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DANBURY HOSPITAL

DANBURY, CT 06810 · Acute Care Hospitals

119 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

119

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.7x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to CT hospitals

Understanding Your Costs

When you receive a bill from DANBURY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, DANBURY HOSPITAL lists chargemaster rates that average 3.7x the corresponding Medicare reimbursement amount across 119 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in CT has a chargemaster-to-Medicare ratio of 4.2x, with ratios across the state ranging from 2.0x to 5.6x. At 3.7x, this facility’s average ratio is below the state median. 26 hospitals in CT report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at DANBURY HOSPITAL is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $37,080, while Medicare reimburses $5,166 for the same procedure — a ratio of 7.2x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

DANBURY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$37,080$5,1667.2x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$28,646$4,0907.0x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$87,868$15,1385.8x
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OTHER VASCULAR PROCEDURES WITH CC253$143,769$25,1015.7x
1th
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CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC847$64,674$11,9325.4x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$87,739$16,9165.2x
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SYNCOPE AND COLLAPSE312$36,510$7,3904.9x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$67,751$14,1984.8x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$26,425$5,5524.8x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$98,536$20,7904.7x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$44,955$9,5384.7x
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FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$33,737$7,2094.7x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$29,319$6,3634.6x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$38,478$8,5874.5x
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DISORDERS OF THE BILIARY TRACT WITH CC445$45,207$10,0954.5x
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OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC565$35,812$8,0764.4x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$77,402$17,4714.4x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$35,314$7,9874.4x
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OTHER VASCULAR PROCEDURES WITH MCC252$152,317$34,5194.4x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$93,294$21,3674.4x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$29,503$6,8144.3x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$63,538$14,7454.3x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$49,986$11,6534.3x
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CAROTID ARTERY STENT PROCEDURES WITH CC035$91,185$21,4514.3x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$62,896$14,8554.2x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$127,314$30,1584.2x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$62,297$15,1354.1x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$188,805$45,9054.1x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$25,123$6,1194.1x
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MEDICAL BACK PROBLEMS WITHOUT MCC552$33,019$8,0484.1x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$26,527$6,4904.1x
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CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$81,229$19,9264.1x
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CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION219$285,198$70,4384.0x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$33,433$8,2814.0x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$207,993$52,5414.0x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$169,257$42,9793.9x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$25,620$6,5013.9x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$27,563$7,0203.9x
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EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$157,620$40,8023.9x
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DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$77,589$20,1393.9x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$24,750$6,4363.9x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$51,745$13,4993.8x
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DIABETES WITH MCC637$46,900$12,3573.8x
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PULMONARY EMBOLISM WITHOUT MCC176$23,527$6,1903.8x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$67,956$17,9533.8x
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RED BLOOD CELL DISORDERS WITH MCC811$50,510$13,3473.8x
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RENAL FAILURE WITH CC683$28,825$7,6553.8x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$65,153$17,3653.8x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$73,446$19,6733.7x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$33,857$9,2003.7x
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Showing 50 of 119 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across CT hospitals

2.0x
Median: 4.2x
5.6x
3.7x

26 hospitals in CT report pricing data to CMS. This facility's average ratio of 3.7x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About DANBURY HOSPITAL

How much does DANBURY HOSPITAL charge compared to Medicare?

According to CMS IPPS data, DANBURY HOSPITAL's listed chargemaster rates average 3.7x the Medicare reimbursement amount across 119 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at DANBURY HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at DANBURY HOSPITAL is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $37,080 compared to Medicare reimbursement of $5,166 — a ratio of 7.2x. Source: CMS IPPS Provider Summary.

Is DANBURY HOSPITAL expensive compared to other CT hospitals?

DANBURY HOSPITAL's average chargemaster-to-Medicare ratio is 3.7x. Ratios vary significantly across CT hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for DANBURY HOSPITAL come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from DANBURY HOSPITAL is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does DANBURY HOSPITAL in DANBURY, CT accept Medicare?

DANBURY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact DANBURY HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.