Hospital & Medical Cost in Vermont (2026)

Hospital costs in Vermont typically run $1,500–$3,500 for an uninsured moderate-acuity Level-3 ER visit, with ACA Medicaid expanded. Vermont's combination of UNIQUE Green Mountain Care Board (GMCB) state-wide hospital budget review authority under 18 V.S.A. Ch. 221 (one of only 2 such state regulators in the U.S. alongside Maryland's HSCRC), University of Vermont Health Network regional-system dominance with 6 hospitals + UVM Medical Center, no malpractice damages cap, $40.94/hr BLS RN mean, GMCB extensive CON program, ACA Medicaid expanded (Green Mountain Care), and Vermont's all-payer ACO payment model unique among state Medicaid programs.

State Vermont
Cities Covered 0
Typical uninsured moderate-acuity Level-3 ER visit $1,500 – $3,500
BLS Registered Nurse wage $40.94/hr

Vermont payer mix, regulation & malpractice drivers

  • Surprise billing protection: Moderate state statute — partial state-level surprise billing protection alongside federal NSA
  • Certificate of Need (CON) status: Extensive Certificate of Need — broad CON program covering hospitals, ASCs, imaging, and surgical capacity
  • Medicaid expansion status: ACA Medicaid expanded — coverage to 138% federal poverty level
  • Malpractice non-economic damages cap: No enforceable malpractice non-economic damages cap — no cap (Vermont has not enacted non-economic damages cap)
  • Hospital price transparency mandate: Moderate state mandate — selective state price transparency requirements alongside federal CMS rule
  • Dominant health insurance market structure: Regional-system dominant — vertically-integrated regional health system shapes market

Vermont medical board & physician licensing

  • License status: Statewide license required
  • License board: Vermont Board of Medical Practice — Vermont Department of Health (official site)
  • Permit: Vermont Board of Medical Practice MD/DO license required; DEA Schedule II-V + Vermont Prescription Monitoring System (VPMS); hospital privileging at University of Vermont Health Network (UVMHN) / Rutland Regional Medical Center / Brattleboro Memorial Hospital; CON required through Green Mountain Care Board (GMCB) under 18 V.S.A. Chapter 221; Vermont GMCB unique state-wide hospital budget review authority

How medical care costs vary in Vermont

State-specific code or insurance rule: Vermont operates the Green Mountain Care Board (GMCB) under 18 V.S.A. Chapter 221 — one of the only state regulatory bodies in the country with combined authority over hospital budget review, hospital price transparency, all-payer claims database administration, Certificate of Need decisions, and Vermont's accountable care organization payment model (alongside Maryland's HSCRC as the only comparable state-wide hospital regulator) — and University of Vermont Health Network (UVMHN) operates as the dominant academic-medical-center system serving Vermont and Northern New York with 6 hospitals + UVM Medical Center, plus Vermont has not enacted a medical malpractice non-economic damages cap.

Cities in Vermont

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