facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Connecticut: 12 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Connecticut

What 12 hospitals in Connecticut charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $63,224 Hospital list price billed
Average payment $19,326 Medicare + patient + other payers
Medicare paid $16,484 Average per stay
State rank #43 of 48 1 = lowest average payment

Hospitals in Connecticut billed an average of $63,224 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 3.3 times the average total payment of $19,326. That payment is 12% above the U.S. average of $17,318.

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 $19,326Billed $63,224

About 31¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Connecticut:

Connecticut hospitals: major hip and knee joint replacement or reattachment of lower extremity without major 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 131 $42,941 $20,147 $18,126
Griffin HospitalDerby 110 $89,674 $18,889 $17,071
Stamford HospitalStamford 73 $86,389 $19,813 $17,258
Midstate Medical CenterMeriden 66 $40,623 $16,516 $14,884
William W Backus HospitalNorwich 66 $43,041 $16,918 $14,742
St Vincent's Medical CenterBridgeport 42 $65,897 $19,246 $17,550
St Francis Hospital & Medical CenterHartford 37 $64,145 $19,552 $17,535
Middlesex HospitalMiddletown 36 $60,231 $17,543 $15,837
Yale-New Haven HospitalNew Haven 34 $67,280 $29,400 $13,278
Greenwich Hospital AssociationGreenwich 25 $90,717 $19,183 $13,666
Danbury HospitalDanbury 21 $75,209 $19,083 $17,121
Hospital of Central Connecticut, theNew Britain 14 $46,412 $17,537 $15,785
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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

Midstate Medical CenterMeriden, CT$16,516
William W Backus HospitalNorwich, CT$16,918
Hospital of Central Connecticut, theNew Britain, CT$17,537
Middlesex HospitalMiddletown, CT$17,543
Griffin HospitalDerby, CT$18,889

Highest

Yale-New Haven HospitalNew Haven, CT$29,400
Hartford HospitalHartford, CT$20,147
Stamford HospitalStamford, CT$19,813
St Francis Hospital & Medical CenterHartford, CT$19,552
St Vincent's Medical CenterBridgeport, CT$19,246

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 12 hospitals in Connecticut was billed at $63,224 on average, while the average total payment was $19,326, of which Medicare paid $16,484. 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.