facebook tracking Red blood cell disorders with major complications cost in Vermont: 3 hospitals compared (DRG 811)

Red blood cell disorders with major complications in Vermont

What 3 hospitals in Vermont charged and were paid for a Medicare hospital stay for red blood cell disorders with major complications (DRG 811), from 2024 Medicare claims.

DRG 811 Inpatient 2024 Medicare data
Average charge $54,854 Hospital list price billed
Average payment $12,857 Medicare + patient + other payers
Medicare paid $8,661 Average per stay
State rank #19 of 43 1 = lowest average payment

Hospitals in Vermont billed an average of $54,854 for red blood cell disorders with major complications, about 4.3 times the average total payment of $12,857. That payment is 8% below the U.S. average of $14,033.

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 $12,857Billed $54,854

About 23¢ 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: red blood cell disorders with major 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 28 $68,468 $15,685 $9,789
Rutland Regional Medical CenterRutland 13 $46,144 $10,757 $7,478
Central Vermont Medical CenterGraniteville-East Barre 12 $32,527 $8,533 $7,309
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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

Central Vermont Medical CenterGraniteville-East Barre, VT$8,533
Rutland Regional Medical CenterRutland, VT$10,757
Fletcher Allen Hospital of VermontBurlington, VT$15,685

Highest

Fletcher Allen Hospital of VermontBurlington, VT$15,685
Rutland Regional Medical CenterRutland, VT$10,757
Central Vermont Medical CenterGraniteville-East Barre, VT$8,533

Red blood cell disorders with major complications in other states

Questions

How much does red blood cell disorders with major complications cost in Vermont?

In 2024 Medicare data, a hospital stay for red blood cell disorders with major complications (DRG 811) at 3 hospitals in Vermont was billed at $54,854 on average, while the average total payment was $12,857, of which Medicare paid $8,661. 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 4.3 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.