Pulmonary embolism with major complications or acute cor pulmonale in Vermont
What 3 hospitals in Vermont charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$51,109
Hospital list price billed
Average payment
$12,771
Medicare + patient + other payers
Medicare paid
$7,097
Average per stay
State rank
#24 of 48
1 = lowest average payment
Hospitals in Vermont billed an average of $51,109 for pulmonary embolism with major complications or acute cor pulmonale, about 4.0 times the average total payment of $12,771. That payment is 5% below the U.S. average of $13,466.
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 $12,771Billed $51,109
About 25¢ 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: pulmonary embolism with major complications or acute cor pulmonale
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 | 35 | $65,088 | $15,406 | $6,548 |
| Southwestern Vermont Medical CenterBennington | 13 | $25,151 | $6,673 | $5,649 |
| Central Vermont Medical CenterGraniteville-East Barre | 11 | $37,309 | $11,594 | $10,559 |
Lowest and highest payments in Vermont
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Southwestern Vermont Medical CenterBennington, VT | $6,673 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $11,594 |
| Fletcher Allen Hospital of VermontBurlington, VT | $15,406 |
Highest
| Fletcher Allen Hospital of VermontBurlington, VT | $15,406 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $11,594 |
| Southwestern Vermont Medical CenterBennington, VT | $6,673 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Vermont?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 3 hospitals in Vermont was billed at $51,109 on average, while the average total payment was $12,771, of which Medicare paid $7,097. 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 4.0 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.