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YALE-NEW HAVEN HOSPITAL

NEW HAVEN, CT 06504 · Acute Care Hospitals

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

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

239

With CMS pricing data

Avg Charge-to-Medicare Ratio

4.3x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

2%

Compared to CT hospitals

Understanding Your Costs

When you receive a bill from YALE-NEW HAVEN HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, YALE-NEW HAVEN HOSPITAL lists chargemaster rates that average 4.3x the corresponding Medicare reimbursement amount across 239 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 4.3x, this facility’s average ratio is above 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 YALE-NEW HAVEN HOSPITAL is PSYCHOSES (DRG 885). The listed chargemaster rate is $210,764, while Medicare reimburses $26,434 for the same procedure — a ratio of 8.0x (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.

4 of 239 procedures (2%) at this facility have listed rates above the 90th percentile compared to other CT hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).

YALE-NEW HAVEN 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
PSYCHOSES885$210,764$26,4348.0x
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LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC841$113,919$16,2987.0x
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TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$63,680$9,2226.9x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$92,423$14,0146.6x
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OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC580$82,866$12,6356.6x
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BRONCHITIS AND ASTHMA WITH CC/MCC202$45,163$7,0796.4x
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SYNCOPE AND COLLAPSE312$52,612$8,6166.1x
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SEIZURES WITHOUT MCC101$57,707$9,5126.1x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$63,724$10,6676.0x
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SIGNS AND SYMPTOMS WITHOUT MCC948$38,920$6,5525.9x
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NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$68,441$11,6575.9x
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HYPERTENSION WITHOUT MCC305$41,140$7,0615.8x
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FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$59,554$10,2535.8x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC239$335,167$58,4225.7x
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AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$96,000$17,0675.6x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$55,340$10,0105.5x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$43,738$7,9615.5x
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UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC740$76,179$13,9995.4x
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ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY884$122,860$22,6915.4x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$38,805$7,2185.4x
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ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION880$52,695$9,7885.4x
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HEART FAILURE AND SHOCK WITH CC292$47,586$8,8525.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$43,989$8,2775.3x
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CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC074$49,320$9,2925.3x
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FRACTURES OF HIP AND PELVIS WITH MCC535$104,088$19,7135.3x
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INTERSTITIAL LUNG DISEASE WITH MCC196$163,084$30,9335.3x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$25,106$4,7775.3x
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OTHER VASCULAR PROCEDURES WITH CC253$144,904$27,8505.2x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$95,805$18,4305.2x
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KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$63,655$12,3495.2x
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OTHER DISORDERS OF THE EYE WITHOUT MCC125$41,568$8,1075.1x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$49,710$9,7025.1x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC091$85,932$16,8015.1x
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FEVER AND INFLAMMATORY CONDITIONS864$61,388$12,1165.1x
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PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$53,650$10,6855.0x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$102,670$20,4545.0x
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OTHER O.R. PROCEDURES FOR INJURIES WITH MCC907$177,930$35,5335.0x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$80,895$16,1895.0x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC433$50,796$10,1755.0x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$34,942$7,0375.0x
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OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC673$248,553$49,9795.0x
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PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUR041$106,479$21,4375.0x
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POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC857$103,862$20,9935.0x
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POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC918$36,010$7,2725.0x
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RESPIRATORY NEOPLASMS WITH CC181$51,719$10,4744.9x
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ENDOCRINE DISORDERS WITH CC644$47,674$9,6544.9x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$110,242$22,5144.9x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$137,952$28,2114.9x
0th
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$45,901$9,3934.9x
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MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC371$91,207$18,7064.9x
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Showing 50 of 239 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
4.3x

26 hospitals in CT report pricing data to CMS. This facility's average ratio of 4.3x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

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 YALE-NEW HAVEN HOSPITAL

How much does YALE-NEW HAVEN HOSPITAL charge compared to Medicare?

According to CMS IPPS data, YALE-NEW HAVEN HOSPITAL's listed chargemaster rates average 4.3x the Medicare reimbursement amount across 239 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 YALE-NEW HAVEN HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at YALE-NEW HAVEN HOSPITAL is PSYCHOSES (DRG 885), with a listed charge of $210,764 compared to Medicare reimbursement of $26,434 — a ratio of 8.0x. Source: CMS IPPS Provider Summary.

Is YALE-NEW HAVEN HOSPITAL expensive compared to other CT hospitals?

YALE-NEW HAVEN HOSPITAL's average chargemaster-to-Medicare ratio is 4.3x. 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 YALE-NEW HAVEN 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 YALE-NEW HAVEN 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 YALE-NEW HAVEN HOSPITAL in NEW HAVEN, CT accept Medicare?

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

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