facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Utah: 6 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Utah

What 6 hospitals in Utah charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $189,105 Hospital list price billed
Average payment $50,750 Medicare + patient + other payers
Medicare paid $46,085 Average per stay
State rank #18 of 42 1 = lowest average payment

Hospitals in Utah billed an average of $189,105 for endovascular cardiac valve replacement and supplement procedures with major complications, about 3.7 times the average total payment of $50,750. That payment is 11% below the U.S. average of $57,249.

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 $50,750Billed $189,105

About 27¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Lds HospitalSalt Lake City 67 $193,701 $51,586 $44,432
Utah Valley Regional Medical CenterProvo 49 $156,772 $45,354 $42,399
McKay-Dee Hospital CenterOgden 18 $146,346 $44,744 $43,430
St. George Regional HospitalSt George 18 $171,627 $51,432 $50,435
University Health Care/Univ Hospitals and ClinicsSalt Lake City 16 $244,564 $77,521 $68,184
St Marks HospitalSalt Lake City 13 $302,437 $41,202 $38,947
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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

St Marks HospitalSalt Lake City, UT$41,202
McKay-Dee Hospital CenterOgden, UT$44,744
Utah Valley Regional Medical CenterProvo, UT$45,354
St. George Regional HospitalSt George, UT$51,432
Lds HospitalSalt Lake City, UT$51,586

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$77,521
Lds HospitalSalt Lake City, UT$51,586
St. George Regional HospitalSt George, UT$51,432
Utah Valley Regional Medical CenterProvo, UT$45,354
McKay-Dee Hospital CenterOgden, UT$44,744

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Utah?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 6 hospitals in Utah was billed at $189,105 on average, while the average total payment was $50,750, of which Medicare paid $46,085. 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 3.7 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.