facebook tracking Infectious and parasitic diseases with operating room procedures with complications cost in Utah: 3 hospitals compared (DRG 854)

Infectious and parasitic diseases with operating room procedures with complications in Utah

What 3 hospitals in Utah charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.

DRG 854 Inpatient 2024 Medicare data
Average charge $58,499 Hospital list price billed
Average payment $16,948 Medicare + patient + other payers
Medicare paid $13,723 Average per stay
State rank #20 of 44 1 = lowest average payment

Hospitals in Utah billed an average of $58,499 for infectious and parasitic diseases with operating room procedures with complications, about 3.5 times the average total payment of $16,948. That payment is 11% below the U.S. average of $19,011.

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 $16,948Billed $58,499

About 29¢ 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: infectious and parasitic diseases with operating room procedures 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
St. George Regional HospitalSt George 24 $52,144 $16,304 $14,877
Utah Valley Regional Medical CenterProvo 21 $60,134 $15,167 $12,633
Lds HospitalSalt Lake City 11 $69,241 $21,757 $13,284
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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$15,167
St. George Regional HospitalSt George, UT$16,304
Lds HospitalSalt Lake City, UT$21,757

Highest

Lds HospitalSalt Lake City, UT$21,757
St. George Regional HospitalSt George, UT$16,304
Utah Valley Regional Medical CenterProvo, UT$15,167

Infectious and parasitic diseases with operating room procedures with complications in other states

Questions

How much does infectious and parasitic diseases with operating room procedures with complications cost in Utah?

In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 3 hospitals in Utah was billed at $58,499 on average, while the average total payment was $16,948, of which Medicare paid $13,723. 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 3.5 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.