Malignancy of hepatobiliary system or pancreas with major complications in Connecticut
What 4 hospitals in Connecticut charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$69,741
Hospital list price billed
Average payment
$21,439
Medicare + patient + other payers
Medicare paid
$17,065
Average per stay
State rank
#28 of 32
1 = lowest average payment
Hospitals in Connecticut billed an average of $69,741 for malignancy of hepatobiliary system or pancreas with major complications, about 3.3 times the average total payment of $21,439. That payment is 10% above the U.S. average of $19,425.
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 $21,439Billed $69,741
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: malignancy of hepatobiliary system or pancreas with 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 |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 38 | $67,174 | $22,791 | $19,891 |
| Danbury HospitalDanbury | 17 | $58,486 | $18,360 | $15,397 |
| Hartford HospitalHartford | 16 | $97,023 | $25,467 | $13,947 |
| Greenwich Hospital AssociationGreenwich | 13 | $58,383 | $16,556 | $14,825 |
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
| Greenwich Hospital AssociationGreenwich, CT | $16,556 |
|---|---|
| Danbury HospitalDanbury, CT | $18,360 |
| Yale-New Haven HospitalNew Haven, CT | $22,791 |
| Hartford HospitalHartford, CT | $25,467 |
Highest
| Hartford HospitalHartford, CT | $25,467 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $22,791 |
| Danbury HospitalDanbury, CT | $18,360 |
| Greenwich Hospital AssociationGreenwich, CT | $16,556 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Connecticut?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 4 hospitals in Connecticut was billed at $69,741 on average, while the average total payment was $21,439, of which Medicare paid $17,065. 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.