Connecticut · 33533

Coronary Artery Bypass Using Artery Graft, 1 Graft in Connecticut

Connecticut Medicare Avg
$806.81
9% below national avg
National Medicare Avg
$890.08
All states combined
Billed Charge (CT)
$5,571.09
What providers submit
Est. Commercial (CT)
$2,573.36
National avg: $2,498.56
Est. Cash / Self-Pay (CT)
$2,288.92
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

564
Services in CT
60
Providers
N/A
Min Payment
N/A
Max Payment

Connecticut Pricing in Context

In Connecticut, CPT code 33533 (Coronary Artery Bypass Using Artery Graft, 1 Graft) carries an average Medicare payment of $806.81 — 9% below the national benchmark of $890.08. 60 providers across the state submitted claims for this procedure in 2023, performing 564 total services. Individual payments in CT ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Connecticut is $5,571.09, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Connecticut sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Connecticut lands near $2,573.36, with self-pay cash prices typically around $2,288.92. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Coronary Artery Bypass Using Artery Graft, 1 Graft cost in Connecticut?

The average Medicare payment for Coronary Artery Bypass Using Artery Graft, 1 Graft in Connecticut is $806.81, which is 9% below the national average of $890.08. Providers in CT typically bill $5,571.09 for this procedure.

What does Coronary Artery Bypass Using Artery Graft, 1 Graft cost with insurance in Connecticut?

With commercial insurance in Connecticut, Coronary Artery Bypass Using Artery Graft, 1 Graft costs an estimated $2,573.36. Without insurance, the estimated cash price is $2,288.92. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Coronary Artery Bypass Using Artery Graft, 1 Graft in Connecticut?

60 providers in Connecticut billed Medicare for Coronary Artery Bypass Using Artery Graft, 1 Graft in 2023, performing 564 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Coronary Artery Bypass Using Artery Graft, 1 Graft cheaper in Connecticut than the national average?

Yes — Coronary Artery Bypass Using Artery Graft, 1 Graft costs 9% below the national average in Connecticut. The state average Medicare payment is $806.81 compared to $890.08 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial