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.
Vermont requires a certificate of need for new surgery centers.
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| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Central Vermont Medical Center | Berlin | $6,416 | $43,983 | $4,341 |
| University of Vermont Medical Center | Burlington | $9,520 | $58,334 | $5,619 |
| Brattleboro Memorial Hospital | Brattleboro | $19,422 | $34,509 | $8,122 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Brattleboro Memorial Hospital | Brattleboro | $19,422 | $34,509 | $8,122 |
| University of Vermont Medical Center | Burlington | $9,520 | $58,334 | $5,619 |
| Central Vermont Medical Center | Berlin | $6,416 | $43,983 | $4,341 |
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.
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).
The median list (chargemaster) price is $43,983, about 4.6× the median average total payment for a Medicare stay.
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.