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The Price of Medicare Procedures in Vermont



This table shows the 100 most frequently charged procedures/diagnosis in Vermont to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Vermont 70 $11513 $6917 $4596
Acute Myocardial Infarction Discharged Alive With Complications
 Vermont 83 $16329 $10220 $6109
Acute Myocardial Infarction Discharged Alive With Major Complications
 Vermont 81 $25883 $17081 $8802
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Vermont 67 $11832 $5848 $5984
Back And Neck Proc Exc Spinal Fusion No Complications
 Vermont 39 $17339 $9325 $8014
Bronchitis And Asthma With Complications
 Vermont 38 $11095 $7250 $3845
Cardiac Arrhythmia And Conduction Disorders No Complications
 Vermont 205 $8423 $4823 $3600
Cardiac Arrhythmia And Conduction Disorders With Complications
 Vermont 151 $11978 $7071 $4907
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Vermont 98 $17375 $11315 $6060
Cellulitis No Major Complications
 Vermont 219 $10686 $6768 $3918
Cellulitis With Major Complications
 Vermont 16 $16330 $13023 $3307
Cervical Spinal Fusion No Complications
 Vermont 18 $31784 $17496 $14288
Chest Pain
 Vermont 44 $11164 $4890 $6274
Chronic Obstructive Pulmonary Disease No Complications
 Vermont 183 $10468 $6015 $4453
Chronic Obstructive Pulmonary Disease With Complications
 Vermont 283 $13785 $8082 $5703
Chronic Obstructive Pulmonary Disease With Major Complications
 Vermont 305 $16404 $9700 $6704
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Vermont 83 $16823 $10372 $6451
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Vermont 14 $23585 $18345 $5240
Cranial And Peripheral Nerve Disorders No Major Complications
 Vermont 19 $20525 $8489 $12036
Degenerative Nervous System Disorders No Major Complications
 Vermont 28 $18529 $9988 $8541
Diabetes With Complications
 Vermont 51 $14505 $7107 $7398
Disorders Of Pancreas Except Malignancy With Complications
 Vermont 29 $12509 $9503 $3006
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Vermont 302 $13448 $6401 $7047
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Vermont 54 $15867 $10502 $5365
Extracranial Procedures No Complications
 Vermont 57 $17934 $9291 $8643
Fractures Of Hip And Pelvis No Major Complications
 Vermont 46 $11463 $6100 $5363
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Vermont 22 $10709 $6203 $4506
Gi Hemorrhage No Complications
 Vermont 55 $10898 $6290 $4608
Gi Hemorrhage With Complications
 Vermont 268 $15209 $8737 $6472
Gi Hemorrhage With Major Complications
 Vermont 30 $31983 $17320 $14663
Gi Obstruction No Complications
 Vermont 48 $9122 $6108 $3014
Gi Obstruction With Complications
 Vermont 86 $12289 $8303 $3986
Heart Failure And Shock No Complications
 Vermont 124 $10166 $6022 $4144
Heart Failure And Shock With Complications
 Vermont 320 $14469 $8825 $5644
Heart Failure And Shock With Major Complications
 Vermont 183 $21035 $12688 $8347
Hip And Femur Procedures Except Major Joint No Complications
 Vermont 65 $23308 $13445 $9863
Hip And Femur Procedures Except Major Joint With Complications
 Vermont 161 $31728 $15967 $15761
Hip And Femur Procedures Except Major Joint With Major Complications
 Vermont 31 $48153 $28728 $19425
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Vermont 52 $88280 $53790 $34490
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Vermont 103 $16031 $7282 $8749
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Vermont 159 $18483 $9932 $8551
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Vermont 104 $24603 $16956 $7647
Kidney And Urinary Tract Infections No Major Complications
 Vermont 240 $10329 $6455 $3874
Kidney And Urinary Tract Infections With Major Complications
 Vermont 63 $15202 $11105 $4097
Laparoscopic Cholecystectomy No Cde No Complications
 Vermont 17 $20114 $11677 $8437
Laparoscopic Cholecystectomy No Cde With Complications
 Vermont 25 $22788 $12468 $10320
Major Cardiovasc Procedures No Major Complications
 Vermont 47 $47299 $27732 $19567
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Vermont 54 $15521 $10706 $4815
Major Joint Replacement Of Lower Extremity No Major Complications
 Vermont 719 $33633 $18156 $15477
Major Joint Replacement Of Lower Extremity With Major Complications
 Vermont 26 $50221 $27369 $22852
Major Small And Large Bowel Procedures With Complications
 Vermont 86 $38449 $22735 $15714
Major Small And Large Bowel Procedures With Major Complications
 Vermont 39 $71637 $45315 $26322
Medical Back Problems No Major Complications
 Vermont 77 $13956 $7034 $6922
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Vermont 183 $11481 $6101 $5380
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Vermont 38 $16913 $10191 $6722
Other Circulatory System Diagnoses With Complications
 Vermont 21 $15320 $24527 $-9207
Other Circulatory System Diagnoses With Major Complications
 Vermont 35 $26434 $16492 $9942
Other Digestive System Diagnoses With Complications
 Vermont 47 $15313 $8895 $6418
Other Kidney And Urinary Tract Diagnoses With Complications
 Vermont 31 $17817 $10230 $7587
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Vermont 20 $22232 $14300 $7932
Other Vascular Procedures No Complications
 Vermont 34 $29610 $15174 $14436
Other Vascular Procedures With Complications
 Vermont 56 $40776 $22054 $18722
Other Vascular Procedures With Major Complications
 Vermont 22 $50566 $26837 $23729
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Vermont 39 $42469 $17404 $25065
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Vermont 137 $38524 $18615 $19909
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Vermont 59 $50860 $28758 $22102
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Vermont 65 $35789 $15842 $19947
Peripheral Vascular Disorders With Complications
 Vermont 31 $14512 $8701 $5811
Permanent Cardiac Pacemaker Implant No Complications
 Vermont 52 $36826 $18521 $18305
Permanent Cardiac Pacemaker Implant With Complications
 Vermont 39 $41072 $22533 $18539
Poisoning And Toxic Effects Of Drugs No Major Complications
 Vermont 33 $16114 $6921 $9193
Poisoning And Toxic Effects Of Drugs With Major Complications
 Vermont 18 $26215 $14528 $11687
Psychoses
 Vermont 242 $19738 $9736 $10002
Pulmonary Edema And Respiratory Failure
 Vermont 155 $19571 $11788 $7783
Pulmonary Embolism No Major Complications
 Vermont 79 $14338 $8725 $5613
Red Blood Cell Disorders No Major Complications
 Vermont 108 $13644 $6785 $6859
Renal Failure No Complications
 Vermont 12 $9844 $6294 $3550
Renal Failure With Complications
 Vermont 174 $13149 $8768 $4381
Renal Failure With Major Complications
 Vermont 59 $21663 $13741 $7922
Respiratory Infections And Inflammations With Complications
 Vermont 123 $20983 $12223 $8760
Respiratory Infections And Inflammations With Major Complications
 Vermont 95 $29659 $17366 $12293
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Vermont 49 $78371 $45951 $32420
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Vermont 90 $36140 $20769 $15371
Seizures No Major Complications
 Vermont 31 $14470 $7100 $7370
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Vermont 243 $15422 $8765 $6657
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Vermont 465 $25734 $15743 $9991
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Vermont 18 $80805 $52761 $28044
Signs And Symptoms No Major Complications
 Vermont 58 $13475 $6424 $7051
Simple Pneumonia And Pleurisy No Complications
 Vermont 218 $9851 $6123 $3728
Simple Pneumonia And Pleurisy With Complications
 Vermont 584 $14332 $8479 $5853
Simple Pneumonia And Pleurisy With Major Complications
 Vermont 228 $20794 $12175 $8619
Spinal Fusion Except Cervical No Major Complications
 Vermont 113 $47284 $34054 $13230
Syncope And Collapse
 Vermont 130 $10641 $6049 $4592
Transient Ischemia
 Vermont 50 $14195 $6295 $7900


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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