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The Price of Medicare Procedures in Connecticut



This table shows the 100 most frequently charged procedures/diagnosis in Connecticut to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Connecticut 279 $20837 $6485 $14352
Acute Myocardial Infarction Discharged Alive With Complications
 Connecticut 661 $27386 $9347 $18039
Acute Myocardial Infarction Discharged Alive With Major Complications
 Connecticut 1054 $38238 $14189 $24049
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Connecticut 499 $22454 $6034 $16420
Atherosclerosis No Major Complications
 Connecticut 446 $13696 $4619 $9077
Back And Neck Proc Exc Spinal Fusion No Complications
 Connecticut 325 $26143 $8274 $17869
Bronchitis And Asthma No Complications
 Connecticut 238 $15041 $5257 $9784
Bronchitis And Asthma With Complications
 Connecticut 436 $19361 $7100 $12261
Cardiac Arrhythmia And Conduction Disorders No Complications
 Connecticut 1441 $13908 $4693 $9215
Cardiac Arrhythmia And Conduction Disorders With Complications
 Connecticut 1603 $20093 $6843 $13250
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Connecticut 1066 $30562 $10269 $20293
Cellulitis No Major Complications
 Connecticut 2121 $17391 $6829 $10562
Cellulitis With Major Complications
 Connecticut 296 $31445 $12084 $19361
Cervical Spinal Fusion No Complications
 Connecticut 238 $39074 $17016 $22058
Chest Pain
 Connecticut 1969 $13775 $4433 $9342
Chronic Obstructive Pulmonary Disease No Complications
 Connecticut 1001 $15964 $5852 $10112
Chronic Obstructive Pulmonary Disease With Complications
 Connecticut 1590 $20121 $7670 $12451
Chronic Obstructive Pulmonary Disease With Major Complications
 Connecticut 1948 $25184 $9367 $15817
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Connecticut 1065 $32679 $9539 $23140
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Connecticut 210 $60833 $18483 $42350
Cranial And Peripheral Nerve Disorders No Major Complications
 Connecticut 249 $22542 $7834 $14708
Degenerative Nervous System Disorders No Major Complications
 Connecticut 397 $24671 $7990 $16681
Diabetes With Complications
 Connecticut 594 $19434 $6979 $12455
Disorders Of Pancreas Except Malignancy With Complications
 Connecticut 296 $22614 $8329 $14285
Dysequilibrium
 Connecticut 360 $14536 $5371 $9165
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Connecticut 3288 $17901 $6035 $11866
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Connecticut 601 $27299 $10030 $17269
Extracranial Procedures No Complications
 Connecticut 384 $20991 $8144 $12847
Fractures Of Hip And Pelvis No Major Complications
 Connecticut 300 $18180 $5643 $12537
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Connecticut 307 $17630 $5920 $11710
Gi Hemorrhage No Complications
 Connecticut 527 $16524 $5755 $10769
Gi Hemorrhage With Complications
 Connecticut 2190 $23273 $8238 $15035
Gi Hemorrhage With Major Complications
 Connecticut 800 $43378 $14645 $28733
Gi Obstruction No Complications
 Connecticut 629 $15343 $5328 $10015
Gi Obstruction With Complications
 Connecticut 724 $22058 $7886 $14172
Heart Failure And Shock No Complications
 Connecticut 1174 $16051 $5485 $10566
Heart Failure And Shock With Complications
 Connecticut 3111 $23261 $8225 $15036
Heart Failure And Shock With Major Complications
 Connecticut 2748 $34260 $12013 $22247
Hip And Femur Procedures Except Major Joint No Complications
 Connecticut 246 $35236 $12029 $23207
Hip And Femur Procedures Except Major Joint With Complications
 Connecticut 1211 $40189 $14834 $25355
Hip And Femur Procedures Except Major Joint With Major Complications
 Connecticut 318 $69630 $25496 $44134
Hypertension No Major Complications
 Connecticut 243 $16329 $5273 $11056
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Connecticut 469 $121890 $47739 $74151
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Connecticut 801 $21952 $6692 $15260
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Connecticut 1334 $29179 $9446 $19733
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Connecticut 856 $46661 $16241 $30420
Kidney And Urinary Tract Infections No Major Complications
 Connecticut 3027 $17907 $6303 $11604
Kidney And Urinary Tract Infections With Major Complications
 Connecticut 1217 $24295 $9612 $14683
Laparoscopic Cholecystectomy No Cde No Complications
 Connecticut 201 $25896 $9375 $16521
Laparoscopic Cholecystectomy No Cde With Complications
 Connecticut 185 $41462 $14033 $27429
Major Cardiovasc Procedures No Major Complications
 Connecticut 418 $66506 $26093 $40413
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Connecticut 471 $29465 $10693 $18772
Major Joint Replacement Of Lower Extremity No Major Complications
 Connecticut 5324 $39932 $16970 $22962
Major Joint Replacement Of Lower Extremity With Major Complications
 Connecticut 318 $64229 $25804 $38425
Major Small And Large Bowel Procedures With Complications
 Connecticut 818 $55818 $20526 $35292
Major Small And Large Bowel Procedures With Major Complications
 Connecticut 530 $113178 $42390 $70788
Medical Back Problems No Major Complications
 Connecticut 799 $20180 $6693 $13487
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Connecticut 2119 $16214 $5761 $10453
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Connecticut 747 $27258 $9759 $17499
Other Circulatory System Diagnoses With Complications
 Connecticut 220 $22129 $8219 $13910
Other Circulatory System Diagnoses With Major Complications
 Connecticut 535 $45997 $15871 $30126
Other Digestive System Diagnoses With Complications
 Connecticut 668 $22504 $8385 $14119
Other Kidney And Urinary Tract Diagnoses With Complications
 Connecticut 356 $26620 $8868 $17752
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Connecticut 396 $40379 $14364 $26015
Other Vascular Procedures No Complications
 Connecticut 382 $41910 $13862 $28048
Other Vascular Procedures With Complications
 Connecticut 487 $64825 $21524 $43301
Other Vascular Procedures With Major Complications
 Connecticut 344 $96401 $31363 $65038
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Connecticut 276 $60695 $16828 $43867
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Connecticut 1163 $55578 $17686 $37892
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Connecticut 278 $84651 $29889 $54762
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Connecticut 518 $49728 $15514 $34214
Peripheral Vascular Disorders No Complications
 Connecticut 173 $16567 $6069 $10498
Peripheral Vascular Disorders With Complications
 Connecticut 487 $22879 $8337 $14542
Permanent Cardiac Pacemaker Implant No Complications
 Connecticut 409 $44876 $16505 $28371
Permanent Cardiac Pacemaker Implant With Complications
 Connecticut 429 $55408 $20625 $34783
Poisoning And Toxic Effects Of Drugs No Major Complications
 Connecticut 408 $18795 $5576 $13219
Poisoning And Toxic Effects Of Drugs With Major Complications
 Connecticut 197 $37275 $13137 $24138
Psychoses
 Connecticut 24 $19140 $8239 $10901
Pulmonary Edema And Respiratory Failure
 Connecticut 1756 $28498 $10512 $17986
Pulmonary Embolism No Major Complications
 Connecticut 380 $25183 $8657 $16526
Red Blood Cell Disorders No Major Complications
 Connecticut 1031 $18463 $6672 $11791
Red Blood Cell Disorders With Major Complications
 Connecticut 282 $35514 $11430 $24084
Renal Failure No Complications
 Connecticut 350 $15890 $5463 $10427
Renal Failure With Complications
 Connecticut 2311 $22174 $8399 $13775
Renal Failure With Major Complications
 Connecticut 1380 $36172 $13936 $22236
Respiratory Infections And Inflammations With Complications
 Connecticut 1247 $28675 $11336 $17339
Respiratory Infections And Inflammations With Major Complications
 Connecticut 1394 $39858 $16055 $23803
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Connecticut 372 $140812 $45829 $94983
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Connecticut 897 $60321 $19466 $40855
Seizures No Major Complications
 Connecticut 640 $20329 $6538 $13791
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Connecticut 1620 $24014 $9143 $14871
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Connecticut 4594 $42041 $15726 $26315
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Connecticut 239 $153553 $52100 $101453
Signs And Symptoms No Major Complications
 Connecticut 629 $17579 $5795 $11784
Simple Pneumonia And Pleurisy No Complications
 Connecticut 1034 $16163 $5689 $10474
Simple Pneumonia And Pleurisy With Complications
 Connecticut 2872 $22205 $8065 $14140
Simple Pneumonia And Pleurisy With Major Complications
 Connecticut 2051 $31282 $11583 $19699
Spinal Fusion Except Cervical No Major Complications
 Connecticut 637 $72578 $31271 $41307
Syncope And Collapse
 Connecticut 2759 $17349 $5919 $11430
Transient Ischemia
 Connecticut 1216 $18401 $5864 $12537


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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