Hip replacement after a hip fracture in Vermont
MS-DRG 522: Hip replacement with principal diagnosis of hip fracture without mcc
$55,430typical hospital bill
$12,771typical amount paid
$7,937–$15,187range paid across 4 hospitals
Vermont hospitals billed Medicare a typical $55,430 for this stay in 2024, about 4.3 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Central Vermont Medical Center | Barre | 11 | $43,451 | $7,937 | |
| Rutland Regional Medical Center | Rutland | 17 | $60,124 | $11,989 | |
| Univ. of Vermont - Fletcher Allen Health Care | Burlington | 57 | $70,429 | $13,552 | |
| Southwestern Vermont Medical Center | Bennington | 13 | $50,735 | $15,187 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.