Level 6 Musculoskeletal Procedures in Connecticut
What 24 hospitals in Connecticut charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$77,329
Hospital list price billed
Average allowed
$20,733
Medicare's payment + patient's share
Medicare paid
$19,101
Average per service
State rank
#47 of 49
1 = lowest average payment
Hospitals in Connecticut billed an average of $77,329 for level 6 musculoskeletal procedures, about 3.7 times the average medicare-allowed amount of $20,733. That payment is 19% above the U.S. average of $17,392.
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 $20,733Billed $77,329
About 27¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 6 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 | 137 | $102,840 | $20,939 | $19,307 |
| Greenwich Hospital AssociationGreenwich | 90 | $103,551 | $20,939 | $19,307 |
| Midstate Medical CenterMeriden | 85 | $53,925 | $20,512 | $18,880 |
| Hartford HospitalHartford | 81 | $53,846 | $20,501 | $18,869 |
| St Francis Hospital & Medical CenterHartford | 65 | $66,801 | $20,737 | $19,105 |
| Danbury HospitalDanbury | 61 | $94,623 | $20,793 | $19,161 |
| Lawrence & Memorial HospitalNew London | 46 | $51,949 | $20,737 | $19,105 |
| Yale-New Haven HospitalNew Haven | 45 | $55,112 | $20,491 | $18,859 |
| St Vincent's Medical CenterBridgeport | 44 | $76,162 | $20,939 | $19,307 |
| John Dempsey HospitalFarmington | 26 | $95,188 | $20,002 | $18,370 |
| Middlesex HospitalMiddletown | 22 | $73,330 | $20,939 | $19,307 |
| Saint Marys HospitalWaterbury | 20 | $64,113 | $20,737 | $19,105 |
| William W Backus HospitalNorwich | 17 | $60,159 | $20,737 | $19,105 |
| Waterbury HospitalWaterbury | 13 | $95,958 | $20,737 | $19,105 |
| Charlotte Hungerford HospitalTorrington | 13 | $52,265 | $20,737 | $19,105 |
| Norwalk HospitalNorwalk | 13 | $88,708 | $20,920 | $19,288 |
| Day Kimball HospitalPutnam | – | – | – | – |
| Sharon HospitalSharon | – | – | – | – |
| Bridgeport HospitalBridgeport | – | – | – | – |
| Windham Comm Mem Hosp & Hatch HospWillimantic | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| Bristol HospitalBristol | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
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
| John Dempsey HospitalFarmington, CT | $20,002 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $20,491 |
| Hartford HospitalHartford, CT | $20,501 |
| Midstate Medical CenterMeriden, CT | $20,512 |
| St Francis Hospital & Medical CenterHartford, CT | $20,737 |
Highest
| Stamford HospitalStamford, CT | $20,939 |
|---|---|
| Greenwich Hospital AssociationGreenwich, CT | $20,939 |
| Middlesex HospitalMiddletown, CT | $20,939 |
| St Vincent's Medical CenterBridgeport, CT | $20,939 |
| Norwalk HospitalNorwalk, CT | $20,920 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Connecticut?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 24 hospitals in Connecticut was billed at $77,329 on average, while the average medicare-allowed amount was $20,733, of which Medicare paid $19,101. 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 3.7 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.