Level 3 Upper GI Procedures in Connecticut
What 22 hospitals in Connecticut charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$17,724
Hospital list price billed
Average allowed
$4,061
Medicare's payment + patient's share
Medicare paid
$3,228
Average per service
State rank
#41 of 48
1 = lowest average payment
Hospitals in Connecticut billed an average of $17,724 for level 3 upper gi procedures, about 4.4 times the average medicare-allowed amount of $4,061. That payment is 12% above the U.S. average of $3,633.
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 $4,061Billed $17,724
About 23¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 3 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 | 75 | $10,198 | $3,793 | $3,022 |
| Hartford HospitalHartford | 58 | $25,939 | $4,272 | $3,408 |
| Danbury HospitalDanbury | 27 | $16,938 | $4,284 | $3,408 |
| St Vincent's Medical CenterBridgeport | 21 | $19,362 | $4,159 | $3,282 |
| Stamford HospitalStamford | 12 | $23,953 | $4,043 | $3,151 |
| St Francis Hospital & Medical CenterHartford | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Lawrence & Memorial HospitalNew London | – | – | – | – |
| Bridgeport HospitalBridgeport | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Greenwich Hospital AssociationGreenwich | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| William W Backus HospitalNorwich | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Norwalk HospitalNorwalk | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
| Connecticut Childrens Medical CenterHartford | – | – | – | – |
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
| Yale-New Haven HospitalNew Haven, CT | $3,793 |
|---|---|
| Stamford HospitalStamford, CT | $4,043 |
| St Vincent's Medical CenterBridgeport, CT | $4,159 |
| Hartford HospitalHartford, CT | $4,272 |
| Danbury HospitalDanbury, CT | $4,284 |
Highest
| Danbury HospitalDanbury, CT | $4,284 |
|---|---|
| Hartford HospitalHartford, CT | $4,272 |
| St Vincent's Medical CenterBridgeport, CT | $4,159 |
| Stamford HospitalStamford, CT | $4,043 |
| Yale-New Haven HospitalNew Haven, CT | $3,793 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Connecticut?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 22 hospitals in Connecticut was billed at $17,724 on average, while the average medicare-allowed amount was $4,061, of which Medicare paid $3,228. 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 4.4 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.