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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
Medicare allowed amount, 80 cases, APC 5115
Inpatient here
$6,416
Avg total payment (incl. patient share), 13 Medicare stays, MS-DRG 470

Medicare prices at Central Vermont Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare 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×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$35,0205.5×$29,827–$40,2142
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
BCBS Vermont$40,2146.3×1
Cigna$29,8274.6×1

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.

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 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).

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× the average total payment for a Medicare stay. 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?

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.

What do commercial insurers pay Central Vermont Medical Center for a 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.