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Vermont: one knee, three prices

What Medicare pays Vermont hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
—
Median Medicare knee rate, 0 orthopedic surgery centers
Hospital, same day
$6,522
Median Medicare allowed amount
Hospital, overnight
$9,520
Median avg total payment (incl. patient share), 3 hospitals

Vermont requires a certificate of need for new surgery centers.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Central Vermont Medical CenterBerlin$6,416$43,983$4,341
University of Vermont Medical CenterBurlington$9,520$58,334$5,619
Brattleboro Memorial HospitalBrattleboro$19,422$34,509$8,122

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Brattleboro Memorial HospitalBrattleboro$19,422$34,509$8,122
University of Vermont Medical CenterBurlington$9,520$58,334$5,619
Central Vermont Medical CenterBerlin$6,416$43,983$4,341

Every Vermont hospital (6)

Questions

How much does Medicare pay for a knee replacement in Vermont?

In 2024 the median average total payment to Vermont hospitals was $9,520 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $6,522 per outpatient case. An orthopedic surgery center is paid about — for a knee.

Which Vermont hospitals have the lowest Medicare payment for a joint replacement?

Central Vermont Medical Center ($6,416), University of Vermont Medical Center ($9,520), Brattleboro Memorial Hospital ($19,422) (average total payment per inpatient stay, patient share included).

What do Vermont hospitals list for a joint replacement?

The median list (chargemaster) price is $43,983, about 4.6× the median average total payment for a Medicare stay.

Does Vermont have a certificate-of-need law?

Vermont requires a certificate of need for new surgery centers. CON covers ASCs, but a 2025 law (Act 15) set a $10 million capital threshold for ASC projects that had previously been reviewed at any cost.