Healthcare spending, insurance rates, and estimated procedure costs in Vermont (VT). Per-capita spending is 11% above the national average.
Estimates based on Vermont's cost index of 1.09x applied to national average procedure prices. Insured costs assume typical in-network copay/coinsurance at roughly 35% of the full price. Actual costs depend on provider, facility type, and insurance plan.
| Procedure | Estimated Cost | With Insurance | National Avg |
|---|---|---|---|
| Doctor Office Visit | $273 | $95 | $250 |
| Emergency Room Visit | $2,398 | $839 | $2,200 |
| MRI Scan | $1,444 | $505 | $1,325 |
| CT Scan | $899 | $315 | $825 |
| Childbirth (Vaginal) | $14,715 | $5,150 | $13,500 |
| Childbirth (C-Section) | $24,525 | $8,584 | $22,500 |
| Knee Replacement | $38,150 | $13,353 | $35,000 |
| Hip Replacement | $41,420 | $14,497 | $38,000 |
| Appendectomy | $17,440 | $6,104 | $16,000 |
| Colonoscopy | $2,998 | $1,049 | $2,750 |
| Dental Cleaning | $136 | $48 | $125 |
| Root Canal | $1,199 | $420 | $1,100 |
Vermont residents spend an average of $10,456 per person per year on healthcare, which is 11% higher than the national average of $9,421. The state's cost index of 1.09 means that a procedure costing $1,000 nationally would cost approximately $1,090 in Vermont.
Vermont has expanded Medicaid under the ACA, helping to reduce the uninsured rate to 3.7%. Residents with incomes up to 138% of the federal poverty level may qualify for Medicaid coverage.
For the best price on a planned procedure, compare quotes from at least three facilities. Hospital outpatient departments typically charge 2-3x more than ambulatory surgery centers for the same procedure. Under the CMS Hospital Price Transparency rule, all Vermont hospitals must publish their negotiated rates — use those files to comparison shop.
Data sources: CMS Hospital Price Transparency, Kaiser Family Foundation, Census Bureau ACS, Healthcare.gov marketplace data. Figures are estimates and may differ from actual billed amounts.
The average per-capita healthcare spending in Vermont is $10,456 per year. The cost index is 1.09x the national average, meaning medical procedures cost approximately 9% more than the US average.
Vermont has an uninsured rate of 3.7%, compared to the national average of approximately 8%. Vermont has expanded Medicaid under the ACA, which helps cover more low-income residents.
Top-rated hospitals in Vermont include University of Vermont Medical Center, Rutland Regional Medical Center, Southwestern Vermont Medical Center. Rankings are based on CMS Hospital Compare quality ratings, patient outcomes, and specialty accreditations.
The average monthly marketplace health insurance premium in Vermont is approximately $538. Actual costs vary based on plan tier (Bronze/Silver/Gold/Platinum), age, household size, and income-based subsidies available through Healthcare.gov.
Yes, Vermont has expanded Medicaid under the Affordable Care Act, extending coverage to adults with incomes up to 138% of the federal poverty level.
Data verified · Source: CMS, KFF, Census Bureau & Healthcare.gov data
Our healthcare economists track procedure costs, insurance coverage, and medical pricing across 40+ countries and major US insurance networks. Data sourced from CMS, FAIR Health, and international health ministry databases.
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