What 20 hospitals in Connecticut charged and were paid for level 4 airway endoscopy (APC 5154), from 2024 Medicare claims.
Hospitals in Connecticut billed an average of $19,633 for level 4 airway endoscopy, about 4.8 times the average medicare-allowed amount of $4,127. That payment is 16% above the U.S. average of $3,568.
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.
About 21¢ was paid for every $1 hospitals in Connecticut billed for this service.
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 | 189 | $12,782 | $4,127 | $3,268 |
| St Francis Hospital & Medical CenterHartford | 63 | $32,320 | $4,178 | $3,328 |
| Hartford HospitalHartford | 61 | $17,687 | $4,075 | $3,223 |
| John Dempsey HospitalFarmington | 46 | $20,624 | $4,177 | $3,328 |
| Danbury HospitalDanbury | 29 | $24,714 | $3,989 | $3,126 |
| Bridgeport HospitalBridgeport | 22 | $18,803 | $4,218 | $3,361 |
| William W Backus HospitalNorwich | 21 | $17,775 | $4,019 | $3,170 |
| Stamford HospitalStamford | 19 | $40,958 | $4,218 | $3,361 |
| Hospital of Central Connecticut, theNew Britain | 14 | $23,610 | $4,218 | $3,361 |
| Lawrence & Memorial HospitalNew London | 12 | $16,271 | $4,177 | $3,328 |
| Greenwich Hospital AssociationGreenwich | 12 | $24,492 | $4,007 | $3,193 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| St Vincent's Medical CenterBridgeport | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Norwalk HospitalNorwalk | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Danbury HospitalDanbury, CT | $3,989 |
|---|---|
| Greenwich Hospital AssociationGreenwich, CT | $4,007 |
| William W Backus HospitalNorwich, CT | $4,019 |
| Hartford HospitalHartford, CT | $4,075 |
| Yale-New Haven HospitalNew Haven, CT | $4,127 |
| Stamford HospitalStamford, CT | $4,218 |
|---|---|
| Bridgeport HospitalBridgeport, CT | $4,218 |
| Hospital of Central Connecticut, theNew Britain, CT | $4,218 |
| St Francis Hospital & Medical CenterHartford, CT | $4,178 |
| Lawrence & Memorial HospitalNew London, CT | $4,177 |
In 2024 Medicare data, level 4 airway endoscopy (APC 5154) at 20 hospitals in Connecticut was billed at $19,633 on average, while the average medicare-allowed amount was $4,127, of which Medicare paid $3,273. Your own cost depends on your insurance, deductible and the hospital.
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 4.8 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.