facebook tracking Hip and femur procedures except major joint with major complications cost in Utah: 6 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Utah

What 6 hospitals in Utah charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $98,686 Hospital list price billed
Average payment $24,865 Medicare + patient + other payers
Medicare paid $21,267 Average per stay
State rank #25 of 46 1 = lowest average payment

Hospitals in Utah billed an average of $98,686 for hip and femur procedures except major joint with major complications, about 4.0 times the average total payment of $24,865. That payment is 5% below the U.S. average of $26,284.

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 $24,865Billed $98,686

About 25¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: hip and femur procedures except major joint 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 31 $104,692 $26,727 $22,174
St. George Regional HospitalSt George 25 $62,917 $23,665 $22,098
University Health Care/Univ Hospitals and ClinicsSalt Lake City 24 $93,832 $30,884 $26,257
Utah Valley Regional Medical CenterProvo 21 $97,141 $20,350 $18,895
McKay-Dee Hospital CenterOgden 21 $105,589 $22,587 $18,214
St Marks HospitalSalt Lake City 12 $158,020 $22,401 $16,709
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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$20,350
St Marks HospitalSalt Lake City, UT$22,401
McKay-Dee Hospital CenterOgden, UT$22,587
St. George Regional HospitalSt George, UT$23,665
Lds HospitalSalt Lake City, UT$26,727

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$30,884
Lds HospitalSalt Lake City, UT$26,727
St. George Regional HospitalSt George, UT$23,665
McKay-Dee Hospital CenterOgden, UT$22,587
St Marks HospitalSalt Lake City, UT$22,401

Hip and femur procedures except major joint with major complications in other states

Questions

How much does hip and femur procedures except major joint with major complications cost in Utah?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 6 hospitals in Utah was billed at $98,686 on average, while the average total payment was $24,865, of which Medicare paid $21,267. 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 4.0 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.