facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Vermont: 1 hospitals compared (DRG 808)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Vermont

What 1 hospital in Vermont charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808), from 2024 Medicare claims.

DRG 808 Inpatient 2024 Medicare data
Average charge $58,913 Hospital list price billed
Average payment $15,796 Medicare + patient + other payers
Medicare paid $13,348 Average per stay
Volume 18 Medicare hospital stays

Hospitals in Vermont billed an average of $58,913 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 3.7 times the average total payment of $15,796. That payment is 44% below the U.S. average of $27,957.

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 $15,796Billed $58,913

About 27¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 18 $58,913 $15,796 $13,348
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Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Vermont?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 808) at 1 hospital in Vermont was billed at $58,913 on average, while the average total payment was $15,796, of which Medicare paid $13,348. 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 3.7 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.