Berlin, VT 05641 · CMS Certification Number 470001. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $6,416 | $43,983 | 6.9× | $4,341 |
| Shoulder replacement | — | — | — | — |
| Hip replacement after a fracture (DRG 522) | $7,937 | $43,451 | 5.5× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $35,020 | 5.5× | $29,827–$40,214 | 2 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| BCBS Vermont | $40,214 | 6.3× | 1 |
| Cigna | $29,827 | 4.6× | 1 |
From the hospital's price-transparency file (2026-04-28); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-04-28); commercial plans, dollar-amount contracts only.
Complications after hip or knee replacement: 6% (no different from the national rate). Readmissions: 7.1%. Overall Care Compare rating: 3 of 5 stars. Nonprofit · Acute · 175 beds
Vermont requires a certificate of need for new surgery centers.
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In 2024 the average total payment to Central Vermont Medical Center for an inpatient hip or knee replacement stay was $6,416 (MS-DRG 470, 13 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $4,341 per outpatient case (APC 5115, 80 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,983, 6.9× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Central Vermont Medical Center's average total payment per Medicare stay is lower than 67% of the 3 Vermont hospitals that report inpatient hip or knee replacement.
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $35,020 across 2 insurers, ranging from $29,827 to $40,214.