78/100
#406 nationally
Northwestern Medical Center Inc
133 Fairfield Street, Saint Albans, VT 05478 · (802) 524-5911
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Northwestern Medical Center Inc billed $2.26 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.3x
- volume-weighted across all its priced work
- Procedures priced
- 39
- inpatient and outpatient combined
- Rank in VT
- #1
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 95% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 94% of U.S. hospitals.
Better than 70% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
262 | $7,348 | $866 | -37% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
92 | $41,290 | $5,983 | -34% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
92 | $429 | $263 | -86% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
71 | $24,831 | $22,714 | -62% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
59 | $21,090 | $15,361 | -51% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
57 | $23,796 | $3,044 | -40% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
41 | $12,200 | $1,249 | -40% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
37 | $22,210 | $14,905 | -54% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
37 | $21,862 | $15,154 | -53% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
34 | $14,856 | $2,975 | -58% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$15,671 | $447 | +38% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$41,290 | $5,983 | -34% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$7,348 | $866 | -37% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$12,200 | $1,249 | -40% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$23,796 | $3,044 | -40% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$18,420 | $9,003 | -43% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$17,449 | $9,132 | -44% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$16,090 | $10,140 | -47% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$429 | $263 | -86% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$10,585 | $10,455 | -76% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
$4,744 | $1,524 | -75% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$3,422 | $866 | -71% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$17,922 | $18,074 | -71% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$4,056 | $852 | -69% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$4,124 | $814 | -63% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$20,390 | $19,186 | -63% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.