Connecticut General Statutes Compliance

While scheduling your procedure you indicated you wanted to find out more information about the Quality and/or Cost of your procedure. This information is being provided to you pursuant to Connecticut General Statutes. Middlesex Hospital is required to provide Quality & Cost information, when requested, for certain scheduled procedures, which are listed in the tables below. The overall quality information related to Middlesex Hospital is also provided below.

The Joint Commission Composite Accountability Rating
https://www.jointcommission.org/
Middlesex Hospital
>95% (Top Performer)

 

Medicare Hospital Compare Star Rating
https://www.medicare.gov/hospitalcompare/

Middlesex Hospital

Medicare Hospital Compare Star Rating

Disclosure: The average insurance reimbursement provided is based on the information Middlesex Hospital currently has on file for all insurance carriers combined. Any change to your insurance or services rendered at the time of your appointment may change your financial responsibility.

Average Cost Information:

Radiology
Procedure
Code
Procedure Description Average
Procedure Price
Average
Insurance Reimbursement*
 70450 CT Scan, Head or Brain, with Contrast   $2,026  $744
 70553 MRI, Brain  $6,139  $2,073
 73721 MRI, Lower Joint/Extremity, without Contrast  $3,480  $1,196
 74177 CT Scan, Abdomen and Pelvis, with Contrast  $4,388  $1,146
 76536 Ultrasound, Head and Neck  $1,165  $257
 76641 Ultrasound, Breast, Unilateral, Complete  $230  $155
 76642 Ultrasound, Breast, Unilateral, Limited  $230   $119
 76700 Ultrasound, Abdominal, Complete  $1,534  $298
 76830 Ultrasound, Transvaginal  $954  $231
 76856 Ultrasound, Pelvic (nonobstetric), Complete  $1,075  $247
 76942 Ultrasonic Guidance for Needle Placement (eg, biopsy)  $1,007  $183
 G0202 Mammogram, Screening  $308  $199
 G0206 Mammogram, Diagnostic  $537  $204
Outpatient Surgical
Procedure
Code
Procedure Description Average
Procedure Price
Average
Insurance Reimbursement*
  26055  Incise finger tendon sheath  $5,503  $976
  28285  Repair of hammertoe  $7,267  $3,258
  29827  Arthroscop rotator cuff repr  $29,562  $12,676
  29881  Knee arthroscopy/surgery..  $7,029  $2,509
  36561  Insert tunneled cv cath 36561  $12,344  $3,972
  41899  Dental surgery procedure  $12,934  $5,390
  43235  Uppr gi endoscopy diagnosis 43235  $5,613  $1,548
  43239  Upper gi endoscopy biopsy 43239  $6,719  $1,826
  45378  Colonoscopy, flexible-45378  $6,646  $2,007
  45380  Colonoscopy, flexible-45380  $7,723  $2,130
  45385  Colonoscopy, flexible-45385  $8,530  $2,425
  47562  Laparoscopic cholecystectomy  $19,500  $7,816
  58558  Hysteroscopy, biopsy  $8,792  $3,618
  66982  Cataract surgery, complex  $6,227  $1,958
  66984  Cataract surg w/iol, 1 stage 66984  $5,830  $2,127
Inpatient Surgical
Procedure
Code
Procedure Description Average
Procedure Price
Average
Insurance Reimbursement*
  766  Cesarean section w/o cc/mcc  $25,878  $9,632
  765  Cesarean section w cc/mcc  $29,817  $9,416
  460  Spinal fusion except cervical w/o mcc  $146,634  $46,496
  460  Excision of intervertebral disc  $208,371  $85,015
  470  Major joint replacement or reattachment of lower extremity w/o mcc  $63,646  $18,746
  470  Hip replacement  $70,202  $19,417
  470  Knee replacement  $59,728  $18,329
  621  O.R. procedures for obesity w/o cc/mcc  $53,642  $16,585
  743  Uterine & adnexa proc for non-malignancy w/o cc/mcc  $27,375  $9,585
  481  Hip & femur procedures except major joint w cc  $57,160  $14,257
  330  Major small & large bowel procedures w cc  $86,925  $24,659
  853  Infectious & parasitic diseases w o.r. procedure w mcc  $162,038  $47,565
  331  Major small & large bowel procedures w/o cc/mcc  $65,809  $17,781
  419  Laparoscopic cholecystectomy w/o c.d.e. w/o cc/mcc  $44,076  $11,675
  473  Cervical spinal fusion w/o cc/mcc  $61,769  $23,628
  494  Lower extrem & humer proc except hip,foot,femur w/o cc/mcc  $42,335  $13,008
  329  Major small & large bowel procedures w mcc  $128,509  $44,780
  483  Major joint/limb reattachment procedure of upper extremities  $70,522  $19,949
  253  Other vascular procedures w cc  $65,659  $17,030
  343  Appendectomy w/o complicated principal diag w/o cc/mcc  $33,295  $8,007
  418  Laparoscopic cholecystectomy w/o c.d.e. w cc  $64,155  $17,678
  742  Uterine & adnexa proc for non-malignancy w cc/mcc  $51,787  $14,403
  493  Lower extrem & humer proc except hip,foot,femur w cc  $47,073  $14,998
  N/A  Esophagogastroduodenoscopy  $52,888  $12,095

Your out-of-pocket cost will be based on your specific insurance coverage level at the time of the procedure. For more detailed information, please contact your insurance company directly.