Level 4 Musculoskeletal Procedures in Connecticut
What 26 hospitals in Connecticut charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$37,950
Hospital list price billed
Average allowed
$7,916
Medicare's payment + patient's share
Medicare paid
$6,291
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $37,950 for level 4 musculoskeletal procedures, about 4.8 times the average medicare-allowed amount of $7,916. That payment is 18% above the U.S. average of $6,708.
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 $7,916Billed $37,950
About 21¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 4 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 |
|---|---|---|---|---|
| Stamford HospitalStamford | 181 | $60,530 | $8,023 | $6,389 |
| Danbury HospitalDanbury | 102 | $50,636 | $8,026 | $6,394 |
| Hartford HospitalHartford | 101 | $29,807 | $7,981 | $6,358 |
| Yale-New Haven HospitalNew Haven | 86 | $26,183 | $7,829 | $6,194 |
| Greenwich Hospital AssociationGreenwich | 72 | $46,304 | $7,790 | $6,212 |
| Lawrence & Memorial HospitalNew London | 67 | $24,417 | $7,886 | $6,262 |
| John Dempsey HospitalFarmington | 65 | $30,810 | $7,883 | $6,259 |
| St Francis Hospital & Medical CenterHartford | 61 | $38,538 | $7,789 | $6,166 |
| Midstate Medical CenterMeriden | 54 | $27,070 | $7,863 | $6,241 |
| Middlesex HospitalMiddletown | 50 | $32,154 | $7,930 | $6,296 |
| William W Backus HospitalNorwich | 41 | $28,834 | $7,515 | $5,893 |
| Charlotte Hungerford HospitalTorrington | 40 | $20,788 | $7,514 | $5,887 |
| St Vincent's Medical CenterBridgeport | 36 | $32,122 | $8,058 | $6,423 |
| Bridgeport HospitalBridgeport | 35 | $31,711 | $7,872 | $6,240 |
| Saint Marys HospitalWaterbury | 30 | $33,058 | $7,981 | $6,358 |
| Sharon HospitalSharon | 28 | $21,434 | $8,320 | $6,688 |
| Griffin HospitalDerby | 25 | $41,239 | $8,058 | $6,426 |
| Norwalk HospitalNorwalk | 16 | $49,783 | $8,051 | $6,419 |
| Waterbury HospitalWaterbury | 15 | $46,428 | $7,981 | $6,352 |
| Manchester Memorial HospitalCentral Manchester | 15 | $32,321 | $7,981 | $6,358 |
| Hospital of Central Connecticut, theNew Britain | 13 | $26,208 | $8,058 | $6,426 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Johnson Memorial HospitalStafford Springs | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| 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
| Charlotte Hungerford HospitalTorrington, CT | $7,514 |
|---|---|
| William W Backus HospitalNorwich, CT | $7,515 |
| St Francis Hospital & Medical CenterHartford, CT | $7,789 |
| Greenwich Hospital AssociationGreenwich, CT | $7,790 |
| Yale-New Haven HospitalNew Haven, CT | $7,829 |
Highest
| Sharon HospitalSharon, CT | $8,320 |
|---|---|
| St Vincent's Medical CenterBridgeport, CT | $8,058 |
| Griffin HospitalDerby, CT | $8,058 |
| Hospital of Central Connecticut, theNew Britain, CT | $8,058 |
| Norwalk HospitalNorwalk, CT | $8,051 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Connecticut?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 26 hospitals in Connecticut was billed at $37,950 on average, while the average medicare-allowed amount was $7,916, of which Medicare paid $6,291. 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 4.8 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.