facebook tracking Other respiratory system diagnoses without major complications cost in Connecticut: 1 hospitals compared (DRG 206)

Other respiratory system diagnoses without major complications in Connecticut

What 1 hospital in Connecticut charged and were paid for a Medicare hospital stay for other respiratory system diagnoses without major complications (DRG 206), from 2024 Medicare claims.

DRG 206 Inpatient 2024 Medicare data
Average charge $43,201 Hospital list price billed
Average payment $12,149 Medicare + patient + other payers
Medicare paid $9,270 Average per stay
Volume 15 Medicare hospital stays

Hospitals in Connecticut billed an average of $43,201 for other respiratory system diagnoses without major complications, about 3.6 times the average total payment of $12,149. That payment is 6% above the U.S. average of $11,447.

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 $12,149Billed $43,201

About 28¢ 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: other respiratory system diagnoses 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
Yale-New Haven HospitalNew Haven 15 $43,201 $12,149 $9,270
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Other respiratory system diagnoses without major complications in other states

Questions

How much does other respiratory system diagnoses without major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for other respiratory system diagnoses without major complications (DRG 206) at 1 hospital in Connecticut was billed at $43,201 on average, while the average total payment was $12,149, of which Medicare paid $9,270. 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 3.6 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.