facebook tracking Respiratory infections and inflammations with complications cost in Vermont: 3 hospitals compared (DRG 178)

Respiratory infections and inflammations with complications in Vermont

What 3 hospitals in Vermont charged and were paid for a Medicare hospital stay for respiratory infections and inflammations with complications (DRG 178), from 2024 Medicare claims.

DRG 178 Inpatient 2024 Medicare data
Average charge $38,723 Hospital list price billed
Average payment $7,440 Medicare + patient + other payers
Medicare paid $5,500 Average per stay
State rank #5 of 46 1 = lowest average payment

Hospitals in Vermont billed an average of $38,723 for respiratory infections and inflammations with complications, about 5.2 times the average total payment of $7,440. That payment is 22% below the U.S. average of $9,493.

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 $7,440Billed $38,723

About 19¢ was paid for every $1 hospitals in Vermont billed for this stay.

Vermont hospitals: respiratory infections and inflammations 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 19 $49,139 $7,578 $4,406
Brattleboro Memorial HospitalBrattleboro 13 $29,665 $9,539 $8,535
Rutland Regional Medical CenterRutland 12 $32,045 $4,947 $3,944
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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

Highest

Respiratory infections and inflammations with complications in other states

Questions

How much does respiratory infections and inflammations with complications cost in Vermont?

In 2024 Medicare data, a hospital stay for respiratory infections and inflammations with complications (DRG 178) at 3 hospitals in Vermont was billed at $38,723 on average, while the average total payment was $7,440, of which Medicare paid $5,500. 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 5.2 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.