Level 5 Musculoskeletal Procedures in Connecticut
What 24 hospitals in Connecticut charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$49,732
Hospital list price billed
Average allowed
$14,579
Medicare's payment + patient's share
Medicare paid
$12,947
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $49,732 for level 5 musculoskeletal procedures, about 3.4 times the average medicare-allowed amount of $14,579. That payment is 18% above the U.S. average of $12,402.
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 $14,579Billed $49,732
About 29¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 5 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 |
|---|---|---|---|---|
| Midstate Medical CenterMeriden | 622 | $31,232 | $14,417 | $12,786 |
| Hartford HospitalHartford | 477 | $32,812 | $14,546 | $12,913 |
| Stamford HospitalStamford | 443 | $76,041 | $14,739 | $13,107 |
| Greenwich Hospital AssociationGreenwich | 386 | $68,386 | $14,695 | $13,062 |
| St Francis Hospital & Medical CenterHartford | 303 | $47,195 | $14,484 | $12,850 |
| St Vincent's Medical CenterBridgeport | 247 | $51,188 | $14,531 | $12,898 |
| Danbury HospitalDanbury | 212 | $69,731 | $14,734 | $13,102 |
| Yale-New Haven HospitalNew Haven | 174 | $40,003 | $14,487 | $12,852 |
| Bridgeport HospitalBridgeport | 163 | $44,004 | $14,627 | $12,995 |
| Middlesex HospitalMiddletown | 66 | $49,181 | $14,797 | $13,165 |
| William W Backus HospitalNorwich | 64 | $38,055 | $14,451 | $12,819 |
| John Dempsey HospitalFarmington | 61 | $56,255 | $14,441 | $12,809 |
| Lawrence & Memorial HospitalNew London | 56 | $33,223 | $14,655 | $13,023 |
| Waterbury HospitalWaterbury | 54 | $65,593 | $14,413 | $12,781 |
| Norwalk HospitalNorwalk | 46 | $61,821 | $14,784 | $13,152 |
| Manchester Memorial HospitalCentral Manchester | 43 | $45,048 | $14,655 | $13,023 |
| Sharon HospitalSharon | 38 | $30,999 | $15,693 | $14,061 |
| Saint Marys HospitalWaterbury | 37 | $48,270 | $14,478 | $12,846 |
| Windham Comm Mem Hosp & Hatch HospWillimantic | 26 | $36,926 | $14,655 | $13,023 |
| Griffin HospitalDerby | 25 | $84,868 | $13,217 | $11,581 |
| Bristol HospitalBristol | 20 | $61,849 | $14,655 | $13,023 |
| Charlotte Hungerford HospitalTorrington | 19 | $35,089 | $14,655 | $13,023 |
| Hospital of Central Connecticut, theNew Britain | 15 | $41,212 | $14,797 | $13,165 |
| Day Kimball HospitalPutnam | – | – | – | – |
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
| Griffin HospitalDerby, CT | $13,217 |
|---|---|
| Waterbury HospitalWaterbury, CT | $14,413 |
| Midstate Medical CenterMeriden, CT | $14,417 |
| John Dempsey HospitalFarmington, CT | $14,441 |
| William W Backus HospitalNorwich, CT | $14,451 |
Highest
| Sharon HospitalSharon, CT | $15,693 |
|---|---|
| Middlesex HospitalMiddletown, CT | $14,797 |
| Hospital of Central Connecticut, theNew Britain, CT | $14,797 |
| Norwalk HospitalNorwalk, CT | $14,784 |
| Stamford HospitalStamford, CT | $14,739 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Connecticut?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 24 hospitals in Connecticut was billed at $49,732 on average, while the average medicare-allowed amount was $14,579, of which Medicare paid $12,947. 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 3.4 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.