Connecticut / Bristol Hospital
CMS certification 070029 · Bristol, CT · 3 entries in CMS's price-transparency list
Bristol Hospital: charges and Medicare payments
Bristol Hospital reported 440 Medicare inpatient stays across 17 DRGs in 2024. Across them it charged 3.25 times what it was paid — mid-range in Connecticut, number 16 of 25 hospitals with at least 100 stays (state median 3.43×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 87 stays at an average charge of $48,495, 46% below the national average. It also billed 604 outpatient services, charging 6.98 times what Medicare paid.
- 1Medicare inpatient stays 440
- 2Charge ÷ paid, inpatient 3.25×
- 3Rank in CT (highest ratio = 1) 16 of 25
- 4CMS price-transparency actions 3
Inpatient stays
For the 17 DRGs that can be compared with the national average, Bristol Hospital charged more than the national average in 1 (6%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 87 | $48,495 | -46% | $16,376 |
| 291 Heart Failure and Shock with MCC | 66 | $36,115 | -36% | $11,284 |
| 885 Psychoses | 48 | $47,837 | +9% | $13,424 |
| 193 Simple Pneumonia and Pleurisy with MCC | 38 | $34,113 | -43% | $11,906 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $47,599 | -33% | $14,486 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 22 | $30,084 | -41% | $10,643 |
| 683 Renal Failure with CC | 20 | $28,317 | -30% | $8,098 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $30,748 | -19% | $7,448 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $36,611 | -29% | $10,333 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $34,630 | -29% | $9,198 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $34,669 | -40% | $11,188 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $51,374 | -40% | $15,137 |
| 378 Gastrointestinal Hemorrhage with CC | 13 | $39,220 | -19% | $8,982 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $31,924 | -17% | $7,927 |
| 682 Renal Failure with MCC | 12 | $43,791 | -34% | $13,524 |
| 603 Cellulitis without MCC | 11 | $26,171 | -30% | $8,839 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $140,542 | -39% | $41,550 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 180 | $19,483 | $2,983 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 69 | $9,969 | $1,788 |
| Level 2 Upper GI Procedures | 51 | $8,816 | $2,123 |
| Level 1 Intraocular Procedures | 46 | $19,735 | $2,600 |
| Level 3 Vascular Procedures | 33 | $22,395 | $3,556 |
| Level 3 Urology and Related Services | 33 | $11,232 | $2,272 |
| Level 5 Urology and Related Services | 33 | $19,923 | $5,772 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 29 | $15,779 | $3,170 |
| Level 1 Laparoscopy and Related Services | 23 | $41,140 | $6,437 |
| Level 4 Urology and Related Services | 22 | $16,672 | $3,889 |
| Level 5 Musculoskeletal Procedures | 20 | $61,849 | $14,655 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 19 | $34,440 | $3,859 |
| Level 2 Musculoskeletal Procedures | 17 | $13,725 | $1,793 |
| Level 2 Vascular Procedures | 16 | $10,721 | $1,787 |
| Level 3 Musculoskeletal Procedures | 13 | $19,871 | $3,396 |
Against the Connecticut average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bristol Hospital charged $48,495 on average, 30% less than the Connecticut average of $69,366, and was paid $16,376 against a state average of $20,799. For Heart Failure and Shock with MCC (DRG 291), Bristol Hospital charged $36,115 on average, 30% less than the Connecticut average of $51,456, and was paid $11,284 against a state average of $13,920. For Psychoses (DRG 885), Bristol Hospital charged $47,837 on average, 14% less than the Connecticut average of $55,852, and was paid $13,424 against a state average of $14,880. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Bristol Hospital charged $34,113 on average, 31% less than the Connecticut average of $49,093, and was paid $11,906 against a state average of $14,233. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,483 was 17% below the state average of $23,465. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,969 was 3% below the state average of $10,228. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,816 was 18% below the state average of $10,696. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,735 was 100% above the state average of $9,887.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Bristol Hospital in Bristol, CT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-03-28 (CMS case 1285)
- Warning Notice — 2026-01-07 (CMS case 6769)
- Closure Notice — 2026-04-08 (CMS case 6769)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.