What 1 hospital in Vermont charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.
Hospitals in Vermont billed an average of $80,765 for other disorders of nervous system with major complications, about 4.1 times the average total payment of $19,614. That payment is 6% above the U.S. average of $18,533.
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.
About 24¢ was paid for every $1 hospitals in Vermont billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Vermont:
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 | 22 | $80,765 | $19,614 | $13,727 |
In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 1 hospital in Vermont was billed at $80,765 on average, while the average total payment was $19,614, of which Medicare paid $13,727. Your own cost depends on your insurance, deductible and the hospital.
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 4.1 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.