facebook tracking Level 1 Nerve Procedures cost in Utah: 30 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Utah

What 30 hospitals in Utah charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,186 Hospital list price billed
Average allowed $1,721 Medicare's payment + patient's share
Medicare paid $1,366 Average per service
State rank #23 of 49 1 = lowest average payment

Hospitals in Utah billed an average of $12,186 for level 1 nerve procedures, about 7.1 times the average medicare-allowed amount of $1,721. That payment is 3% below the U.S. average of $1,774.

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 $1,721Billed $12,186

About 14¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 1 nerve 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 765 $8,051 $1,717 $1,364
St Marks HospitalSalt Lake City 140 $35,696 $1,730 $1,378
Jordan Valley Medical CenterWest Jordan 130 $12,256 $1,730 $1,374
Uintah Basin Medical CenterRoosevelt 70 $4,034 $1,836 $1,461
Lakeview HospitalBountiful 46 $14,683 $1,730 $1,378
Davis Hospital and Medical CenterLayton 23 $12,486 $1,730 $1,372
Park City Medical CenterPark City 21 $7,315 $1,730 $1,360
Lds HospitalSalt Lake City 20 $9,291 $1,670 $1,309
Orem Community HospitalOrem 16 $6,763 $1,730 $1,378
Intermountain Health Layton HospitalLayton 16 $10,454 $1,643 $1,292
Mountain West Medical CenterTooele 14 $17,469 $1,533 $1,174
Logan Regional HospitalLogan 14 $6,720 $1,237 $886
American Fork HospitalAmerican Fork 14 $8,805 $1,730 $1,378
Castleview HospitalPrice 13 $17,864 $1,852 $1,473
St. George Regional HospitalSt George 13 $13,345 $1,852 $1,476
Salt Lake Regional Medical CenterSalt Lake City 12 $9,036 $1,730 $1,378
Lone Peak HospitalDraper 12 $60,970 $1,730 $1,367
Utah Valley Regional Medical CenterProvo – – – –
McKay-Dee Hospital CenterOgden – – – –
Intermountain Health Cedar City HospitalCedar City – – – –
Mountain View HospitalPayson – – – –
Brigham City Community HospitalBrigham City – – – –
Sevier Valley HospitalRichfield – – – –
Ashley Valley Medical CenterVernal – – – –
Bear River Valley HospitalTremonton – – – –
Alta View HospitalSandy – – – –
The Orthopedic Specialty HospitalMurray – – – –
Cache Valley Speciality HospitalNorth Logan – – – –
Riverton HospitalRiverton – – – –
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

Highest

Castleview HospitalPrice, UT$1,852
St. George Regional HospitalSt George, UT$1,852
Uintah Basin Medical CenterRoosevelt, UT$1,836
Park City Medical CenterPark City, UT$1,730
Lone Peak HospitalDraper, UT$1,730

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Utah?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 30 hospitals in Utah was billed at $12,186 on average, while the average medicare-allowed amount was $1,721, of which Medicare paid $1,366. 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 7.1 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.