What 11 hospitals in Utah charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Utah billed an average of $158,308 for level 2 icd and similar procedures, about 5.3 times the average medicare-allowed amount of $29,809. That payment is 4% below the U.S. average of $31,009.
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 19¢ 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 | 36 | $89,765 | $29,384 | $27,752 |
| St. George Regional HospitalSt George | 32 | $138,300 | $31,468 | $29,836 |
| Lds HospitalSalt Lake City | 30 | $147,909 | $29,384 | $27,752 |
| McKay-Dee Hospital CenterOgden | 18 | $145,148 | $29,384 | $27,752 |
| Utah Valley Regional Medical CenterProvo | 15 | $146,726 | $29,384 | $27,752 |
| St Marks HospitalSalt Lake City | 15 | $408,681 | $29,384 | $27,752 |
| Timpanogos Regional HospitalOrem | 11 | $165,109 | $29,384 | $27,752 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| Ogden Regional Medical CenterOgden | – | – | – | – |
| Davis Hospital and Medical CenterLayton | – | – | – | – |
| Lakeview HospitalBountiful | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Utah Valley Regional Medical CenterProvo, UT | $29,384 |
|---|---|
| McKay-Dee Hospital CenterOgden, UT | $29,384 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $29,384 |
| Lds HospitalSalt Lake City, UT | $29,384 |
| St Marks HospitalSalt Lake City, UT | $29,384 |
| St. George Regional HospitalSt George, UT | $31,468 |
|---|---|
| Utah Valley Regional Medical CenterProvo, UT | $29,384 |
| McKay-Dee Hospital CenterOgden, UT | $29,384 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $29,384 |
| Lds HospitalSalt Lake City, UT | $29,384 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 11 hospitals in Utah was billed at $158,308 on average, while the average medicare-allowed amount was $29,809, of which Medicare paid $28,177. 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 5.3 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.