Vermont / Southwestern Vermont Medical Center
CMS certification 470012 · Bennington, VT · 3 entries in CMS's price-transparency list
Southwestern Vermont Medical Center: charges and Medicare payments
Southwestern Vermont Medical Center reported 622 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 3.36 times what it was paid — mid-range in Vermont, number 4 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: 116 stays at an average charge of $34,744, 62% below the national average. It also billed 1,110 outpatient services, charging 8.32 times what Medicare paid.
- 1Medicare inpatient stays 622
- 2Charge ÷ paid, inpatient 3.36×
- 3Rank in VT (highest ratio = 1) 4 of 6
- 4CMS price-transparency actions 3
Inpatient stays
For the 23 DRGs that can be compared with the national average, Southwestern 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.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 116 | $34,744 | -62% | $10,732 |
| 291 Heart Failure and Shock with MCC | 68 | $22,196 | -61% | $8,484 |
| 189 Pulmonary Edema and Respiratory Failure | 67 | $21,637 | -62% | $7,220 |
| 177 Respiratory Infections and Inflammations with MCC | 54 | $27,172 | -62% | $9,337 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 30 | $24,831 | -49% | $7,040 |
| 683 Renal Failure with CC | 25 | $25,028 | -39% | $4,642 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $28,567 | -49% | $6,384 |
| 682 Renal Failure with MCC | 21 | $21,711 | -67% | $6,594 |
| 603 Cellulitis without MCC | 19 | $16,841 | -55% | $4,709 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $15,694 | -57% | $4,497 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $20,195 | -47% | $5,043 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $31,368 | -57% | $8,016 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $9,888 | -66% | $4,443 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $24,930 | -67% | $7,123 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $25,868 | -54% | $4,813 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $20,236 | -58% | $4,486 |
| 389 Gastrointestinal Obstruction with CC | 14 | $20,969 | -46% | $4,231 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $47,942 | -52% | $10,364 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $25,151 | -61% | $6,673 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $21,580 | -64% | $4,714 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $50,735 | -50% | $15,187 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $15,183 | -59% | $7,947 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $19,036 | -50% | $5,347 |
Outpatient services
Against the Vermont average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southwestern Vermont Medical Center charged $34,744 on average, 27% less than the Vermont average of $47,528, and was paid $10,732 against a state average of $12,534. For Heart Failure and Shock with MCC (DRG 291), Southwestern Vermont Medical Center charged $22,196 on average, 30% less than the Vermont average of $31,756, and was paid $8,484 against a state average of $8,624. For Pulmonary Edema and Respiratory Failure (DRG 189), Southwestern Vermont Medical Center charged $21,637 on average, 36% less than the Vermont average of $34,049, and was paid $7,220 against a state average of $8,115. For Respiratory Infections and Inflammations with MCC (DRG 177), Southwestern Vermont Medical Center charged $27,172 on average, 35% less than the Vermont average of $41,636, and was paid $9,337 against a state average of $11,385. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $742 was 43% below the state average of $1,308. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,465 was 6% above the state average of $16,438. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,006 was 39% below the state average of $6,527. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,104 was 5% above the state average of $40,026.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Southwestern Vermont Medical Center in Bennington, VT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-02-13 (CMS case 1001)
- Closure Notice — 2024-05-16 (CMS case 1001)
- Warning Notice — 2026-07-07 (CMS case 8196)
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.