facebook tracking Level 6 Gynecologic Procedures cost in Connecticut: 15 hospitals compared (APC 5416)

Level 6 Gynecologic Procedures in Connecticut

What 15 hospitals in Connecticut charged and were paid for level 6 gynecologic procedures (APC 5416), from 2024 Medicare claims.

APC 5416 Outpatient 2024 Medicare data
Average charge $36,866 Hospital list price billed
Average allowed $8,424 Medicare's payment + patient's share
Medicare paid $6,790 Average per service
State rank #40 of 41 1 = lowest average payment

Hospitals in Connecticut billed an average of $36,866 for level 6 gynecologic procedures, about 4.4 times the average medicare-allowed amount of $8,424. That payment is 16% above the U.S. average of $7,292.

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 $8,424Billed $36,866

About 23¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 6 gynecologic 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 46 $41,384 $8,510 $6,878
Hartford HospitalHartford 23 $28,001 $8,143 $6,500
Yale-New Haven HospitalNew Haven 20 $30,501 $8,502 $6,870
St Francis Hospital & Medical CenterHartford 12 $49,207 $8,428 $6,796
Bridgeport HospitalBridgeport 11 $34,621 $8,510 $6,878
Waterbury HospitalWaterbury – – – –
Lawrence & Memorial HospitalNew London – – – –
Saint Marys HospitalWaterbury – – – –
Greenwich Hospital AssociationGreenwich – – – –
William W Backus HospitalNorwich – – – –
Manchester Memorial HospitalCentral Manchester – – – –
Griffin HospitalDerby – – – –
Danbury HospitalDanbury – – – –
Hospital of Central Connecticut, theNew Britain – – – –
John Dempsey HospitalFarmington – – – –
Advertisement

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

Hartford HospitalHartford, CT$8,143
St Francis Hospital & Medical CenterHartford, CT$8,428
Yale-New Haven HospitalNew Haven, CT$8,502
Stamford HospitalStamford, CT$8,510
Bridgeport HospitalBridgeport, CT$8,510

Highest

Stamford HospitalStamford, CT$8,510
Bridgeport HospitalBridgeport, CT$8,510
Yale-New Haven HospitalNew Haven, CT$8,502
St Francis Hospital & Medical CenterHartford, CT$8,428
Hartford HospitalHartford, CT$8,143

Level 6 Gynecologic Procedures in other states

Questions

How much does level 6 gynecologic procedures cost in Connecticut?

In 2024 Medicare data, level 6 gynecologic procedures (APC 5416) at 15 hospitals in Connecticut was billed at $36,866 on average, while the average medicare-allowed amount was $8,424, of which Medicare paid $6,790. 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.