facebook tracking Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Connecticut: 2 hospitals compared (DRG 004)

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Connecticut

What 2 hospitals in Connecticut charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.

DRG 004 Inpatient 2024 Medicare data
Average charge $780,665 Hospital list price billed
Average payment $204,478 Medicare + patient + other payers
Medicare paid $165,925 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Connecticut billed an average of $780,665 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 3.8 times the average total payment of $204,478. That payment is 47% above the U.S. average of $139,119.

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 $204,478Billed $780,665

About 26¢ was paid for every $1 hospitals in Connecticut billed for this stay.

Connecticut hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou

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 $833,835 $245,355 $187,244
Hartford HospitalHartford 13 $711,135 $151,022 $138,047
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Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states

Questions

How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Connecticut?

In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 2 hospitals in Connecticut was billed at $780,665 on average, while the average total payment was $204,478, of which Medicare paid $165,925. 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 3.8 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.