Pneumonia, with complications in Vermont
MS-DRG 194: Simple pneumonia and pleurisy with cc
$19,036typical hospital bill
$6,944typical amount paid
$5,347–$9,422range paid across 3 hospitals
Vermont hospitals billed Medicare a typical $19,036 for this stay in 2024, about 2.7 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 | |
|---|---|---|---|---|---|
| Southwestern Vermont Medical Center | Bennington | 11 | $19,036 | $5,347 | |
| Univ. of Vermont - Fletcher Allen Health Care | Burlington | 26 | $33,523 | $6,944 | |
| Northwestern Medical Center Inc | Saint Albans | 14 | $15,768 | $9,422 |
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.