70/100
#647 nationally
Midstate Medical Center
435 Lewis Avenue, Meriden, CT 06450 · (203) 694-8200
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Midstate Medical Center billed $3.22 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
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 73
- inpatient and outpatient combined
- Rank in CT
- #5
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 60% of U.S. hospitals.
Better than 95% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 62% 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 |
|---|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
622 | $31,232 | $14,417 | -50% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
376 | $11,379 | $3,006 | -41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
217 | $65,321 | $16,966 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
167 | $50,076 | $11,973 | +15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
113 | $9,360 | $1,796 | -7% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
96 | $51,356 | $12,097 | +10% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
87 | $56,729 | $15,309 | +3% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
85 | $53,925 | $20,512 | -35% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
83 | $12,429 | $2,062 | +6% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
74 | $47,795 | $11,610 | about average |
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 |
|---|---|---|---|
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$62,135 | $11,703 | +21% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$39,594 | $8,007 | +20% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$42,361 | $7,923 | +16% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$13,120 | $2,112 | +16% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$50,076 | $11,973 | +15% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$53,257 | $10,820 | +12% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$34,605 | $8,865 | +11% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$51,356 | $12,097 | +10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Revision of Hip or Knee Replacement without Complications/mcc
MS-DRG 468 · Inpatient stay |
$53,479 | $23,232 | -51% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$4,245 | $1,787 | -51% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$31,232 | $14,417 | -50% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$40,623 | $16,516 | -49% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$10,929 | $3,889 | -47% |
|
Revision of Hip or Knee Replacement with Complications
MS-DRG 467 · Inpatient stay |
$69,141 | $25,480 | -47% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$14,799 | $5,670 | -46% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$32,403 | $10,890 | -46% |
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.