Digestive malignancy with major complications in Utah
What 1 hospital in Utah charged and were paid for a Medicare hospital stay for digestive malignancy with major complications (DRG 374), from 2024 Medicare claims.
Average charge
$53,221
Hospital list price billed
Average payment
$22,222
Medicare + patient + other payers
Medicare paid
$17,076
Average per stay
Volume
18
Medicare hospital stays
Hospitals in Utah billed an average of $53,221 for digestive malignancy with major complications, about 2.4 times the average total payment of $22,222. That payment is 4% below the U.S. average of $23,203.
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 $22,222Billed $53,221
About 42¢ 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: digestive malignancy 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 | 18 | $53,221 | $22,222 | $17,076 |
Digestive malignancy with major complications in other states
Questions
How much does digestive malignancy with major complications cost in Utah?
In 2024 Medicare data, a hospital stay for digestive malignancy with major complications (DRG 374) at 1 hospital in Utah was billed at $53,221 on average, while the average total payment was $22,222, of which Medicare paid $17,076. 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 2.4 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.