Simple pneumonia and pleurisy with complications in Connecticut
What 18 hospitals in Connecticut charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$32,377
Hospital list price billed
Average payment
$9,165
Medicare + patient + other payers
Medicare paid
$6,754
Average per stay
State rank
#41 of 47
1 = lowest average payment
Hospitals in Connecticut billed an average of $32,377 for simple pneumonia and pleurisy with complications, about 3.5 times the average total payment of $9,165. That payment is 15% above the U.S. average of $7,941.
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 $9,165Billed $32,377
About 28¢ was paid for every $1 hospitals in Connecticut billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Connecticut:
Connecticut hospitals: simple pneumonia and pleurisy with 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 |
|---|---|---|---|---|
| Middlesex HospitalMiddletown | 54 | $33,007 | $8,587 | $6,305 |
| Yale-New Haven HospitalNew Haven | 54 | $33,754 | $11,998 | $7,846 |
| Hartford HospitalHartford | 50 | $36,608 | $9,560 | $7,369 |
| Stamford HospitalStamford | 46 | $43,165 | $8,936 | $7,337 |
| Bridgeport HospitalBridgeport | 31 | $23,253 | $8,999 | $7,039 |
| Greenwich Hospital AssociationGreenwich | 31 | $22,992 | $7,599 | $6,095 |
| William W Backus HospitalNorwich | 30 | $33,346 | $9,212 | $5,239 |
| Charlotte Hungerford HospitalTorrington | 29 | $23,046 | $7,035 | $5,446 |
| Danbury HospitalDanbury | 29 | $26,602 | $8,685 | $7,126 |
| Griffin HospitalDerby | 24 | $36,727 | $8,588 | $6,710 |
| Norwalk HospitalNorwalk | 21 | $31,102 | $9,707 | $6,843 |
| Lawrence & Memorial HospitalNew London | 20 | $36,823 | $8,362 | $5,791 |
| Midstate Medical CenterMeriden | 18 | $29,098 | $7,539 | $6,179 |
| Hospital of Central Connecticut, theNew Britain | 18 | $31,050 | $9,100 | $6,674 |
| St Vincent's Medical CenterBridgeport | 17 | $30,994 | $9,727 | $7,135 |
| John Dempsey HospitalFarmington | 14 | $34,879 | $13,418 | $8,771 |
| St Francis Hospital & Medical CenterHartford | 12 | $38,769 | $8,455 | $6,629 |
| Bristol HospitalBristol | 12 | $31,924 | $7,927 | $5,826 |
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
| Charlotte Hungerford HospitalTorrington, CT | $7,035 |
|---|---|
| Midstate Medical CenterMeriden, CT | $7,539 |
| Greenwich Hospital AssociationGreenwich, CT | $7,599 |
| Bristol HospitalBristol, CT | $7,927 |
| Lawrence & Memorial HospitalNew London, CT | $8,362 |
Highest
| John Dempsey HospitalFarmington, CT | $13,418 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $11,998 |
| St Vincent's Medical CenterBridgeport, CT | $9,727 |
| Norwalk HospitalNorwalk, CT | $9,707 |
| Hartford HospitalHartford, CT | $9,560 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Connecticut?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 18 hospitals in Connecticut was billed at $32,377 on average, while the average total payment was $9,165, of which Medicare paid $6,754. 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 3.5 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.