Vermont / Brattleboro Memorial Hospital
CMS certification 470011 · Brattleboro, VT · 6 entries in CMS's price-transparency list
Brattleboro Memorial Hospital: charges and Medicare payments
Brattleboro Memorial Hospital reported 260 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 3.2 times what it was paid — among the lower ratios in Vermont, number 5 of 6 hospitals with at least 100 stays (state median 3.83×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 39 stays at an average charge of $31,979, 43% below the national average. It also billed 884 outpatient services, charging 7.68 times what Medicare paid.
- 1Medicare inpatient stays 260
- 2Charge ÷ paid, inpatient 3.2×
- 3Rank in VT (highest ratio = 1) 5 of 6
- 4CMS price-transparency actions 6
Inpatient stays
For the 11 DRGs that can be compared with the national average, Brattleboro Memorial Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 39 | $31,979 | -43% | $8,367 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 38 | $32,478 | -64% | $11,151 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $28,958 | -41% | $7,553 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $34,801 | -42% | $8,221 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $33,747 | -52% | $12,901 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $22,793 | -40% | $5,258 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 19 | $34,509 | -63% | $19,422 |
| 603 Cellulitis without MCC | 16 | $22,956 | -38% | $6,403 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $18,329 | -49% | $5,231 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $29,665 | -35% | $9,539 |
| 683 Renal Failure with CC | 11 | $28,757 | -29% | $8,268 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 147 | $19,902 | $1,580 |
| Level 2 Urology and Related Services | 96 | $479 | $371 |
| Level 5 Musculoskeletal Procedures | 95 | $31,353 | $8,122 |
| Level 1 Intraocular Procedures | 95 | $8,508 | $1,510 |
| Level 2 Upper GI Procedures | 71 | $10,012 | $1,007 |
| Level 1 Nerve Procedures | 50 | $5,874 | $1,080 |
| Level 3 Musculoskeletal Procedures | 47 | $12,133 | $2,087 |
| Level 4 Musculoskeletal Procedures | 47 | $25,391 | $5,163 |
| Level 3 Urology and Related Services | 44 | $4,287 | $1,044 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 39 | $9,540 | $856 |
| Level 2 Musculoskeletal Procedures | 38 | $5,175 | $1,029 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 31 | $15,154 | $2,087 |
| Level 5 Urology and Related Services | 23 | $20,054 | $2,090 |
| Level 4 Urology and Related Services | 21 | $15,084 | $2,080 |
| Level 6 Musculoskeletal Procedures | 15 | $40,164 | $12,790 |
| Level 3 Vascular Procedures | 14 | $18,723 | $2,395 |
| Level 1 Laparoscopy and Related Services | 11 | $20,632 | $4,470 |
Against the Vermont average
For Heart Failure and Shock with MCC (DRG 291), Brattleboro Memorial Hospital charged $31,979 on average, 1% more than the Vermont average of $31,756, and was paid $8,367 against a state average of $8,624. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Brattleboro Memorial Hospital charged $32,478 on average, 32% less than the Vermont average of $47,528, and was paid $11,151 against a state average of $12,534. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Brattleboro Memorial Hospital charged $28,958 on average, 4% less than the Vermont average of $30,180, and was paid $7,553 against a state average of $7,340. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Brattleboro Memorial Hospital charged $34,801 on average, 3% more than the Vermont average of $33,721, and was paid $8,221 against a state average of $9,426. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,902 was 21% above the state average of $16,438. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $479 was 63% below the state average of $1,308. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $31,353 was 22% below the state average of $40,026. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,508 was 20% above the state average of $7,070.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Brattleboro Memorial Hospital in Brattleboro, VT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-08-25 (CMS case 450)
- CAP Request — 2022-05-04 (CMS case 450)
- Closure Notice — 2023-11-10 (CMS case 450)
- Warning Notice — 2025-09-11 (CMS case 6549)
- CAP Request — 2025-12-15 (CMS case 6549)
- Closure Notice — 2026-01-14 (CMS case 6549)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.