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Gastrointestinal obstruction with major complications in Utah

What 2 hospitals in Utah charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.

DRG 388 Inpatient 2024 Medicare data
Average charge $41,214 Hospital list price billed
Average payment $14,446 Medicare + patient + other payers
Medicare paid $11,752 Average per stay
Volume 23 Medicare hospital stays

Hospitals in Utah billed an average of $41,214 for gastrointestinal obstruction with major complications, about 2.9 times the average total payment of $14,446. That payment is about the same as the U.S. average of $14,417.

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 $14,446Billed $41,214

About 35¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: gastrointestinal obstruction 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 12 $43,889 $16,944 $13,004
St. George Regional HospitalSt George 11 $38,295 $11,721 $10,386
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Gastrointestinal obstruction with major complications in other states

Questions

How much does gastrointestinal obstruction with major complications cost in Utah?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 2 hospitals in Utah was billed at $41,214 on average, while the average total payment was $14,446, of which Medicare paid $11,752. 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 2.9 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.