facebook tracking Extensive operating room procedures unrelated to principal diagnosis with complications cost in Utah: 4 hospitals compared (DRG 982)

Extensive operating room procedures unrelated to principal diagnosis with complications in Utah

What 4 hospitals in Utah charged and were paid for a Medicare hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982), from 2024 Medicare claims.

DRG 982 Inpatient 2024 Medicare data
Average charge $89,160 Hospital list price billed
Average payment $23,282 Medicare + patient + other payers
Medicare paid $20,214 Average per stay
State rank #17 of 32 1 = lowest average payment

Hospitals in Utah billed an average of $89,160 for extensive operating room procedures unrelated to principal diagnosis with complications, about 3.8 times the average total payment of $23,282. That payment is 6% below the U.S. average of $24,742.

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 $23,282Billed $89,160

About 26¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: extensive operating room procedures unrelated to principal diagnosis 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 14 $60,611 $25,191 $21,901
Lds HospitalSalt Lake City 14 $130,459 $27,757 $23,781
St. George Regional HospitalSt George 14 $79,876 $20,017 $18,970
Utah Valley Regional Medical CenterProvo 13 $85,428 $19,924 $15,894
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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$19,924
St. George Regional HospitalSt George, UT$20,017
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$25,191
Lds HospitalSalt Lake City, UT$27,757

Highest

Lds HospitalSalt Lake City, UT$27,757
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$25,191
St. George Regional HospitalSt George, UT$20,017
Utah Valley Regional Medical CenterProvo, UT$19,924

Extensive operating room procedures unrelated to principal diagnosis with complications in other states

Questions

How much does extensive operating room procedures unrelated to principal diagnosis with complications cost in Utah?

In 2024 Medicare data, a hospital stay for extensive operating room procedures unrelated to principal diagnosis with complications (DRG 982) at 4 hospitals in Utah was billed at $89,160 on average, while the average total payment was $23,282, of which Medicare paid $20,214. 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 3.8 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.