Rutland Regional Medical Center
RUTLAND REGIONAL MEDICAL CENTER in Rutland, Vermont charges 6.7x the Medicare reimbursement rate across 48 analyzed procedures at this nonprofit hospital.
Rutland, VT 05701 · Acute Care Hospitals · CMS Rating: 1/5
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
D
High
Avg markup vs Medicare
6.69x
Charge / Medicare rate
Max markup
14.8x
Worst procedure
Procedures analyzed
48
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 |
|---|---|---|---|---|---|
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $36,411 | $18,206 | — | 14.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $38,935 | $19,468 | — | 13.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $26,635 | $13,317 | — | 10.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $43,407 | $21,703 | — | 9.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,061 | $13,531 | — | 9.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $24,680 | $12,340 | — | 9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $59,668 | $29,834 | — | 8.7x |
| RENAL FAILURE WITH CC | 683 | $34,157 | $17,078 | — | 8.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $29,137 | $14,569 | — | 8.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,208 | $12,104 | — | 8.2x |
| DIABETES WITH CC | 638 | $36,764 | $18,382 | — | 8.1x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $51,224 | $25,612 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,563 | $15,281 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $39,872 | $19,936 | — | 7.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,316 | $13,158 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $43,493 | $21,746 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,736 | $17,868 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $49,567 | $24,784 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $56,799 | $28,399 | — | 7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $37,367 | $18,684 | — | 7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $25,405 | $12,702 | — | 6.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $30,261 | $15,131 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $33,332 | $16,666 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $36,268 | $18,134 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,629 | $10,814 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $31,326 | $15,663 | — | 6.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,736 | $18,868 | — | 6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $49,814 | $24,907 | — | 5.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $19,321 | $9,661 | — | 5.7x |
| SYNCOPE AND COLLAPSE | 312 | $23,036 | $11,518 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $38,953 | $19,477 | — | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $58,416 | $29,208 | — | 5.4x |
| NEUROSES EXCEPT DEPRESSIVE | 882 | $29,685 | $14,842 | — | 5.4x |
| CELLULITIS WITHOUT MCC | 603 | $25,056 | $12,528 | — | 5.4x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $32,896 | $16,448 | — | 5.3x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $31,940 | $15,970 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,513 | $7,756 | — | 5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $63,959 | $31,979 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $78,786 | $39,393 | — | 4.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $45,812 | $22,906 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $15,247 | $7,623 | — | 4.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $25,965 | $12,982 | — | 4.6x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $35,621 | $17,811 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $72,167 | $36,083 | — | 4.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $26,818 | $13,409 | — | 4.1x |
| PSYCHOSES | 885 | $68,641 | $34,320 | — | 3.9x |
| DEPRESSIVE NEUROSES | 881 | $29,215 | $14,607 | — | 3.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $80,578 | $40,289 | — | 2x |
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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