Vermont / Rutland Regional Medical Center
CMS certification 470005 · Rutland, VT · 4 entries in CMS's price-transparency list
Rutland Regional Medical Center: charges and Medicare payments
Rutland Regional Medical Center reported 1,328 Medicare inpatient stays across 46 DRGs in 2024. Across them it charged 4.57 times what it was paid — among the higher ratios in Vermont, number 1 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: 162 stays at an average charge of $48,473, 46% below the national average. It also billed 2,343 outpatient services, charging 10.41 times what Medicare paid.
- 1Medicare inpatient stays 1,328
- 2Charge ÷ paid, inpatient 4.57×
- 3Rank in VT (highest ratio = 1) 1 of 6
- 4CMS price-transparency actions 4
Inpatient stays
For the 46 DRGs that can be compared with the national average, Rutland Regional Medical Center charged more than the national average in 3 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 162 | $48,473 | -46% | $12,198 |
| 189 Pulmonary Edema and Respiratory Failure | 135 | $36,303 | -37% | $7,352 |
| 291 Heart Failure and Shock with MCC | 94 | $30,449 | -46% | $6,818 |
| 885 Psychoses | 76 | $76,419 | +74% | $19,137 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 56 | $36,553 | -25% | $5,182 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $44,093 | -38% | $9,707 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 39 | $27,434 | -26% | $6,828 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 34 | $16,383 | -43% | $3,544 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 33 | $21,770 | -40% | $4,584 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $34,204 | -39% | $6,503 |
| 481 Hip and Femur Procedures except Major Joint with CC | 31 | $61,132 | -39% | $11,626 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 31 | $39,468 | -46% | $7,717 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $33,991 | -43% | $6,921 |
| 378 Gastrointestinal Hemorrhage with CC | 29 | $32,612 | -33% | $6,575 |
| 603 Cellulitis without MCC | 26 | $23,710 | -36% | $5,862 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $23,111 | -39% | $4,892 |
| 312 Syncope and Collapse | 24 | $26,011 | -43% | $4,593 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 23 | $27,283 | -26% | $8,389 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $22,160 | -45% | $4,241 |
| 881 Depressive Neuroses | 21 | $27,071 | -15% | $8,317 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 19 | $13,732 | -68% | $3,095 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $31,180 | -45% | $8,170 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $34,870 | -42% | $6,186 |
| 689 Kidney and Urinary Tract Infections with MCC | 18 | $35,134 | -32% | $6,271 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $81,914 | -40% | $17,993 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $60,124 | -41% | $11,989 |
| 442 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic... | 15 | $33,237 | -30% | $6,998 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $39,099 | -61% | $12,033 |
| 617 Amputation of Lower Limb for Endocrine, Nutritional and... | 14 | $77,664 | -11% | $23,876 |
| 682 Renal Failure with MCC | 14 | $47,075 | -29% | $7,613 |
| 683 Renal Failure with CC | 14 | $36,128 | -11% | $6,749 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $27,845 | -41% | $4,543 |
| 812 Red Blood Cell Disorders without MCC | 14 | $48,272 | +9% | $7,488 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $49,138 | -42% | $8,282 |
| 394 Other Digestive System Diagnoses with CC | 13 | $31,898 | -32% | $5,689 |
| 811 Red Blood Cell Disorders with MCC | 13 | $46,144 | -32% | $10,757 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $132,606 | -42% | $23,617 |
| 883 Disorders of Personality and Impulse Control | 13 | $51,684 | -9% | $14,784 |
| 951 Other Factors Influencing Health Status | 13 | $15,897 | -38% | $4,269 |
| 101 Seizures without MCC | 12 | $30,199 | -38% | $4,777 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $32,045 | -29% | $4,947 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 12 | $28,215 | -63% | $11,010 |
| 389 Gastrointestinal Obstruction with CC | 12 | $40,556 | +4% | $5,126 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 12 | $39,834 | -19% | $4,921 |
| 638 Diabetes with CC | 11 | $27,087 | -35% | $5,747 |
| 694 Urinary Stones without MCC | 11 | $28,479 | -31% | $4,913 |
Outpatient services
Against the Vermont average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Rutland Regional Medical Center charged $48,473 on average, 2% more than the Vermont average of $47,528, and was paid $12,198 against a state average of $12,534. For Pulmonary Edema and Respiratory Failure (DRG 189), Rutland Regional Medical Center charged $36,303 on average, 7% more than the Vermont average of $34,049, and was paid $7,352 against a state average of $8,115. For Heart Failure and Shock with MCC (DRG 291), Rutland Regional Medical Center charged $30,449 on average, 4% less than the Vermont average of $31,756, and was paid $6,818 against a state average of $8,624. For Psychoses (DRG 885), Rutland Regional Medical Center charged $76,419 on average, 9% more than the Vermont average of $70,017, and was paid $19,137 against a state average of $17,657. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,027 was 55% above the state average of $1,308. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,729 was 7% above the state average of $40,026. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,999 was 9% below the state average of $16,438. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,606 was 1% above the state average of $6,527.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Rutland Regional Medical Center in Rutland, VT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-24 (CMS case 1002)
- Closure Notice — 2023-08-30 (CMS case 1002)
- Met Requirements — 2025-04-16 (CMS case 3851)
- Warning Notice — 2026-06-16 (CMS case 8100)
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.