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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 outpatient allowed
Hospital, overnight
$9,520
Median inpatient paid, 3 hospitals

Vermont requires a certificate of need for new surgery centers.

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Lowest Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare payment

HospitalCityInpatient paidList priceOutpatient
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 Medicare paid Vermont hospitals a median $9,520 per inpatient hip or knee replacement stay (MS-DRG 470, 3 hospitals) and a median $6,522 per outpatient case. An orthopedic surgery center is paid about — for a knee.

Which Vermont hospitals does Medicare pay least for a joint replacement?

Central Vermont Medical Center ($6,416), University of Vermont Medical Center ($9,520), Brattleboro Memorial Hospital ($19,422).

What do Vermont hospitals list for a joint replacement?

The median list (chargemaster) price is $43,983, about 4.6× what Medicare pays.

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.