facebook tracking Infectious and parasitic diseases with operating room procedures with major complications cost in Vermont: 3 hospitals compared (DRG 853)

Infectious and parasitic diseases with operating room procedures with major complications in Vermont

What 3 hospitals in Vermont charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.

DRG 853 Inpatient 2024 Medicare data
Average charge $140,692 Hospital list price billed
Average payment $43,568 Medicare + patient + other payers
Medicare paid $32,616 Average per stay
State rank #26 of 49 1 = lowest average payment

Hospitals in Vermont billed an average of $140,692 for infectious and parasitic diseases with operating room procedures with major complications, about 3.2 times the average total payment of $43,568. That payment is 7% below the U.S. average of $46,667.

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 $43,568Billed $140,692

About 31¢ 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: infectious and parasitic diseases with operating room procedures 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 71 $153,947 $49,689 $36,867
Central Vermont Medical CenterGraniteville-East Barre 17 $91,518 $33,262 $23,290
Rutland Regional Medical CenterRutland 13 $132,606 $23,617 $21,597
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Lowest and highest payments in Vermont

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

Lowest

Rutland Regional Medical CenterRutland, VT$23,617
Central Vermont Medical CenterGraniteville-East Barre, VT$33,262
Fletcher Allen Hospital of VermontBurlington, VT$49,689

Highest

Fletcher Allen Hospital of VermontBurlington, VT$49,689
Central Vermont Medical CenterGraniteville-East Barre, VT$33,262
Rutland Regional Medical CenterRutland, VT$23,617

Infectious and parasitic diseases with operating room procedures with major complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with major complications cost in Vermont?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 3 hospitals in Vermont was billed at $140,692 on average, while the average total payment was $43,568, of which Medicare paid $32,616. 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 3.2 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.