facebook tracking Level 2 ICD and Similar Procedures cost in Utah: 11 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Utah

What 11 hospitals in Utah charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $158,308 Hospital list price billed
Average allowed $29,809 Medicare's payment + patient's share
Medicare paid $28,177 Average per service
State rank #23 of 47 1 = lowest average payment

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.

Paid $29,809Billed $158,308

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

Utah hospitals: level 2 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
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 – – – –
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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

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

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Utah?

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.

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 5.3 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.