facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in Vermont: 1 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in Vermont

What 1 hospital in Vermont charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $40,859 Hospital list price billed
Average payment $8,391 Medicare + patient + other payers
Medicare paid $5,615 Average per stay
Volume 12 Medicare hospital stays

Hospitals in Vermont billed an average of $40,859 for major gastrointestinal disorders and peritoneal infections with complications, about 4.9 times the average total payment of $8,391. That payment is 17% below the U.S. average of $10,109.

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 $8,391Billed $40,859

About 21¢ was paid for every $1 hospitals in Vermont billed for this stay.

Vermont hospitals: major gastrointestinal disorders and peritoneal infections 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 12 $40,859 $8,391 $5,615
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Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in Vermont?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 1 hospital in Vermont was billed at $40,859 on average, while the average total payment was $8,391, of which Medicare paid $5,615. 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 4.9 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.