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Central Vermont Medical Center: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$4,341
80 Medicare cases, APC 5115
Inpatient here
$6,416
13 Medicare stays, MS-DRG 470

Medicare prices at Central Vermont Medical Center

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$6,416$43,9836.9×$4,341
Shoulder replacement————
Hip replacement after a fracture (DRG 522)$7,937$43,4515.5×—

Quality

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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Questions

How much does Medicare pay Central Vermont Medical Center for a knee or hip replacement?

In 2024 Medicare paid Central Vermont Medical Center an average of $6,416 per inpatient hip or knee replacement stay (MS-DRG 470, 13 stays) and $4,341 per outpatient case (APC 5115, 80 cases).

What is Central Vermont Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $43,983, 6.9× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

How does Central Vermont Medical Center compare with other Vermont hospitals?

Medicare paid Central Vermont Medical Center less than 67% of the 3 Vermont hospitals that report inpatient hip or knee replacement.