitalTorrington | 11 | $8,390 | $3,349 | $2,615 |
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 | $2,877 |
|---|---|
| Charlotte Hungerford HospitalTorrington, CT | $3,349 |
| Bristol HospitalBristol, CT | $3,396 |
| Bridgeport HospitalBridgeport, CT | $3,411 |
| Day Kimball HospitalPutnam, CT | $3,421 |
Highest
| Sharon HospitalSharon, CT | $3,727 |
|---|---|
| St Vincent's Medical CenterBridgeport, CT | $3,646 |
| Middlesex HospitalMiddletown, CT | $3,646 |
| Danbury HospitalDanbury, CT | $3,643 |
| Norwalk HospitalNorwalk, CT | $3,643 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Connecticut?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 25 hospitals in Connecticut was billed at $18,372 on average, while the average medicare-allowed amount was $3,562, of which Medicare paid $2,825. 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.