facebook tracking Level 1 Laparoscopy and Related Services cost in Vermont: 6 hospitals compared (APC 5361)

Level 1 Laparoscopy and Related Services in Vermont

What 6 hospitals in Vermont charged and were paid for level 1 laparoscopy and related services (APC 5361), from 2024 Medicare claims.

APC 5361 Outpatient 2024 Medicare data
Average charge $20,965 Hospital list price billed
Average allowed $3,057 Medicare's payment + patient's share
Medicare paid $1,903 Average per service
State rank #1 of 49 1 = lowest average payment

Hospitals in Vermont billed an average of $20,965 for level 1 laparoscopy and related services, about 6.9 times the average medicare-allowed amount of $3,057. That payment is 44% below the U.S. average of $5,495.

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 $3,057Billed $20,965

About 15¢ was paid for every $1 hospitals in Vermont billed for this service.

Vermont hospitals: level 1 laparoscopy and related 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 118 $23,160 $2,797 $1,644
Southwestern Vermont Medical CenterBennington 74 $19,599 $3,482 $2,305
Central Vermont Medical CenterGraniteville-East Barre 65 $21,532 $2,146 $982
Rutland Regional Medical CenterRutland 60 $21,241 $3,815 $2,674
Northwestern Medical CenterSt Albans 34 $14,856 $2,975 $1,837
Brattleboro Memorial HospitalBrattleboro 11 $20,632 $4,470 $3,408
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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$2,146
Fletcher Allen Hospital of VermontBurlington, VT$2,797
Northwestern Medical CenterSt Albans, VT$2,975
Southwestern Vermont Medical CenterBennington, VT$3,482
Rutland Regional Medical CenterRutland, VT$3,815

Highest

Level 1 Laparoscopy and Related Services in other states

Questions

How much does level 1 laparoscopy and related services cost in Vermont?

In 2024 Medicare data, level 1 laparoscopy and related services (APC 5361) at 6 hospitals in Vermont was billed at $20,965 on average, while the average medicare-allowed amount was $3,057, of which Medicare paid $1,903. 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 6.9 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.