facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in Vermont: 2 hospitals compared (DRG 442)

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in Vermont

What 2 hospitals in Vermont charged and were paid for a Medicare hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442), from 2024 Medicare claims.

DRG 442 Inpatient 2024 Medicare data
Average charge $37,045 Hospital list price billed
Average payment $7,660 Medicare + patient + other payers
Medicare paid $6,157 Average per stay
Volume 30 Medicare hospital stays

Hospitals in Vermont billed an average of $37,045 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications, about 4.8 times the average total payment of $7,660. That payment is 32% below the U.S. average of $11,272.

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 $7,660Billed $37,045

About 21¢ 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: disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with 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 15 $40,853 $8,323 $6,300
Rutland Regional Medical CenterRutland 15 $33,237 $6,998 $6,014
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Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in other states

Questions

How much does disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in Vermont?

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442) at 2 hospitals in Vermont was billed at $37,045 on average, while the average total payment was $7,660, of which Medicare paid $6,157. 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 4.8 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.