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University of Vermont Medical Center: what a joint replacement costs

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.

Surgery center nearby
—
No orthopedic surgery center within 25 miles
Outpatient here
$5,619
Medicare allowed amount, 254 cases, APC 5115
Inpatient here
$9,520
Avg total payment (incl. patient share), 29 Medicare stays, MS-DRG 470

Medicare prices at University of Vermont Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$9,520$58,3346.1×$5,619
Shoulder replacement———$8,459
Hip replacement after a fracture (DRG 522)$13,552$70,4295.2×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$52,1065.5×$48,587–$66,8203
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
UnitedHealthcare$66,8207.0×1
Cigna$52,1065.5×1
BCBS Vermont$48,5875.1×1

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.

Quality

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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Questions

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

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).

What is University of 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 $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.

How does University of Vermont Medical Center compare with other Vermont hospitals?

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.

What do commercial insurers pay University of 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 $52,106 across 3 insurers, ranging from $48,587 to $66,820.