Level 3 Lower GI Procedures in Utah
What 23 hospitals in Utah charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$12,221
Hospital list price billed
Average allowed
$2,391
Medicare's payment + patient's share
Medicare paid
$1,908
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $12,221 for level 3 lower gi procedures, about 5.1 times the average medicare-allowed amount of $2,391. That payment is 12% below the U.S. average of $2,703.
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 $2,391Billed $12,221
About 20¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 3 lower gi procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $2,168 |
|---|---|
| Lds HospitalSalt Lake City, UT | $2,515 |
| McKay-Dee Hospital CenterOgden, UT | $2,515 |
| St Marks HospitalSalt Lake City, UT | $2,515 |
| St. George Regional HospitalSt George, UT | $2,694 |
Highest
| St. George Regional HospitalSt George, UT | $2,694 |
|---|---|
| St Marks HospitalSalt Lake City, UT | $2,515 |
| McKay-Dee Hospital CenterOgden, UT | $2,515 |
| Lds HospitalSalt Lake City, UT | $2,515 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $2,168 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Utah?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 23 hospitals in Utah was billed at $12,221 on average, while the average medicare-allowed amount was $2,391, of which Medicare paid $1,908. 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 5.1 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.