Complex GI Procedures in Vermont
What 5 hospitals in Vermont charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$27,379
Hospital list price billed
Average allowed
$3,074
Medicare's payment + patient's share
Medicare paid
$1,937
Average per service
State rank
#1 of 48
1 = lowest average payment
Hospitals in Vermont billed an average of $27,379 for complex gi procedures, about 8.9 times the average medicare-allowed amount of $3,074. That payment is 43% below the U.S. average of $5,364.
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 $3,074Billed $27,379
About 11¢ was paid for every $1 hospitals in Vermont billed for this service.
Vermont hospitals: complex gi procedures
Every Vermont hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Fletcher Allen Hospital of VermontBurlington | 23 | $27,379 | $3,074 | $1,937 |
| Central Vermont Medical CenterGraniteville-East Barre | – | – | – | – |
| Rutland Regional Medical CenterRutland | – | – | – | – |
| Southwestern Vermont Medical CenterBennington | – | – | – | – |
| Northwestern Medical CenterSt Albans | – | – | – | – |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Vermont?
In 2024 Medicare data, complex gi procedures (APC 5331) at 5 hospitals in Vermont was billed at $27,379 on average, while the average medicare-allowed amount was $3,074, of which Medicare paid $1,937. 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 service in Vermont, average charges were 8.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.