Vermont / Central Vermont Medical Center

CMS certification 470001 · Berlin, VT · 1 entry in CMS's price-transparency list

Central Vermont Medical Center: charges and Medicare payments

Central Vermont Medical Center reported 1,083 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 4.3 times what it was paid — mid-range in Vermont, number 3 of 6 hospitals with at least 100 stays (state median 3.83×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 288 stays at an average charge of $40,595, 55% below the national average. It also billed 2,026 outpatient services, charging 16.44 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,083
  2. 2Charge ÷ paid, inpatient 4.3×
  3. 3Rank in VT (highest ratio = 1) 3 of 6
  4. 4CMS price-transparency actions 1
DRG 871$40,595DRG 291$31,039DRG 280$32,855DRG 193$27,411DRG 872$25,442DRG 885$33,030DRG 177$38,920DRG 189$24,090DRG 481$46,988DRG 682$37,264
Average charge per stay at Central Vermont Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 36 DRGs that can be compared with the national average, Central Vermont Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC288$40,595-55%$9,040
291 Heart Failure and Shock with MCC84$31,039-45%$6,463
280 Acute Myocardial Infarction, Discharged Alive with MCC78$32,855-57%$8,295
193 Simple Pneumonia and Pleurisy with MCC48$27,411-54%$6,627
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC39$25,442-48%$6,204
885 Psychoses39$33,030-25%$9,101
177 Respiratory Infections and Inflammations with MCC31$38,920-45%$11,037
189 Pulmonary Edema and Respiratory Failure26$24,090-58%$5,128
481 Hip and Femur Procedures except Major Joint with CC23$46,988-53%$11,914
682 Renal Failure with MCC23$37,264-43%$8,092
698 Other Kidney and Urinary Tract Diagnoses with MCC22$31,720-57%$7,435
064 Intracranial Hemorrhage or Cerebral Infarction with MCC21$38,361-62%$11,781
377 Gastrointestinal Hemorrhage with MCC21$41,720-51%$8,030
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...21$22,635-39%$3,202
378 Gastrointestinal Hemorrhage with CC20$25,688-47%$4,846
689 Kidney and Urinary Tract Infections with MCC20$25,626-50%$5,163
309 Cardiac Arrhythmia and Conduction Disorders with CC18$21,109-42%$2,408
281 Acute Myocardial Infarction, Discharged Alive with CC17$17,171-66%$5,835
853 Infectious and Parasitic Diseases with O.R. Procedures with...17$91,518-60%$33,262
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...16$38,101-32%$3,598
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...16$29,044-52%$8,188
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC15$20,475-29%$2,103
389 Gastrointestinal Obstruction with CC15$19,266-51%$2,502
603 Cellulitis without MCC15$23,500-37%$3,968
690 Kidney and Urinary Tract Infections without MCC15$21,543-43%$4,445
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...14$34,841-43%$6,956
308 Cardiac Arrhythmia and Conduction Disorders with MCC13$30,373-46%$9,559
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$19,502-51%$3,257
470 Major Hip and Knee Joint Replacement or Reattachment of...13$43,983-53%$6,416
314 Other Circulatory System Diagnoses with MCC12$32,680-66%$8,738
551 Medical Back Problems with MCC12$39,651-50%$6,304
637 Diabetes with MCC12$31,592-52%$11,240
638 Diabetes with CC12$17,390-58%$6,665
811 Red Blood Cell Disorders with MCC12$32,527-52%$8,533
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale11$37,309-43%$11,594
522 Hip Replacement with Principal Diagnosis of Hip Fracture...11$43,451-58%$7,937

Outpatient services

Against the Vermont average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Central Vermont Medical Center charged $40,595 on average, 15% less than the Vermont average of $47,528, and was paid $9,040 against a state average of $12,534. For Heart Failure and Shock with MCC (DRG 291), Central Vermont Medical Center charged $31,039 on average, 2% less than the Vermont average of $31,756, and was paid $6,463 against a state average of $8,624. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Central Vermont Medical Center charged $32,855 on average, 17% less than the Vermont average of $39,803, and was paid $8,295 against a state average of $10,617. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Central Vermont Medical Center charged $27,411 on average, 19% less than the Vermont average of $33,721, and was paid $6,627 against a state average of $9,426. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,280 was 11% below the state average of $7,070. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,233 was 13% below the state average of $16,438. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $962 was 26% below the state average of $1,308. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $4,753 was 13% below the state average of $5,471.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Central Vermont Medical Center in Berlin, VT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

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.