facebook tracking Permanent cardiac pacemaker implant with complications cost in Vermont: 1 hospitals compared (DRG 243)

Permanent cardiac pacemaker implant with complications in Vermont

What 1 hospital in Vermont charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.

DRG 243 Inpatient 2024 Medicare data
Average charge $81,599 Hospital list price billed
Average payment $17,157 Medicare + patient + other payers
Medicare paid $9,531 Average per stay
Volume 47 Medicare hospital stays

Hospitals in Vermont billed an average of $81,599 for permanent cardiac pacemaker implant with complications, about 4.8 times the average total payment of $17,157. That payment is 16% below the U.S. average of $20,414.

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 $17,157Billed $81,599

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

Vermont hospitals: permanent cardiac pacemaker implant 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 47 $81,599 $17,157 $9,531
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Permanent cardiac pacemaker implant with complications in other states

Questions

How much does permanent cardiac pacemaker implant with complications cost in Vermont?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 1 hospital in Vermont was billed at $81,599 on average, while the average total payment was $17,157, of which Medicare paid $9,531. 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 4.8 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.