Level 2 Musculoskeletal Procedures in Utah
What 33 hospitals in Utah charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$7,893
Hospital list price billed
Average allowed
$1,432
Medicare's payment + patient's share
Medicare paid
$1,132
Average per service
State rank
#24 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $7,893 for level 2 musculoskeletal procedures, about 5.5 times the average medicare-allowed amount of $1,432. That payment is 5% below the U.S. average of $1,511.
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 $1,432Billed $7,893
About 18¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 2 musculoskeletal 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 | 145 | $3,884 | $1,418 | $1,123 |
| St. George Regional HospitalSt George | 58 | $7,664 | $1,542 | $1,223 |
| Park City Medical CenterPark City | 50 | $6,188 | $1,440 | $1,144 |
| Davis Hospital and Medical CenterLayton | 45 | $6,122 | $1,395 | $1,089 |
| Castleview HospitalPrice | 40 | $10,597 | $1,542 | $1,228 |
| Lds HospitalSalt Lake City | 39 | $8,720 | $1,386 | $1,084 |
| McKay-Dee Hospital CenterOgden | 31 | $8,440 | $1,366 | $1,073 |
| St Marks HospitalSalt Lake City | 31 | $15,453 | $1,417 | $1,129 |
| Intermountain Health Layton HospitalLayton | 25 | $7,546 | $1,348 | $1,054 |
| Sevier Valley HospitalRichfield | 23 | $5,791 | $1,449 | $1,136 |
| Mountain West Medical CenterTooele | 22 | $12,800 | $1,336 | $1,033 |
| American Fork HospitalAmerican Fork | 22 | $6,633 | $1,440 | $1,145 |
| Logan Regional HospitalLogan | 21 | $6,853 | $1,440 | $1,147 |
| Jordan Valley Medical CenterWest Jordan | 21 | $8,676 | $1,440 | $1,146 |
| Ashley Valley Medical CenterVernal | 20 | $14,094 | $1,481 | $1,156 |
| Alta View HospitalSandy | 19 | $5,803 | $1,440 | $1,146 |
| Riverton HospitalRiverton | 16 | $6,254 | $1,440 | $1,147 |
| Orem Community HospitalOrem | 15 | $6,103 | $1,440 | $1,141 |
| Lone Peak HospitalDraper | 15 | $11,244 | $1,440 | $1,147 |
| Utah Valley Regional Medical CenterProvo | 14 | $7,435 | $1,276 | $983 |
| Intermountain Health Cedar City HospitalCedar City | 13 | $5,894 | $1,542 | $1,229 |
| Brigham City Community HospitalBrigham City | 12 | $13,837 | $1,440 | $1,147 |
| Lakeview HospitalBountiful | 12 | $12,970 | $1,440 | $1,147 |
| Ogden Regional Medical CenterOgden | 11 | $18,384 | $1,440 | $1,122 |
| Mountain View HospitalPayson | 11 | $12,709 | $1,374 | $1,095 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| Cottonwood Hospital Med CntrMurray | – | – | – | – |
| Uintah Basin Medical CenterRoosevelt | – | – | – | – |
| Bear River Valley HospitalTremonton | – | – | – | – |
| The Orthopedic Specialty HospitalMurray | – | – | – | – |
| Timpanogos Regional HospitalOrem | – | – | – | – |
| Cache Valley Speciality HospitalNorth Logan | – | – | – | – |
| Intermountain Health Spanish Fork HospitalSpanish Fork | – | – | – | – |
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 | $1,276 |
|---|---|
| Mountain West Medical CenterTooele, UT | $1,336 |
| Intermountain Health Layton HospitalLayton, UT | $1,348 |
| McKay-Dee Hospital CenterOgden, UT | $1,366 |
| Mountain View HospitalPayson, UT | $1,374 |
Highest
| St. George Regional HospitalSt George, UT | $1,542 |
|---|---|
| Castleview HospitalPrice, UT | $1,542 |
| Intermountain Health Cedar City HospitalCedar City, UT | $1,542 |
| Ashley Valley Medical CenterVernal, UT | $1,481 |
| Sevier Valley HospitalRichfield, UT | $1,449 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Utah?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 33 hospitals in Utah was billed at $7,893 on average, while the average medicare-allowed amount was $1,432, of which Medicare paid $1,132. 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 5.5 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.