Pneumonia, with major complications in Vermont
MS-DRG 193: Simple pneumonia and pleurisy with mcc
$30,701typical hospital bill
$7,571typical amount paid
$4,714–$15,154range paid across 6 hospitals
Vermont hospitals billed Medicare a typical $30,701 for this stay in 2024, about 4.1 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 | 13 | $21,580 | $4,714 | |
| Central Vermont Medical Center | Barre | 48 | $27,411 | $6,627 | |
| Rutland Regional Medical Center | Rutland | 29 | $33,991 | $6,921 | |
| Brattleboro Memorial Hospital | Brattleboro | 29 | $34,801 | $8,221 | |
| Univ. of Vermont - Fletcher Allen Health Care | Burlington | 106 | $41,838 | $10,287 | |
| Northwestern Medical Center Inc | Saint Albans | 37 | $21,862 | $15,154 |
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.