Vermont / University of Vermont Medical Center

CMS certification 470003 · Burlington, VT · 2 entries in CMS's price-transparency list

University of Vermont Medical Center: charges and Medicare payments

University of Vermont Medical Center reported 5,222 Medicare inpatient stays across 158 DRGs in 2024. Across them it charged 4.31 times what it was paid — among the higher ratios in Vermont, number 2 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: 331 stays at an average charge of $64,174, 29% below the national average. It also billed 8,008 outpatient services, charging 12.63 times what Medicare paid.

1Medicare inpatient stays 5,222
2Charge ÷ paid, inpatient 4.31×
3Rank in VT (highest ratio = 1) 2 of 6
4CMS price-transparency actions 2

Average charge per stay at University of Vermont Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 158 DRGs that can be compared with the national average, University of Vermont Medical Center charged more than the national average in 17 (11%). 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	331	$64,174	-29%	$14,345
291 Heart Failure and Shock with MCC	186	$39,573	-30%	$8,480
189 Pulmonary Edema and Respiratory Failure	159	$42,273	-27%	$7,980
267 Endovascular Cardiac Valve Replacement and Supplement...	156	$150,268	-32%	$32,936
193 Simple Pneumonia and Pleurisy with MCC	106	$41,838	-30%	$10,287
280 Acute Myocardial Infarction, Discharged Alive with MCC	104	$52,843	-30%	$11,837
177 Respiratory Infections and Inflammations with MCC	100	$56,298	-20%	$11,034
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	84	$53,726	-4%	$8,716
322 Percutaneous Cardiovascular Procedures with Intraluminal...	84	$80,916	-29%	$12,111
025 Craniotomy and Endovascular Intracranial Procedures with MCC	73	$128,441	-45%	$40,725
853 Infectious and Parasitic Diseases with O.R. Procedures with...	71	$153,947	-33%	$49,689
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	68	$74,546	-25%	$16,030
378 Gastrointestinal Hemorrhage with CC	68	$33,095	-32%	$8,436
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	68	$37,380	-45%	$8,706
885 Psychoses	65	$85,605	+94%	$21,145
481 Hip and Femur Procedures except Major Joint with CC	63	$77,253	-23%	$11,933
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	63	$36,535	-26%	$7,878
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$33,965	-15%	$7,166
682 Renal Failure with MCC	59	$71,402	+8%	$12,902
266 Endovascular Cardiac Valve Replacement and Supplement...	58	$220,832	-22%	$47,466
309 Cardiac Arrhythmia and Conduction Disorders with CC	58	$19,055	-47%	$6,165
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	57	$70,429	-31%	$13,552
190 Chronic Obstructive Pulmonary Disease with MCC	56	$32,801	-35%	$6,633
274 Percutaneous and Other Intracardiac Procedures without MCC	56	$113,626	-28%	$22,295
330 Major Small and Large Bowel Procedures with CC	51	$68,159	-43%	$18,559
377 Gastrointestinal Hemorrhage with MCC	51	$61,039	-29%	$11,971
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$35,744	-4%	$6,113
057 Degenerative Nervous System Disorders without MCC	49	$48,947	-14%	$11,490
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	49	$15,137	-47%	$5,129
243 Permanent Cardiac Pacemaker Implant with CC	47	$81,599	-27%	$17,157
321 Percutaneous Cardiovascular Procedures with Intraluminal...	46	$108,197	-34%	$19,746
329 Major Small and Large Bowel Procedures with MCC	44	$156,571	-27%	$39,366
389 Gastrointestinal Obstruction with CC	43	$34,105	-12%	$5,539
281 Acute Myocardial Infarction, Discharged Alive with CC	42	$32,883	-35%	$6,745
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	42	$48,630	-19%	$11,209
603 Cellulitis without MCC	41	$33,537	-10%	$7,871
689 Kidney and Urinary Tract Infections with MCC	41	$52,438	+2%	$8,926
287 Circulatory Disorders except AMI, with Cardiac...	39	$37,108	-42%	$8,914
390 Gastrointestinal Obstruction without CC/MCC	37	$26,371	-6%	$5,575
683 Renal Failure with CC	36	$34,674	-15%	$6,915
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	35	$65,088	0%	$15,406
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$56,465	-7%	$11,261
460 Spinal Fusion except Cervical without MCC	35	$107,010	-37%	$26,442
698 Other Kidney and Urinary Tract Diagnoses with MCC	35	$43,212	-41%	$10,909
101 Seizures without MCC	34	$59,724	+22%	$12,785
314 Other Circulatory System Diagnoses with MCC	34	$92,065	-3%	$22,769
690 Kidney and Urinary Tract Infections without MCC	34	$40,609	+7%	$6,450
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	34	$28,266	-24%	$9,582
242 Permanent Cardiac Pacemaker Implant with MCC	31	$95,475	-41%	$21,427
308 Cardiac Arrhythmia and Conduction Disorders with MCC	31	$54,541	-4%	$11,775
552 Medical Back Problems without MCC	31	$44,168	-10%	$8,707
100 Seizures with MCC	30	$73,124	-23%	$18,142
236 Coronary Bypass without Cardiac Catheterization without MCC	30	$99,756	-53%	$42,264
331 Major Small and Large Bowel Procedures without CC/MCC	30	$39,653	-54%	$12,577
470 Major Hip and Knee Joint Replacement or Reattachment of...	29	$58,334	-37%	$9,520
039 Extracranial Procedures without CC/MCC	28	$42,536	-33%	$9,479
699 Other Kidney and Urinary Tract Diagnoses with CC	28	$34,922	-26%	$7,660
811 Red Blood Cell Disorders with MCC	28	$68,468	0%	$15,685
235 Coronary Bypass without Cardiac Catheterization with MCC	27	$133,767	-54%	$57,806
312 Syncope and Collapse	27	$48,454	+6%	$8,767

Showing the 60 most frequent of 158 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	1,355	$1,364	$331
Level 2 Excision/ Biopsy/ Incision and Drainage	596	$7,243	$763
Level 3 Urology and Related Services	580	$4,785	$1,041
Comprehensive Observation Services	446	$17,273	$1,180
Level 1 Intraocular Procedures	383	$6,679	$1,093
Level 1 Nerve Procedures	349	$8,900	$936
Level 3 Vascular Procedures	276	$18,022	$1,497
Level 5 Musculoskeletal Procedures	254	$40,226	$5,619
Level 3 Excision/ Biopsy/ Incision and Drainage	225	$11,933	$1,476
Level 4 Urology and Related Services	223	$12,138	$1,637
Level 1 Endovascular Procedures	217	$19,270	$1,751
Level 2 Musculoskeletal Procedures	216	$6,078	$602
Level 5 Urology and Related Services	209	$18,536	$2,421
Level 2 Upper GI Procedures	172	$9,208	$1,166
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	167	$13,526	$1,614
Level 3 Endovascular Procedures	153	$61,109	$5,640
Level 3 Musculoskeletal Procedures	149	$10,858	$1,509
Level 4 Musculoskeletal Procedures	143	$25,640	$3,891
Level 2 Laparoscopy and Related Services	126	$36,117	$5,661
Level 1 Laparoscopy and Related Services	118	$23,160	$2,797
Level 3 Pacemaker and Similar Procedures	115	$46,740	$4,161
Level 3 Electrophysiologic Procedures	108	$116,354	$11,237
Level 2 Vascular Procedures	103	$13,367	$832
Level 3 Extraocular, Repair, and Plastic Eye Procedures	99	$8,274	$1,204
Level 4 Airway Endoscopy	85	$14,928	$1,982

Against the Vermont average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Vermont Medical Center charged $64,174 on average, 35% more than the Vermont average of $47,528, and was paid $14,345 against a state average of $12,534. For Heart Failure and Shock with MCC (DRG 291), University of Vermont Medical Center charged $39,573 on average, 25% more than the Vermont average of $31,756, and was paid $8,480 against a state average of $8,624. For Pulmonary Edema and Respiratory Failure (DRG 189), University of Vermont Medical Center charged $42,273 on average, 24% more than the Vermont average of $34,049, and was paid $7,980 against a state average of $8,115. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), University of Vermont Medical Center charged $150,268 on average, 0% less than the Vermont average of $150,268, and was paid $32,936 against a state average of $32,936. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,364 was 4% above the state average of $1,308. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,243 was 11% above the state average of $6,527. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,785 was 9% below the state average of $5,246. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,273 was 5% above the state average of $16,438.

Price-transparency record

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

Met Requirements — 2023-03-27 (CMS case 126)
Met Requirements — 2025-03-25 (CMS case 3388)

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.