facebook tracking Cervical spinal fusion with complications cost in Utah: 5 hospitals compared (DRG 472)

Cervical spinal fusion with complications in Utah

What 5 hospitals in Utah charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $71,090 Hospital list price billed
Average payment $25,978 Medicare + patient + other payers
Medicare paid $20,633 Average per stay
State rank #20 of 38 1 = lowest average payment

Hospitals in Utah billed an average of $71,090 for cervical spinal fusion with complications, about 2.7 times the average total payment of $25,978. That payment is 8% below the U.S. average of $28,116.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $25,978Billed $71,090

About 37¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: cervical spinal fusion with complications

Every Utah hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 25 $73,396 $27,896 $24,764
McKay-Dee Hospital CenterOgden 18 $71,734 $24,158 $18,039
Utah Valley Regional Medical CenterProvo 12 $66,069 $23,303 $18,803
Lds HospitalSalt Lake City 12 $75,360 $27,113 $18,155
St. George Regional HospitalSt George 11 $65,616 $26,280 $20,187
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Lowest and highest payments in Utah

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Utah Valley Regional Medical CenterProvo, UT$23,303
McKay-Dee Hospital CenterOgden, UT$24,158
St. George Regional HospitalSt George, UT$26,280
Lds HospitalSalt Lake City, UT$27,113
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$27,896

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$27,896
Lds HospitalSalt Lake City, UT$27,113
St. George Regional HospitalSt George, UT$26,280
McKay-Dee Hospital CenterOgden, UT$24,158
Utah Valley Regional Medical CenterProvo, UT$23,303

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in Utah?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 5 hospitals in Utah was billed at $71,090 on average, while the average total payment was $25,978, of which Medicare paid $20,633. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Utah, average charges were 2.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.