Connecticut General Statutes Compliance
While scheduling your procedure you indicated you wanted to find out more information about the Quality and/or Cost of your procedure. This information is being provided to you pursuant to Connecticut General Statutes. Middlesex Health is required to provide Quality & Cost information, when requested, for certain scheduled procedures, which are listed in the tables below. The overall quality information related to Middlesex Health is also provided below.
The Joint Commission Composite Accountability Rating https://www.jointcommission.org/ |
Middlesex Hospital >95% (Top Performer) |
Medicare Hospital Compare Star Rating |
Middlesex Hospital |
Disclosure: The average insurance reimbursement provided is based on the information Middlesex Hospital currently has on file for all insurance carriers combined. Any change to your insurance or services rendered at the time of your appointment may change your financial responsibility.
Average Cost Information:
Radiology | |||
Procedure Code |
Procedure Description | Average Procedure Price |
Average Insurance Reimbursement* |
70450 | CT Scan, Head or Brain, with Contrast | $2,026 | $744 |
70553 | MRI, Brain | $6,139 | $2,073 |
73721 | MRI, Lower Joint/Extremity, without Contrast | $3,480 | $1,196 |
74177 | CT Scan, Abdomen and Pelvis, with Contrast | $4,388 | $1,146 |
76536 | Ultrasound, Head and Neck | $1,165 | $257 |
76641 | Ultrasound, Breast, Unilateral, Complete | $230 | $155 |
76642 | Ultrasound, Breast, Unilateral, Limited | $230 | $119 |
76700 | Ultrasound, Abdominal, Complete | $1,534 | $298 |
76830 | Ultrasound, Transvaginal | $954 | $231 |
76856 | Ultrasound, Pelvic (nonobstetric), Complete | $1,075 | $247 |
76942 | Ultrasonic Guidance for Needle Placement (eg, biopsy) | $1,007 | $183 |
G0202 | Mammogram, Screening | $308 | $199 |
G0206 | Mammogram, Diagnostic | $537 | $204 |
Outpatient Surgical | |||
Procedure Code |
Procedure Description | Average Procedure Price |
Average Insurance Reimbursement* |
26055 | Incise finger tendon sheath | $5,503 | $976 |
28285 | Repair of hammertoe | $7,267 | $3,258 |
29827 | Arthroscop rotator cuff repr | $29,562 | $12,676 |
29881 | Knee arthroscopy/surgery.. | $7,029 | $2,509 |
36561 | Insert tunneled cv cath 36561 | $12,344 | $3,972 |
41899 | Dental surgery procedure | $12,934 | $5,390 |
43235 | Uppr gi endoscopy diagnosis 43235 | $5,613 | $1,548 |
43239 | Upper gi endoscopy biopsy 43239 | $6,719 | $1,826 |
45378 | Colonoscopy, flexible-45378 | $6,646 | $2,007 |
45380 | Colonoscopy, flexible-45380 | $7,723 | $2,130 |
45385 | Colonoscopy, flexible-45385 | $8,530 | $2,425 |
47562 | Laparoscopic cholecystectomy | $19,500 | $7,816 |
58558 | Hysteroscopy, biopsy | $8,792 | $3,618 |
66982 | Cataract surgery, complex | $6,227 | $1,958 |
66984 | Cataract surg w/iol, 1 stage 66984 | $5,830 | $2,127 |
Inpatient Surgical | |||
Procedure Code |
Procedure Description | Average Procedure Price |
Average Insurance Reimbursement* |
766 | Cesarean section w/o cc/mcc | $25,878 | $9,632 |
765 | Cesarean section w cc/mcc | $29,817 | $9,416 |
460 | Spinal fusion except cervical w/o mcc | $146,634 | $46,496 |
460 | Excision of intervertebral disc | $208,371 | $85,015 |
470 | Major joint replacement or reattachment of lower extremity w/o mcc | $63,646 | $18,746 |
470 | Hip replacement | $70,202 | $19,417 |
470 | Knee replacement | $59,728 | $18,329 |
621 | O.R. procedures for obesity w/o cc/mcc | $53,642 | $16,585 |
743 | Uterine & adnexa proc for non-malignancy w/o cc/mcc | $27,375 | $9,585 |
481 | Hip & femur procedures except major joint w cc | $57,160 | $14,257 |
330 | Major small & large bowel procedures w cc | $86,925 | $24,659 |
853 | Infectious & parasitic diseases w o.r. procedure w mcc | $162,038 | $47,565 |
331 | Major small & large bowel procedures w/o cc/mcc | $65,809 | $17,781 |
419 | Laparoscopic cholecystectomy w/o c.d.e. w/o cc/mcc | $44,076 | $11,675 |
473 | Cervical spinal fusion w/o cc/mcc | $61,769 | $23,628 |
494 | Lower extrem & humer proc except hip,foot,femur w/o cc/mcc | $42,335 | $13,008 |
329 | Major small & large bowel procedures w mcc | $128,509 | $44,780 |
483 | Major joint/limb reattachment procedure of upper extremities | $70,522 | $19,949 |
253 | Other vascular procedures w cc | $65,659 | $17,030 |
343 | Appendectomy w/o complicated principal diag w/o cc/mcc | $33,295 | $8,007 |
418 | Laparoscopic cholecystectomy w/o c.d.e. w cc | $64,155 | $17,678 |
742 | Uterine & adnexa proc for non-malignancy w cc/mcc | $51,787 | $14,403 |
493 | Lower extrem & humer proc except hip,foot,femur w cc | $47,073 | $14,998 |
N/A | Esophagogastroduodenoscopy | $52,888 | $12,095 |
Your out-of-pocket cost will be based on your specific insurance coverage level at the time of the procedure. For more detailed information, please contact your insurance company directly.