Level 1 ICD and Similar Procedures in Utah
What 8 hospitals in Utah charged and were paid for level 1 icd and similar procedures (APC 5231), from 2024 Medicare claims.
Average charge
$97,114
Hospital list price billed
Average allowed
$21,062
Medicare's payment + patient's share
Medicare paid
$19,430
Average per service
State rank
#16 of 34
1 = lowest average payment
Hospitals in Utah billed an average of $97,114 for level 1 icd and similar procedures, about 4.6 times the average medicare-allowed amount of $21,062. That payment is 7% below the U.S. average of $22,647.
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 $21,062Billed $97,114
About 22¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 1 icd and similar 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 |
|---|---|---|---|---|
| Lds HospitalSalt Lake City | 13 | $97,114 | $21,062 | $19,430 |
| Utah Valley Regional Medical CenterProvo | – | – | – | – |
| McKay-Dee Hospital CenterOgden | – | – | – | – |
| Ogden Regional Medical CenterOgden | – | – | – | – |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | – | – | – | – |
| St. George Regional HospitalSt George | – | – | – | – |
| St Marks HospitalSalt Lake City | – | – | – | – |
| Timpanogos Regional HospitalOrem | – | – | – | – |
Level 1 ICD and Similar Procedures in other states
Questions
How much does level 1 icd and similar procedures cost in Utah?
In 2024 Medicare data, level 1 icd and similar procedures (APC 5231) at 8 hospitals in Utah was billed at $97,114 on average, while the average medicare-allowed amount was $21,062, of which Medicare paid $19,430. 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 4.6 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.