CT CMS Medicare PUF 2023 Avg payment #24 of 56

Connecticut procedure costs

37 hospitals · 1,673 Medicare providers · 3,404 procedure codes with Connecticut locality adjustments.

The short answer

Connecticut has 37 hospitals and 1,673 Medicare-billing providers across 3,404 procedure codes. The average Medicare payment per procedure is $238.53; the average submitted (billed) charge is $1,631.78.

Procedure codes
3,404
Providers per hospital
45.2
Billed-to-Medicare ratio
6.8x
Markup rank
#9 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

37
Hospitals
1,673
Providers
$238.53
Avg Medicare Payment
$1,631.78
Avg Billed Charge

Connecticut against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$239 higher than 57% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). This entry sits in this band. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Connecticut

Highest average Medicare payment per procedure billed in Connecticut. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Connecticut

Removal Of Plaque And Insert…7970Removal Of Plaque In Artery …5825Insertion Of Spinal Neurosti…5223Removal Of Plaque In Arterie…5200Placement Of Stabilizing Dev…4236Dilation Of Sphenoid And Fro…4148Removal And/or Dissolving Of…3979Ambulance Service, Conventio…3604
Top procedures by Medicare payment - Connecticut-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Ground Mileage, Per Statute Mile $6.93 1.2M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $90.15 1.0M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $63.27 837.5K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.12 796.4K
Injection, Onabotulinumtoxina, 1 Unit $4.81 780.6K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $19.20 636.1K
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $10.91 499.3K
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.89 494.5K
Chronic Care Management Services, First 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month $55.26 488.3K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 469.0K
Injection, Denosumab, 1 Mg $17.76 413.1K
Injection, Vedolizumab, 1 Mg $17.19 406.5K
Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month $42.31 382.3K
Injection, Faricimab-Svoa, 0.1 Mg $28.88 365.8K
Therapy Procedure Using Manual Technique, Each 15 Minutes $16.85 350.4K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $63.27 348.7K
Injection, Gadobutrol, 0.1 Ml $0.26 324.8K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $23.38 319.7K
Injection, Testosterone Cypionate, 1 Mg $0.02 307.0K
Injection, Ferric Carboxymaltose, 1 Mg $0.87 304.5K
Therapy Procedure Using Functional Activities $27.73 303.4K
Subsequent Nursing Facility Care With Moderate Level Of Medical Decision Making, Per Day, If Using Time, At Least 30 Minutes $75.51 229.7K
Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity $41.87 215.4K
Injection, Tocilizumab, 1 Mg $4.52 213.8K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $6.50 206.5K
Injection, Filgrastim-Sndz, Biosimilar, (zarxio), 1 Microgram $0.16 191.1K
Subsequent Nursing Facility Care With Straightforward Level Of Medical Decision Making, Per Day, If Using Time, At Least 15 Minutes $54.12 188.3K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report $10.85 182.8K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $96.18 182.5K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 172.9K

Connecticut Healthcare Cost Landscape

CMS lists 37 hospitals in Connecticut across 29 cities. BRIDGEPORT holds 3 (8%). The three densest cities together hold 24% of the state roster. Statewide that is 1,673 Medicare-billing providers, 45.2 per listed hospital.

26 hospitals carry a CMS overall star rating (1 five-star, 6 four-star, 16 three-star, 3 two-star, 0 one-star) ; five-star share among rated facilities is 4%. 11 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 27 (73%); Psychiatric 8 (22%); Acute Care - Veterans Administration 1 (3%); Childrens 1 (3%).

Among the 30 highest-volume procedure codes billed in Connecticut, Drugs (Administered) leads with 3.3M services (26% of this top-volume slice) across 8 codes. Next is Medical Supplies at 16%.

Submitted charges average $1,631.78 against $238.53 Medicare payment (6.8x billed-to-Medicare). That ratio ranks #9 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #24 of 56.

Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Removal Of Plaque And Insertion Of Stents In Arteries Of Leg is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Connecticut, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Connecticut hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 29 distinct cities appear on 37 listed facilities.

City Hospitals Share of state roster
BRIDGEPORT 3 8%
HARTFORD 3 8%
MIDDLETOWN 3 8%
NEW HAVEN 2 5%
WATERBURY 2 5%
BRANFORD 1 3%
BRISTOL 1 3%
DANBURY 1 3%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Connecticut: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (37 here).

Similar average Medicare payment

Nearest states with published averages ($238.53 here).

Hospitals in Connecticut

ALBERT J SOLNIT CHILDREN'S CENTER - SOUTH CAMPUS
MIDDLETOWN · -
BRIDGEPORT HOSPITAL
BRIDGEPORT · ★★★☆☆
BRISTOL HOSPITAL
BRISTOL · ★★☆☆☆
CHARLOTTE HUNGERFORD HOSPITAL
TORRINGTON · ★★★☆☆
CONNECTICUT BEHAVIORAL HEALTH HOSPITAL
WEST HARTFORD · -
CONNECTICUT CHILDRENS MEDICAL CENTER
HARTFORD · -
CONNECTICUT MENTAL HEALTH CENTER
NEW HAVEN · -
CONNECTICUT VALLEY HOSP
MIDDLETOWN · -
DANBURY HOSPITAL
DANBURY · ★★★☆☆
DAY KIMBALL HOSPITAL
PUTNAM · ★★★☆☆
GREENWICH HOSPITAL ASSOCIATION -
GREENWICH · ★★★★☆
GRIFFIN HOSPITAL
DERBY · ★★★★☆
HARTFORD HOSPITAL
HARTFORD · ★★★★☆
JOHN DEMPSEY HOSPITAL OF THE UNIVERSITY OF CONNECT
FARMINGTON · ★★★☆☆
JOHNSON MEMORIAL HOSPITAL
STAFFORD SPRINGS · ★★★☆☆
LAWRENCE & MEMORIAL HOSPITAL
NEW LONDON · ★★★☆☆
MANCHESTER MEMORIAL HOSPITAL
MANCHESTER · ★★★☆☆
MASONICARE HEALTH CENTER
WALLINGFORD · -
MIDDLESEX HOSPITAL
MIDDLETOWN · ★★★☆☆
MIDSTATE MEDICAL CENTER
MERIDEN · ★★★★☆
NATCHAUG HOSPITAL
MANSFIELD CENTER · -
NORWALK HOSPITAL
NORWALK · ★★★☆☆
ROCKVILLE GENERAL HOSPITAL
VERNON · -
SAINT MARY'S HOSPITAL
WATERBURY · ★★★☆☆
SHARON HOSPITAL
SHARON · ★★★★★
SILVER HILL HOSPITAL INC
NEW CANAAN · -
SOUTHWEST CONNECTICUT MENTAL HEALTH SYSTEM
BRIDGEPORT · -
ST FRANCIS HOSPITAL & MEDICAL CENTER
HARTFORD · ★★☆☆☆
ST VINCENT'S MEDICAL CENTER
BRIDGEPORT · ★★★☆☆
STAMFORD HOSPITAL
STAMFORD · ★★★★☆

View all 37 hospitals in Connecticut →

How Connecticut Compares Nationally

Connecticut's average Medicare payment is #24 of 56 in this extract. Submitted-over-Medicare markup ranks #9 of 56 (6.8x). Hospital-count peers (nearest CMS roster size to 37): Maine 36, Wyoming 30, New Mexico 45, New Hampshire 28. Payment peers (nearest average Medicare payment to $238.53): Oregon $239.06, Nevada $236.73, District of Columbia $235.89, South Carolina $244.35.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Connecticut, not an out-of-pocket quote.

Related registry pages

Connecticut averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Connecticut CMS averages, not a quote for any patient, plan, or visit.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.