Burlington, VT 05401 · CMS Certification Number 470003. 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 | $9,520 | $58,334 | 6.1× | $5,619 |
| Shoulder replacement | — | — | — | $8,459 |
| Hip replacement after a fracture (DRG 522) | $13,552 | $70,429 | 5.2× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $52,106 | 5.5× | $48,587–$66,820 | 3 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $66,820 | 7.0× | 1 |
| Cigna | $52,106 | 5.5× | 1 |
| BCBS Vermont | $48,587 | 5.1× | 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: 4.1% (no different from the national rate). Readmissions: 6.1%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 615 beds
Vermont requires a certificate of need for new surgery centers.
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In 2024 the average total payment to University of Vermont Medical Center for an inpatient hip or knee replacement stay was $9,520 (MS-DRG 470, 29 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $5,619 per outpatient case (APC 5115, 254 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $58,334, 6.1× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
University of Vermont Medical Center's average total payment per Medicare stay is higher 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 $52,106 across 3 insurers, ranging from $48,587 to $66,820.