Connecticut / Danbury Hospital

CMS certification 070033 · Danbury, CT · 4 entries in CMS's price-transparency list

Danbury Hospital: charges and Medicare payments

Danbury Hospital reported 4,322 Medicare inpatient stays across 112 DRGs in 2024. Across them it charged 3.15 times what it was paid — among the lower ratios in Connecticut, number 17 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: 815 stays at an average charge of $56,184, 38% below the national average. It also billed 4,026 outpatient services, charging 6.64 times what Medicare paid.

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  1. 1Medicare inpatient stays 4,322
  2. 2Charge ÷ paid, inpatient 3.15×
  3. 3Rank in CT (highest ratio = 1) 17 of 25
  4. 4CMS price-transparency actions 4
DRG 871$56,184DRG 291$38,780DRG 177$42,412DRG 872$32,734DRG 193$35,592DRG 853$170,592DRG 682$47,908DRG 065$33,374DRG 378$33,381DRG 064$52,308
Average charge per stay at Danbury Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 112 DRGs that can be compared with the national average, Danbury Hospital charged more than the national average in 5 (4%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC815$56,184-38%$20,025
291 Heart Failure and Shock with MCC261$38,780-31%$13,087
177 Respiratory Infections and Inflammations with MCC137$42,412-40%$16,361
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC118$32,734-33%$10,978
193 Simple Pneumonia and Pleurisy with MCC97$35,592-40%$13,940
853 Infectious and Parasitic Diseases with O.R. Procedures with...97$170,592-25%$48,633
682 Renal Failure with MCC89$47,908-27%$15,719
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...77$33,374-40%$10,787
378 Gastrointestinal Hemorrhage with CC73$33,381-31%$10,752
064 Intracranial Hemorrhage or Cerebral Infarction with MCC72$52,308-48%$19,266
683 Renal Failure with CC70$29,401-28%$9,775
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...67$45,671-24%$13,971
481 Hip and Femur Procedures except Major Joint with CC66$72,066-28%$20,691
689 Kidney and Urinary Tract Infections with MCC66$32,463-37%$11,904
698 Other Kidney and Urinary Tract Diagnoses with MCC59$39,016-47%$15,858
377 Gastrointestinal Hemorrhage with MCC56$52,908-38%$18,155
280 Acute Myocardial Infarction, Discharged Alive with MCC53$54,799-28%$16,580
267 Endovascular Cardiac Valve Replacement and Supplement...51$152,854-31%$50,127
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...50$29,418-27%$8,682
309 Cardiac Arrhythmia and Conduction Disorders with CC45$29,342-19%$8,065
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale43$35,888-45%$14,266
552 Medical Back Problems without MCC42$42,119-14%$10,822
189 Pulmonary Edema and Respiratory Failure41$29,344-49%$12,872
190 Chronic Obstructive Pulmonary Disease with MCC37$38,934-23%$11,810
389 Gastrointestinal Obstruction with CC37$35,496-9%$9,422
480 Hip and Femur Procedures except Major Joint with MCC37$91,856-34%$28,261
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...37$23,374-37%$8,257
312 Syncope and Collapse36$39,655-13%$9,294
643 Endocrine Disorders with MCC36$43,074-42%$16,845
322 Percutaneous Cardiovascular Procedures with Intraluminal...35$83,011-28%$20,781
813 Coagulation Disorders33$51,741-35%$16,355
460 Spinal Fusion except Cervical without MCC32$126,175-26%$36,641
603 Cellulitis without MCC32$27,417-26%$9,306
330 Major Small and Large Bowel Procedures with CC31$110,713-7%$24,443
321 Percutaneous Cardiovascular Procedures with Intraluminal...30$98,501-40%$30,489
329 Major Small and Large Bowel Procedures with MCC30$236,243+10%$62,269
194 Simple Pneumonia and Pleurisy with CC29$26,602-31%$8,685
243 Permanent Cardiac Pacemaker Implant with CC29$73,340-34%$23,488
281 Acute Myocardial Infarction, Discharged Alive with CC29$44,111-13%$9,678
287 Circulatory Disorders except AMI, with Cardiac...29$47,075-26%$12,330
308 Cardiac Arrhythmia and Conduction Disorders with MCC28$39,810-30%$12,765
522 Hip Replacement with Principal Diagnosis of Hip Fracture...28$68,836-33%$20,311
637 Diabetes with MCC28$41,339-38%$15,103
025 Craniotomy and Endovascular Intracranial Procedures with MCC27$178,898-23%$43,100
274 Percutaneous and Other Intracardiac Procedures without MCC26$99,957-36%$33,354
286 Circulatory Disorders except AMI, with Cardiac...26$92,485-18%$23,080
644 Endocrine Disorders with CC26$34,832-27%$11,266
314 Other Circulatory System Diagnoses with MCC25$62,381-34%$22,070
070 Other Cerebrovascular Disorders with MCC24$39,944-47%$18,052
176 Pulmonary Embolism without MCC23$23,508-43%$8,603
178 Respiratory Infections and Inflammations with CC23$28,681-37%$10,698
208 Respiratory System Diagnosis with Ventilator Support <=96...23$94,885-30%$29,437
690 Kidney and Urinary Tract Infections without MCC23$26,933-29%$8,487
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...22$61,0970%$16,395
023 Craniotomy with Major Device Implant or Acute Complex Cns...21$184,378-34%$56,658
100 Seizures with MCC21$62,772-33%$20,465
202 Bronchitis and Asthma with CC/MCC21$33,766-27%$10,213
242 Permanent Cardiac Pacemaker Implant with MCC21$121,895-24%$36,125
470 Major Hip and Knee Joint Replacement or Reattachment of...21$75,209-19%$19,083
372 Major Gastrointestinal Disorders and Peritoneal Infections...19$34,440-27%$11,068

Showing the 60 most frequent of 112 DRGs.

Outpatient services

Against the Connecticut average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Danbury Hospital charged $56,184 on average, 19% less than the Connecticut average of $69,366, and was paid $20,025 against a state average of $20,799. For Heart Failure and Shock with MCC (DRG 291), Danbury Hospital charged $38,780 on average, 25% less than the Connecticut average of $51,456, and was paid $13,087 against a state average of $13,920. For Respiratory Infections and Inflammations with MCC (DRG 177), Danbury Hospital charged $42,412 on average, 24% less than the Connecticut average of $55,851, and was paid $16,361 against a state average of $17,501. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Danbury Hospital charged $32,734 on average, 16% less than the Connecticut average of $38,915, and was paid $10,978 against a state average of $11,460. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,171 was 7% above the state average of $23,465. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,888 was 8% below the state average of $10,696. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,014 was 17% above the state average of $10,228. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $69,731 was 40% above the state average of $49,698.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Danbury Hospital in Danbury, CT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.