What 30 hospitals in Utah charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
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.
About 14¢ was paid for every $1 hospitals in Utah billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Logan Regional HospitalLogan, UT | $1,237 |
|---|---|
| Mountain West Medical CenterTooele, UT | $1,533 |
| Intermountain Health Layton HospitalLayton, UT | $1,643 |
| Lds HospitalSalt Lake City, UT | $1,670 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $1,717 |
| 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 |
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.
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.