facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in Vermont: 1 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in Vermont

What 1 hospital in Vermont charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $67,574 Hospital list price billed
Average payment $18,602 Medicare + patient + other payers
Medicare paid $10,561 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Vermont billed an average of $67,574 for circulatory disorders except ami, with cardiac catheterization with major complications, about 3.6 times the average total payment of $18,602. That payment is 15% below the U.S. average of $21,968.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $18,602Billed $67,574

About 28¢ was paid for every $1 hospitals in Vermont billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Vermont:

Vermont hospitals: circulatory disorders except ami, with cardiac catheterization with major complications

Every Vermont hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Fletcher Allen Hospital of VermontBurlington 22 $67,574 $18,602 $10,561
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Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Vermont?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 1 hospital in Vermont was billed at $67,574 on average, while the average total payment was $18,602, of which Medicare paid $10,561. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Vermont, average charges were 3.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.