Connecticut / Yale-New Haven Hospital
CMS certification 070022 · New Haven, CT · 6 entries in CMS's price-transparency list
Yale-New Haven Hospital: charges and Medicare payments
Yale-New Haven Hospital reported 9,784 Medicare inpatient stays across 228 DRGs in 2024. Across them it charged 3.12 times what it was paid — among the lower ratios in Connecticut, number 18 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: 836 stays at an average charge of $94,359, 4% above the national average. It also billed 12,031 outpatient services, charging 5.34 times what Medicare paid.
- 1Medicare inpatient stays 9,784
- 2Charge ÷ paid, inpatient 3.12×
- 3Rank in CT (highest ratio = 1) 18 of 25
- 4CMS price-transparency actions 6
Inpatient stays
For the 228 DRGs that can be compared with the national average, Yale-New Haven Hospital charged more than the national average in 57 (25%). 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 | 836 | $94,359 | +4% | $27,205 |
| 177 Respiratory Infections and Inflammations with MCC | 424 | $65,792 | -7% | $21,521 |
| 291 Heart Failure and Shock with MCC | 423 | $58,301 | +3% | $16,927 |
| 193 Simple Pneumonia and Pleurisy with MCC | 231 | $52,528 | -12% | $17,336 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 146 | $73,573 | 0% | $22,223 |
| 683 Renal Failure with CC | 130 | $37,448 | -8% | $13,308 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 129 | $243,076 | +6% | $73,200 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 128 | $126,495 | +27% | $28,519 |
| 682 Renal Failure with MCC | 127 | $71,953 | +9% | $21,725 |
| 189 Pulmonary Edema and Respiratory Failure | 126 | $52,378 | -9% | $16,254 |
| 689 Kidney and Urinary Tract Infections with MCC | 111 | $49,024 | -4% | $15,834 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 103 | $68,104 | +13% | $19,375 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 99 | $83,422 | +10% | $26,951 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 95 | $192,249 | -33% | $74,011 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 93 | $30,650 | -15% | $10,670 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 91 | $32,986 | -18% | $11,271 |
| 603 Cellulitis without MCC | 89 | $33,707 | -10% | $11,893 |
| 481 Hip and Femur Procedures except Major Joint with CC | 88 | $72,760 | -28% | $24,875 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 88 | $41,570 | -15% | $15,529 |
| 690 Kidney and Urinary Tract Infections without MCC | 87 | $32,801 | -13% | $11,544 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 86 | $110,611 | -1% | $31,854 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 85 | $49,836 | -11% | $14,280 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 82 | $138,949 | -40% | $54,352 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 76 | $99,511 | -37% | $43,653 |
| 377 Gastrointestinal Hemorrhage with MCC | 76 | $96,035 | +12% | $27,841 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 72 | $49,902 | +5% | $14,803 |
| 330 Major Small and Large Bowel Procedures with CC | 71 | $69,666 | -41% | $33,202 |
| 314 Other Circulatory System Diagnoses with MCC | 70 | $85,499 | -10% | $29,532 |
| 378 Gastrointestinal Hemorrhage with CC | 70 | $44,345 | -9% | $13,452 |
| 178 Respiratory Infections and Inflammations with CC | 68 | $49,006 | +8% | $13,929 |
| 312 Syncope and Collapse | 68 | $43,865 | -4% | $11,374 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 68 | $81,671 | -29% | $25,264 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 68 | $49,955 | -18% | $17,594 |
| 884 Organic Disturbances and Intellectual Disability | 68 | $105,321 | +69% | $26,374 |
| 552 Medical Back Problems without MCC | 63 | $45,573 | -7% | $14,112 |
| 164 Major Chest Procedures with CC | 62 | $77,038 | -40% | $31,379 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 62 | $137,629 | -16% | $40,087 |
| 393 Other Digestive System Diagnoses with MCC | 61 | $64,425 | -16% | $23,129 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 59 | $107,161 | -23% | $37,859 |
| 057 Degenerative Nervous System Disorders without MCC | 58 | $69,154 | +22% | $17,788 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 58 | $160,920 | +19% | $40,131 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 58 | $304,791 | -6% | $92,603 |
| 100 Seizures with MCC | 56 | $92,115 | -2% | $29,863 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 56 | $54,763 | -16% | $17,767 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 56 | $259,130 | -35% | $102,402 |
| 394 Other Digestive System Diagnoses with CC | 56 | $44,088 | -6% | $13,656 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 56 | $207,306 | -4% | $63,659 |
| 101 Seizures without MCC | 55 | $44,369 | -9% | $12,484 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 55 | $47,197 | -17% | $16,243 |
| 389 Gastrointestinal Obstruction with CC | 55 | $31,160 | -20% | $11,898 |
| 194 Simple Pneumonia and Pleurisy with CC | 54 | $33,754 | -12% | $11,998 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 54 | $33,658 | -9% | $11,600 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 51 | $37,156 | -42% | $15,106 |
| 638 Diabetes with CC | 51 | $44,711 | +7% | $12,292 |
| 329 Major Small and Large Bowel Procedures with MCC | 50 | $181,874 | -15% | $63,716 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 49 | $259,974 | -7% | $84,104 |
| 637 Diabetes with MCC | 48 | $73,992 | +11% | $21,503 |
| 374 Digestive Malignancy with MCC | 47 | $102,709 | +2% | $32,467 |
| 847 Chemotherapy without Acute Leukemia As Secondary Diagnosis... | 46 | $42,931 | -37% | $18,647 |
| 270 Other Major Cardiovascular Procedures with MCC | 45 | $251,637 | -3% | $70,693 |
Showing the 60 most frequent of 228 DRGs.
Outpatient services
Against the Connecticut average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Yale-New Haven Hospital charged $94,359 on average, 36% more than the Connecticut average of $69,366, and was paid $27,205 against a state average of $20,799. For Respiratory Infections and Inflammations with MCC (DRG 177), Yale-New Haven Hospital charged $65,792 on average, 18% more than the Connecticut average of $55,851, and was paid $21,521 against a state average of $17,501. For Heart Failure and Shock with MCC (DRG 291), Yale-New Haven Hospital charged $58,301 on average, 13% more than the Connecticut average of $51,456, and was paid $16,927 against a state average of $13,920. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Yale-New Haven Hospital charged $52,528 on average, 7% more than the Connecticut average of $49,093, and was paid $17,336 against a state average of $14,233. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,760 was 27% above the state average of $23,465. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,604 was 11% below the state average of $2,939. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,267 was 21% below the state average of $11,665. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,987 was 2% below the state average of $10,228.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Yale-New Haven Hospital in New Haven, CT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-03 (CMS case 978)
- Closure Notice — 2023-07-12 (CMS case 978)
- Warning Notice — 2024-09-27 (CMS case 2731)
- CAP Request — 2025-01-06 (CMS case 2731)
- Closure Notice — 2025-03-03 (CMS case 2731)
- Met Requirements — 2025-03-24 (CMS case 3296)
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.