Northwestern Medical Center Inc
Northwestern Medical Center Inc in Saint Albans, Vermont charges 1.8x the Medicare reimbursement rate across 21 analyzed procedures, positioning it moderately above the Medicare benchmark for this nonprofit hospital.
Saint Albans, VT 05478 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
A
Excellent
Avg markup vs Medicare
1.78x
Charge / Medicare rate
Max markup
2.43x
Worst procedure
Procedures analyzed
21
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,929 | $15,465 | — | 2.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $16,939 | $8,470 | — | 2.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $15,353 | $7,676 | — | 2.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,784 | $8,892 | — | 2.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,365 | $10,683 | — | 2.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $47,361 | $23,680 | — | 2.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $22,526 | $11,263 | — | 2.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $14,267 | $7,133 | — | 1.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $18,527 | $9,264 | — | 1.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $23,648 | $11,824 | — | 1.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $16,193 | $8,097 | — | 1.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $22,046 | $11,023 | — | 1.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $20,080 | $10,040 | — | 1.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $11,674 | $5,837 | — | 1.6x |
| RENAL FAILURE WITH CC | 683 | $14,414 | $7,207 | — | 1.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $17,724 | $8,862 | — | 1.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $29,429 | $14,714 | — | 1.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $28,005 | $14,003 | — | 1.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $11,130 | $5,565 | — | 1.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $20,239 | $10,119 | — | 1.2x |
| RENAL FAILURE WITH MCC | 682 | $17,528 | $8,764 | — | 1.1x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use