facebook tracking Major chest procedures without complications cost in Connecticut: 2 hospitals compared (DRG 165)

Major chest procedures without complications in Connecticut

What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for major chest procedures without complications (DRG 165), from 2024 Medicare claims.

DRG 165 Inpatient 2024 Medicare data
Average charge $57,667 Hospital list price billed
Average payment $25,021 Medicare + patient + other payers
Medicare paid $16,766 Average per stay
Volume 31 Medicare hospital stays

Hospitals in Connecticut billed an average of $57,667 for major chest procedures without complications, about 2.3 times the average total payment of $25,021. That payment is 28% above the U.S. average of $19,593.

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 $25,021Billed $57,667

About 43¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Connecticut hospitals: major chest procedures without 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
Hartford HospitalHartford 17 $64,856 $27,222 $13,835
Yale-New Haven HospitalNew Haven 14 $48,938 $22,349 $20,326
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Major chest procedures without complications in other states

Questions

How much does major chest procedures without complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for major chest procedures without complications (DRG 165) at 2 hospitals in Connecticut was billed at $57,667 on average, while the average total payment was $25,021, of which Medicare paid $16,766. 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 2.3 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.