Connecticut / Midstate Medical Center
CMS certification 070017 · Meriden, CT · 1 entry in CMS's price-transparency list
Midstate Medical Center: charges and Medicare payments
Midstate Medical Center reported 1,748 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.51 times what it was paid — mid-range in Connecticut, number 11 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: 217 stays at an average charge of $65,321, 28% below the national average. It also billed 1,837 outpatient services, charging 3.1 times what Medicare paid.
- 1Medicare inpatient stays 1,748
- 2Charge ÷ paid, inpatient 3.51×
- 3Rank in CT (highest ratio = 1) 11 of 25
- 4CMS price-transparency actions 1
Inpatient stays
For the 51 DRGs that can be compared with the national average, Midstate Medical Center charged more than the national average in 1 (2%). 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 | 217 | $65,321 | -28% | $16,966 |
| 291 Heart Failure and Shock with MCC | 167 | $50,076 | -11% | $11,973 |
| 193 Simple Pneumonia and Pleurisy with MCC | 96 | $51,356 | -14% | $12,097 |
| 177 Respiratory Infections and Inflammations with MCC | 87 | $56,729 | -20% | $15,309 |
| 189 Pulmonary Edema and Respiratory Failure | 74 | $47,795 | -17% | $11,610 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 66 | $40,623 | -56% | $16,516 |
| 682 Renal Failure with MCC | 51 | $50,416 | -24% | $12,776 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 49 | $34,224 | -15% | $7,709 |
| 689 Kidney and Urinary Tract Infections with MCC | 41 | $39,890 | -22% | $10,108 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $30,659 | -17% | $7,314 |
| 683 Renal Failure with CC | 39 | $39,594 | -3% | $8,007 |
| 460 Spinal Fusion except Cervical without MCC | 36 | $97,439 | -43% | $37,337 |
| 378 Gastrointestinal Hemorrhage with CC | 35 | $41,976 | -14% | $9,519 |
| 603 Cellulitis without MCC | 33 | $33,328 | -11% | $8,825 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $29,009 | -23% | $8,284 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 30 | $61,217 | -52% | $22,354 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 30 | $44,576 | -39% | $14,756 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $38,724 | -21% | $9,309 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 29 | $146,081 | -48% | $63,075 |
| 481 Hip and Femur Procedures except Major Joint with CC | 28 | $58,044 | -42% | $17,599 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 28 | $45,254 | -25% | $11,202 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $45,108 | -11% | $10,330 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 25 | $116,232 | -49% | $43,513 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $30,382 | -16% | $7,192 |
| 329 Major Small and Large Bowel Procedures with MCC | 24 | $140,942 | -34% | $43,300 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $66,172 | -23% | $15,218 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 23 | $62,135 | +2% | $11,703 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $47,661 | -37% | $13,230 |
| 467 Revision of Hip or Knee Replacement with CC | 21 | $69,141 | -56% | $25,480 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $55,811 | -45% | $18,028 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 19 | $70,111 | -48% | $22,818 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $29,098 | -24% | $7,539 |
| 394 Other Digestive System Diagnoses with CC | 18 | $34,818 | -26% | $8,544 |
| 638 Diabetes with CC | 18 | $29,737 | -29% | $9,734 |
| 312 Syncope and Collapse | 17 | $42,361 | -7% | $7,923 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $83,011 | -30% | $23,091 |
| 811 Red Blood Cell Disorders with MCC | 16 | $44,854 | -34% | $12,456 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $34,889 | -37% | $10,042 |
| 071 Other Cerebrovascular Disorders with CC | 14 | $45,012 | -11% | $9,444 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $53,257 | -6% | $10,820 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $25,044 | -13% | $5,766 |
| 637 Diabetes with MCC | 14 | $37,677 | -43% | $13,530 |
| 812 Red Blood Cell Disorders without MCC | 14 | $34,664 | -22% | $8,293 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $58,638 | -10% | $15,627 |
| 389 Gastrointestinal Obstruction with CC | 13 | $34,605 | -11% | $8,865 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 13 | $107,687 | -47% | $43,953 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $36,777 | -19% | $8,806 |
| 070 Other Cerebrovascular Disorders with MCC | 11 | $50,419 | -34% | $14,918 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $53,590 | -43% | $17,604 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 11 | $53,479 | -57% | $23,232 |
| 472 Cervical Spinal Fusion with CC | 11 | $87,770 | -39% | $25,652 |
Outpatient services
Against the Connecticut average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Midstate Medical Center charged $65,321 on average, 6% less than the Connecticut average of $69,366, and was paid $16,966 against a state average of $20,799. For Heart Failure and Shock with MCC (DRG 291), Midstate Medical Center charged $50,076 on average, 3% less than the Connecticut average of $51,456, and was paid $11,973 against a state average of $13,920. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Midstate Medical Center charged $51,356 on average, 5% more than the Connecticut average of $49,093, and was paid $12,097 against a state average of $14,233. For Respiratory Infections and Inflammations with MCC (DRG 177), Midstate Medical Center charged $56,729 on average, 2% more than the Connecticut average of $55,851, and was paid $15,309 against a state average of $17,501. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,232 was 37% below the state average of $49,698. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,379 was 52% below the state average of $23,465. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,360 was 8% below the state average of $10,228. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $53,925 was 30% below the state average of $76,777.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Midstate Medical Center in Meriden, CT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-02-05 (CMS case 3075)
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.