61/100
#924 nationally
Middlesex Hospital
28 Crescent St, Middletown, CT 06457 · (860) 344-6000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Middlesex Hospital billed $3.90 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.9x
- volume-weighted across all its priced work
- Procedures priced
- 74
- inpatient and outpatient combined
- Rank in CT
- #15
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 56% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 53% of U.S. hospitals.
Better than 66% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
847 | $18,386 | $3,057 | -5% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
300 | $61,570 | $18,083 | -6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
164 | $8,125 | $1,801 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
152 | $45,334 | $11,788 | +4% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
82 | $38,445 | $10,472 | -6% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
75 | $8,976 | $2,246 | -31% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
71 | $34,663 | $7,698 | +16% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
69 | $50,128 | $15,168 | -9% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
69 | $27,823 | $8,633 | -9% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
67 | $25,679 | $6,422 | -27% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$35,807 | $7,704 | +37% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$48,570 | $14,021 | +35% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$71,270 | $16,210 | +35% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$98,673 | $18,844 | +29% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$64,298 | $13,067 | +25% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$10,506 | $1,729 | +23% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$54,031 | $9,455 | +19% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
$28,018 | $5,670 | +17% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$12,056 | $4,294 | -49% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$26,406 | $12,012 | -49% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$11,541 | $3,646 | -43% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$10,722 | $3,521 | -41% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$12,826 | $3,857 | -38% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,445 | $5,828 | -36% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$38,349 | $11,580 | -36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$8,976 | $2,246 | -31% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.