Updated April 2026

Hip and Femur Procedures Except Major Joint with MCC in Connecticut

19 Connecticut hospitals report Medicare totals for this DRG, averaging $25,451 (above the $20,997 national mean), with a 2× spread from $19,265 to $32,049. 0 carry an A grade, 0 carry an F.

The Orthopedic procedure Hip and Femur Procedures Except Major Joint with MCC carries DRG code 480 in the CMS classification system. 2,631 hospitals in Connecticut report payment data, averaging $20,997 per procedure — median $20,343, ranging from $6,317 to $47,512. The $6,317-to-$47,512 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Connecticut, the 2,631 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($20,997) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Hip and Femur Procedures Except Major Joint with MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Musculoskeletal DRGs include hip and knee replacement, spine fusion, fracture repair, and major joint revision. Implant cost, length of stay, and rehab intensity drive most of the price variation across hospitals — DRGs 469/470 (joint replacement) are among the most-watched price benchmarks in Medicare.

Hip and Femur Procedures Except Major Joint with MCC is Medicare DRG 480 in the Orthopedic category. National Medicare average for this DRG is $20,997 across 2,631 reporting hospitals. The state-level view here filters that universe down to Connecticut only.

Cost Picture in Connecticut

Connecticut's average for this DRG sits above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Connecticut Reporting Hip and Femur Procedures Except Major Joint with MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#	Hospital	City	Payment	Quality	Grade
1	Masonicare Health Center Wallingford	Wallingford	$19,265	Not Rated	C
2	Hartford Hospital Hartford	Hartford	$20,843	★★★★☆	B
3	Greenwich Hospital Association - Greenwich	Greenwich	$22,570	★★★★☆	B
4	St Vincent's Medical Center Bridgeport	Bridgeport	$22,719	★★★☆☆	C
5	Bristol Hospital Bristol	Bristol	$23,101	★★☆☆☆	C
6	The Hospital Of Central Connecticut New Britain	New Britain	$23,360	★★☆☆☆	C
7	St Francis Hospital & Medical Center Hartford	Hartford	$23,608	★★☆☆☆	C
8	Connecticut Mental Health Center New Haven	New Haven	$23,850	Not Rated	D
9	Midstate Medical Center Meriden	Meriden	$24,499	★★★★☆	B
10	Yale-New Haven Hospital New Haven	New Haven	$24,779	★★★☆☆	C
11	Waterbury Hospital Waterbury	Waterbury	$24,832	★★★☆☆	C
12	Saint Mary's Hospital Waterbury	Waterbury	$25,320	★★★☆☆	C
13	Manchester Memorial Hospital Manchester	Manchester	$26,873	★★★☆☆	D
14	Griffin Hospital Derby	Derby	$27,944	★★★★☆	C
15	Bridgeport Hospital Bridgeport	Bridgeport	$28,732	★★★☆☆	C
16	Connecticut Behavioral Health Hospital West Hartford	West Hartford	$29,230	Not Rated	C
17	Connecticut Valley Hosp Middletown	Middletown	$29,295	Not Rated	D
18	Stamford Hospital Stamford	Stamford	$30,701	★★★★☆	B
19	Natchaug Hospital Mansfield Center	Mansfield Center	$32,049	Not Rated	C

Frequently Asked Questions

How much does hip and femur procedures except major joint with mcc cost in Connecticut?

Hip and Femur Procedures Except Major Joint with MCC (DRG 480) averages $25,451 in total Medicare payment across 19 Connecticut hospitals reporting this code. Within the state, payments span $19,265 to $32,049 — about 2× from cheapest to most expensive.

Is Hip and Femur Procedures Except Major Joint with MCC more or less expensive in Connecticut than nationally?

Connecticut's state-level average of $25,451 sits above the national Medicare average of $20,997 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.