facebook tracking Revision of hip or knee replacement without complications cost in Connecticut: 3 hospitals compared (DRG 468)

Revision of hip or knee replacement without complications in Connecticut

What 3 hospitals in Connecticut charged and were paid for a Medicare hospital stay for revision of hip or knee replacement without complications (DRG 468), from 2024 Medicare claims.

DRG 468 Inpatient 2024 Medicare data
Average charge $60,503 Hospital list price billed
Average payment $30,082 Medicare + patient + other payers
Medicare paid $22,247 Average per stay
State rank #38 of 42 1 = lowest average payment

Hospitals in Connecticut billed an average of $60,503 for revision of hip or knee replacement without complications, about 2.0 times the average total payment of $30,082. That payment is 26% above the U.S. average of $23,925.

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 $30,082Billed $60,503

About 50¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Connecticut hospitals: revision of hip or knee replacement 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 20 $59,952 $34,593 $22,040
St Vincent's Medical CenterBridgeport 12 $67,861 $28,842 $23,047
Midstate Medical CenterMeriden 11 $53,479 $23,232 $21,749
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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$23,232
St Vincent's Medical CenterBridgeport, CT$28,842
Hartford HospitalHartford, CT$34,593

Highest

Hartford HospitalHartford, CT$34,593
St Vincent's Medical CenterBridgeport, CT$28,842
Midstate Medical CenterMeriden, CT$23,232

Revision of hip or knee replacement without complications in other states

Questions

How much does revision of hip or knee replacement without complications cost in Connecticut?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement without complications (DRG 468) at 3 hospitals in Connecticut was billed at $60,503 on average, while the average total payment was $30,082, of which Medicare paid $22,247. 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 2.0 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.