facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in Utah: 6 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in Utah

What 6 hospitals in Utah charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $89,066 Hospital list price billed
Average payment $21,477 Medicare + patient + other payers
Medicare paid $17,016 Average per stay
State rank #33 of 47 1 = lowest average payment

Hospitals in Utah billed an average of $89,066 for circulatory disorders except ami, with cardiac catheterization with major complications, about 4.1 times the average total payment of $21,477. That payment is 2% below the U.S. average of $21,968.

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 $21,477Billed $89,066

About 24¢ was paid for every $1 hospitals in Utah billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Utah:

Utah hospitals: circulatory disorders except ami, with cardiac catheterization with major 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 40 $81,827 $29,225 $21,853
Lds HospitalSalt Lake City 40 $87,878 $21,037 $15,372
St. George Regional HospitalSt George 35 $70,179 $19,494 $16,396
Utah Valley Regional Medical CenterProvo 26 $65,612 $16,522 $15,157
St Marks HospitalSalt Lake City 21 $133,148 $18,080 $13,409
McKay-Dee Hospital CenterOgden 14 $137,791 $19,852 $18,301
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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$16,522
St Marks HospitalSalt Lake City, UT$18,080
St. George Regional HospitalSt George, UT$19,494
McKay-Dee Hospital CenterOgden, UT$19,852
Lds HospitalSalt Lake City, UT$21,037

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$29,225
Lds HospitalSalt Lake City, UT$21,037
McKay-Dee Hospital CenterOgden, UT$19,852
St. George Regional HospitalSt George, UT$19,494
St Marks HospitalSalt Lake City, UT$18,080

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Utah?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 6 hospitals in Utah was billed at $89,066 on average, while the average total payment was $21,477, of which Medicare paid $17,016. 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 4.1 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.