Lower extremity and humerus procedures except hip, foot and femur with complications in Connecticut
What 4 hospitals in Connecticut charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$88,234
Hospital list price billed
Average payment
$27,135
Medicare + patient + other payers
Medicare paid
$23,859
Average per stay
State rank
#35 of 40
1 = lowest average payment
Hospitals in Connecticut billed an average of $88,234 for lower extremity and humerus procedures except hip, foot and femur with complications, about 3.3 times the average total payment of $27,135. That payment is 19% above the U.S. average of $22,820.
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 $27,135Billed $88,234
About 31¢ was paid for every $1 hospitals in Connecticut billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Connecticut:
Connecticut hospitals: lower extremity and humerus procedures except hip, foot and femur with complications
Every Connecticut hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 27 | $80,720 | $28,876 | $25,947 |
| St Francis Hospital & Medical CenterHartford | 17 | $90,566 | $25,897 | $21,182 |
| Hartford HospitalHartford | 16 | $107,230 | $27,429 | $23,944 |
| Bridgeport HospitalBridgeport | 13 | $77,412 | $24,775 | $22,919 |
Lowest and highest payments in Connecticut
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Bridgeport HospitalBridgeport, CT | $24,775 |
|---|---|
| St Francis Hospital & Medical CenterHartford, CT | $25,897 |
| Hartford HospitalHartford, CT | $27,429 |
| Yale-New Haven HospitalNew Haven, CT | $28,876 |
Highest
| Yale-New Haven HospitalNew Haven, CT | $28,876 |
|---|---|
| Hartford HospitalHartford, CT | $27,429 |
| St Francis Hospital & Medical CenterHartford, CT | $25,897 |
| Bridgeport HospitalBridgeport, CT | $24,775 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Connecticut?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 4 hospitals in Connecticut was billed at $88,234 on average, while the average total payment was $27,135, of which Medicare paid $23,859. 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 stay in Connecticut, average charges were 3.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.