VT CMS Medicare PUF 2023 Avg payment #52 of 56

Vermont procedure costs

17 hospitals · 211 Medicare providers · 1,596 procedure codes with Vermont locality adjustments.

The short answer

Vermont has 17 hospitals and 211 Medicare-billing providers across 1,596 procedure codes. The average Medicare payment per procedure is $130.98; the average submitted (billed) charge is $1,063.15.

Procedure codes
1,596
Providers per hospital
12.4
Billed-to-Medicare ratio
8.1x
Markup rank
#6 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

17
Hospitals
211
Providers
$130.98
Avg Medicare Payment
$1,063.15
Avg Billed Charge

Vermont against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$131 higher than 7% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). This entry sits in this band. $150–$175: 5 states (9%). Above this entry. $175–$200: 7 states (13%). Above this entry. $200–$225: 9 states (16%). Above this entry. $225–$250: 9 states (16%). Above this entry. $250–$275: 11 states (20%). Above this entry. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Vermont

Highest average Medicare payment per procedure billed in Vermont. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Vermont

Processing, Preserving And T…3550Vaginal Delivery With Care B…1788Extracapsular Removal Of Cat…1683Removal Of Skull Bone For Re…1576Transplantation Of Outer Lay…1321Removal Of Skull Bone For As…1320Repair Of Mitral Valve Throu…1313Repair Of Hernia Of Muscle A…1208
Top procedures by Medicare payment - Vermont-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Ground Mileage, Per Statute Mile $8.53 441.1K
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $69.72 148.8K
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $47.97 130.5K
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $17.96 121.0K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 86.9K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.92 84.3K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $21.19 60.4K
Psychotherapy, 1 Hour $88.03 57.0K
Therapy Procedure Using Functional Activities $23.69 56.3K
Injection, Nivolumab, 1 Mg $23.04 56.3K
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $10.61 55.3K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $5.70 45.8K
Chiropractic Manipulative Treatment, 3-4 Spinal Regions $26.87 45.6K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $58.46 40.0K
Injection, Pembrolizumab, 1 Mg $42.93 35.2K
Injection, Daratumumab, 10 Mg And Hyaluronidase-Fihj $37.85 34.9K
Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity $27.78 32.3K
Established Patient Office Or Other Outpatient Visit, 40-54 Minutes $105.22 31.0K
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 27.8K
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.30 26.6K
Established Patient Complete Exam Of Visual System $75.67 25.7K
Administration Of Influenza Virus Vaccine $24.94 24.1K
Injection, Paclitaxel, 1 Mg $0.10 23.9K
Admn Sarscov2 Vacc 1 Dose $37.87 22.6K
Injection, Iron Sucrose, 1 Mg $0.17 22.2K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $89.81 20.7K
Destruction Of Precancer Skin Growth, 2-14 Growths $3.56 18.8K
Psychotherapy, 45 Minutes $60.46 18.3K
Therapy Procedure Using Water Pool To Exercises, Each 15 Minutes $22.01 18.0K
X-Ray Of Chest, 1 View $6.49 17.3K

Vermont Healthcare Cost Landscape

CMS lists 17 hospitals in Vermont across 16 cities. BRATTLEBORO holds 2 (12%). The three densest cities together hold 24% of the state roster. Statewide that is 211 Medicare-billing providers, 12.4 per listed hospital.

13 hospitals carry a CMS overall star rating (0 five-star, 3 four-star, 6 three-star, 3 two-star, 1 one-star) ; five-star share among rated facilities is 0%. 4 hospitals in this extract have no published overall rating.

Facility-type mix: Critical Access Hospitals 8 (47%); Acute Care Hospitals 6 (35%); Psychiatric 2 (12%); Acute Care - Veterans Administration 1 (6%).

Among the 30 highest-volume procedure codes billed in Vermont, Medical Supplies leads with 528.0K services (29% of this top-volume slice) across 2 codes. Next is Medicine at 22%.

Submitted charges average $1,063.15 against $130.98 Medicare payment (8.1x billed-to-Medicare). That ratio ranks #6 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #52 of 56.

Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Processing, Preserving And Transporting Corneal Tissue is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Vermont, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Vermont hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 16 distinct cities appear on 17 listed facilities.

City Hospitals Share of state roster
BRATTLEBORO 2 12%
BARRE 1 6%
BENNINGTON 1 6%
BERLIN 1 6%
BURLINGTON 1 6%
MIDDLEBURY 1 6%
MORRISVILLE 1 6%
NEWPORT 1 6%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Vermont: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (17 here).

Similar average Medicare payment

Nearest states with published averages ($130.98 here).

How Vermont Compares Nationally

Vermont's average Medicare payment is #52 of 56 in this extract. Submitted-over-Medicare markup ranks #6 of 56 (8.1x). Hospital-count peers (nearest CMS roster size to 17): Delaware 13, Rhode Island 13, District of Columbia 10, Hawaii 24. Payment peers (nearest average Medicare payment to $130.98): Puerto Rico $114.18, Maine $149.34, North Dakota $150.79, South Dakota $160.44.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Vermont, not an out-of-pocket quote.

Related registry pages

Vermont averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Vermont CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.