Midstate Medical Center
MIDSTATE MEDICAL CENTER in Meriden, CT charges 4.5x the Medicare reimbursement rate across 47 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.
Meriden, CT 06450 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.54x
Charge / Medicare rate
Max markup
6.64x
Worst procedure
Procedures analyzed
47
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,429 | $10,715 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $33,776 | $16,888 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $36,363 | $18,182 | — | 6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $39,967 | $19,983 | — | 6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $29,219 | $14,609 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,656 | $19,828 | — | 5.8x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $59,227 | $29,614 | — | 5.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $67,521 | $33,760 | — | 5.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $53,534 | $26,767 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,678 | $14,839 | — | 5.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $36,168 | $18,084 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,965 | $14,483 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $91,469 | $45,735 | — | 5.1x |
| CELLULITIS WITHOUT MCC | 603 | $32,035 | $16,017 | — | 5.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,183 | $28,092 | — | 5.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $42,901 | $21,451 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,021 | $18,510 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,311 | $13,155 | — | 5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $49,370 | $24,685 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $218,601 | $109,301 | — | 5x |
| RENAL FAILURE WITH MCC | 682 | $52,253 | $26,126 | — | 5x |
| SYNCOPE AND COLLAPSE | 312 | $29,952 | $14,976 | — | 4.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $64,915 | $32,458 | — | 4.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,226 | $17,113 | — | 4.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $56,233 | $28,117 | — | 4.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $34,735 | $17,368 | — | 4.4x |
| DIABETES WITH MCC | 637 | $43,833 | $21,917 | — | 4.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,906 | $25,953 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $177,593 | $88,797 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $38,711 | $19,355 | — | 4.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $34,876 | $17,438 | — | 4.1x |
| SEIZURES WITHOUT MCC | 101 | $27,754 | $13,877 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $47,167 | $23,583 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $57,599 | $28,799 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $53,780 | $26,890 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $37,821 | $18,910 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $93,638 | $46,819 | — | 3.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $57,239 | $28,620 | — | 3.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $47,404 | $23,702 | — | 3.5x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $124,989 | $62,494 | — | 3.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $47,479 | $23,740 | — | 3.2x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $44,586 | $22,293 | — | 3.2x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $68,532 | $34,266 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $62,688 | $31,344 | — | 2.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $42,652 | $21,326 | — | 2.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $48,441 | $24,221 | — | 2.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $46,274 | $23,137 | — | 2.2x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use