facebook tracking Comprehensive Observation Services cost in Vermont: 6 hospitals compared (APC 8011)

Comprehensive Observation Services in Vermont

What 6 hospitals in Vermont charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.

APC 8011 Outpatient 2024 Medicare data
Average charge $16,441 Hospital list price billed
Average allowed $1,285 Medicare's payment + patient's share
Medicare paid $742 Average per service
State rank #1 of 49 1 = lowest average payment

Hospitals in Vermont billed an average of $16,441 for comprehensive observation services, about 12.8 times the average medicare-allowed amount of $1,285. That payment is 51% below the U.S. average of $2,634.

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 $1,285Billed $16,441

About 8¢ was paid for every $1 hospitals in Vermont billed for this service.

Vermont hospitals: comprehensive observation services

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 446 $17,273 $1,180 $633
Central Vermont Medical CenterGraniteville-East Barre 321 $14,233 $1,132 $580
Rutland Regional Medical CenterRutland 233 $14,999 $1,375 $836
Southwestern Vermont Medical CenterBennington 161 $17,465 $1,485 $926
Brattleboro Memorial HospitalBrattleboro 147 $19,902 $1,580 $1,075
Northwestern Medical CenterSt Albans – – – –
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Lowest and highest allowed amounts in Vermont

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Central Vermont Medical CenterGraniteville-East Barre, VT$1,132
Fletcher Allen Hospital of VermontBurlington, VT$1,180
Rutland Regional Medical CenterRutland, VT$1,375
Southwestern Vermont Medical CenterBennington, VT$1,485
Brattleboro Memorial HospitalBrattleboro, VT$1,580

Highest

Brattleboro Memorial HospitalBrattleboro, VT$1,580
Southwestern Vermont Medical CenterBennington, VT$1,485
Rutland Regional Medical CenterRutland, VT$1,375
Fletcher Allen Hospital of VermontBurlington, VT$1,180
Central Vermont Medical CenterGraniteville-East Barre, VT$1,132

Comprehensive Observation Services in other states

Questions

How much does comprehensive observation services cost in Vermont?

In 2024 Medicare data, comprehensive observation services (APC 8011) at 6 hospitals in Vermont was billed at $16,441 on average, while the average medicare-allowed amount was $1,285, of which Medicare paid $742. 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 12.8 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.