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Percutaneous and other intracardiac procedures with major complications in Connecticut

What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273), from 2024 Medicare claims.

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DRG 273 Inpatient 2024 Medicare data
Average charge $132,457 Hospital list price billed
Average payment $48,322 Medicare + patient + other payers
Medicare paid $41,233 Average per stay
Volume 28 Medicare hospital stays

Hospitals in Connecticut billed an average of $132,457 for percutaneous and other intracardiac procedures with major complications, about 2.7 times the average total payment of $48,322. That payment is 25% above the U.S. average of $38,504.

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 $48,322Billed $132,457

About 36¢ 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: percutaneous and other intracardiac procedures 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 17 $147,686 $54,705 $43,780
St Vincent's Medical CenterBridgeport 11 $108,922 $38,458 $37,296
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Percutaneous and other intracardiac procedures with major complications in other states

Questions

How much does percutaneous and other intracardiac procedures with major complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for percutaneous and other intracardiac procedures with major complications (DRG 273) at 2 hospitals in Connecticut was billed at $132,457 on average, while the average total payment was $48,322, of which Medicare paid $41,233. 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 2.7 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.