facebook tracking Level 1 Abdominal/Peritoneal/Biliary and Related Procedures cost in Utah: 31 hospitals compared (APC 5341)

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Utah

What 31 hospitals in Utah charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.

APC 5341 Outpatient 2024 Medicare data
Average charge $15,965 Hospital list price billed
Average allowed $3,049 Medicare's payment + patient's share
Medicare paid $2,416 Average per service
State rank #16 of 49 1 = lowest average payment

Hospitals in Utah billed an average of $15,965 for level 1 abdominal/peritoneal/biliary and related procedures, about 5.2 times the average medicare-allowed amount of $3,049. That payment is 8% below the U.S. average of $3,323.

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 $3,049Billed $15,965

About 19¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 1 abdominal/peritoneal/biliary and related procedures

Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 136 $10,666 $3,036 $2,413
St. George Regional HospitalSt George 90 $14,916 $3,135 $2,466
Lds HospitalSalt Lake City 89 $12,362 $3,037 $2,409
McKay-Dee Hospital CenterOgden 87 $11,491 $2,885 $2,298
Intermountain Health Cedar City HospitalCedar City 43 $11,395 $3,258 $2,583
Lakeview HospitalBountiful 30 $30,269 $3,099 $2,469
Utah Valley Regional Medical CenterProvo 23 $19,770 $3,099 $2,461
St Marks HospitalSalt Lake City 22 $47,755 $2,875 $2,245
Castleview HospitalPrice 19 $21,827 $3,180 $2,514
Ogden Regional Medical CenterOgden 15 $26,427 $2,770 $2,140
Cottonwood Hospital Med CntrMurray 15 $17,797 $3,099 $2,469
American Fork HospitalAmerican Fork 15 $18,289 $2,935 $2,305
Ashley Valley Medical CenterVernal 14 $29,490 $3,319 $2,645
Davis Hospital and Medical CenterLayton 12 $14,746 $3,099 $2,469
Salt Lake Regional Medical CenterSalt Lake City – – – –
Mountain View HospitalPayson – – – –
Mountain West Medical CenterTooele – – – –
Logan Regional HospitalLogan – – – –
Brigham City Community HospitalBrigham City – – – –
Uintah Basin Medical CenterRoosevelt – – – –
Sevier Valley HospitalRichfield – – – –
Bear River Valley HospitalTremonton – – – –
Alta View HospitalSandy – – – –
Jordan Valley Medical CenterWest Jordan – – – –
Timpanogos Regional HospitalOrem – – – –
Cache Valley Speciality HospitalNorth Logan – – – –
Park City Medical CenterPark City – – – –
Riverton HospitalRiverton – – – –
Lone Peak HospitalDraper – – – –
Intermountain Health Layton HospitalLayton – – – –
Intermountain Health Spanish Fork HospitalSpanish Fork – – – –
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Lowest and highest allowed amounts in Utah

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Ogden Regional Medical CenterOgden, UT$2,770
St Marks HospitalSalt Lake City, UT$2,875
McKay-Dee Hospital CenterOgden, UT$2,885
American Fork HospitalAmerican Fork, UT$2,935
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$3,036

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states

Questions

How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Utah?

In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 31 hospitals in Utah was billed at $15,965 on average, while the average medicare-allowed amount was $3,049, of which Medicare paid $2,416. 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 service in Utah, average charges were 5.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.