Simple pneumonia and pleurisy with major complications in Connecticut
What 25 hospitals in Connecticut charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$49,093
Hospital list price billed
Average payment
$14,233
Medicare + patient + other payers
Medicare paid
$11,728
Average per stay
State rank
#44 of 50
1 = lowest average payment
Hospitals in Connecticut billed an average of $49,093 for simple pneumonia and pleurisy with major complications, about 3.4 times the average total payment of $14,233. That payment is 18% above the U.S. average of $12,020.
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 $14,233Billed $49,093
About 29¢ 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 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 | 231 | $52,528 | $17,336 | $13,543 |
| Hartford HospitalHartford | 171 | $62,189 | $15,665 | $11,894 |
| Bridgeport HospitalBridgeport | 127 | $40,223 | $13,893 | $11,876 |
| Stamford HospitalStamford | 109 | $60,693 | $13,646 | $11,936 |
| William W Backus HospitalNorwich | 103 | $52,947 | $12,710 | $10,084 |
| Danbury HospitalDanbury | 97 | $35,592 | $13,940 | $11,546 |
| Midstate Medical CenterMeriden | 96 | $51,356 | $12,097 | $10,319 |
| Lawrence & Memorial HospitalNew London | 93 | $44,098 | $11,987 | $10,173 |
| Greenwich Hospital AssociationGreenwich | 83 | $51,215 | $12,159 | $10,552 |
| Hospital of Central Connecticut, theNew Britain | 72 | $56,146 | $14,165 | $11,616 |
| St Vincent's Medical CenterBridgeport | 71 | $59,792 | $14,176 | $12,756 |
| Middlesex HospitalMiddletown | 61 | $41,533 | $13,018 | $10,096 |
| Charlotte Hungerford HospitalTorrington | 60 | $43,460 | $11,194 | $9,854 |
| John Dempsey HospitalFarmington | 58 | $44,667 | $20,036 | $16,662 |
| Windham Comm Mem Hosp & Hatch HospWillimantic | 45 | $34,896 | $15,901 | $14,123 |
| Norwalk HospitalNorwalk | 45 | $49,457 | $15,336 | $10,786 |
| St Francis Hospital & Medical CenterHartford | 44 | $39,856 | $13,613 | $10,583 |
| Saint Marys HospitalWaterbury | 44 | $41,219 | $13,652 | $11,461 |
| Waterbury HospitalWaterbury | 42 | $66,097 | $13,458 | $11,554 |
| Manchester Memorial HospitalCentral Manchester | 39 | $49,045 | $12,426 | $10,942 |
| Bristol HospitalBristol | 38 | $34,113 | $11,906 | $10,132 |
| Sharon HospitalSharon | 24 | $30,226 | $16,828 | $15,536 |
| Day Kimball HospitalPutnam | 22 | $35,237 | $11,663 | $10,478 |
| Griffin HospitalDerby | 17 | $51,875 | $13,522 | $11,911 |
| Johnson Memorial HospitalStafford Springs | 15 | $18,649 | $12,350 | $9,311 |
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 | $11,194 |
|---|---|
| Day Kimball HospitalPutnam, CT | $11,663 |
| Bristol HospitalBristol, CT | $11,906 |
| Lawrence & Memorial HospitalNew London, CT | $11,987 |
| Midstate Medical CenterMeriden, CT | $12,097 |
Highest
| John Dempsey HospitalFarmington, CT | $20,036 |
|---|---|
| Yale-New Haven HospitalNew Haven, CT | $17,336 |
| Sharon HospitalSharon, CT | $16,828 |
| Windham Comm Mem Hosp & Hatch HospWillimantic, CT | $15,901 |
| Hartford HospitalHartford, CT | $15,665 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Connecticut?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 25 hospitals in Connecticut was billed at $49,093 on average, while the average total payment was $14,233, of which Medicare paid $11,728. 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 3.4 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.