Level 3 Musculoskeletal Procedures in Utah
What 33 hospitals in Utah charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$14,685
Hospital list price billed
Average allowed
$2,882
Medicare's payment + patient's share
Medicare paid
$2,281
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $14,685 for level 3 musculoskeletal procedures, about 5.1 times the average medicare-allowed amount of $2,882. That payment is 4% below the U.S. average of $2,995.
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 $2,882Billed $14,685
About 20¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 3 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 | 149 | $10,545 | $2,803 | $2,213 |
| St. George Regional HospitalSt George | 76 | $13,745 | $3,040 | $2,409 |
| Lds HospitalSalt Lake City | 69 | $12,252 | $2,850 | $2,260 |
| Davis Hospital and Medical CenterLayton | 55 | $12,032 | $2,858 | $2,268 |
| American Fork HospitalAmerican Fork | 52 | $11,210 | $2,900 | $2,309 |
| Intermountain Health Cedar City HospitalCedar City | 42 | $10,116 | $2,988 | $2,355 |
| Park City Medical CenterPark City | 41 | $13,631 | $2,843 | $2,252 |
| Intermountain Health Layton HospitalLayton | 39 | $11,194 | $2,900 | $2,310 |
| Sevier Valley HospitalRichfield | 36 | $9,003 | $3,037 | $2,403 |
| St Marks HospitalSalt Lake City | 36 | $23,183 | $2,900 | $2,310 |
| Ogden Regional Medical CenterOgden | 33 | $33,391 | $2,832 | $2,240 |
| Alta View HospitalSandy | 33 | $10,104 | $2,760 | $2,165 |
| Ashley Valley Medical CenterVernal | 30 | $21,886 | $3,023 | $2,391 |
| Brigham City Community HospitalBrigham City | 28 | $31,826 | $2,900 | $2,304 |
| Orem Community HospitalOrem | 27 | $12,807 | $2,900 | $2,302 |
| Salt Lake Regional Medical CenterSalt Lake City | 26 | $13,743 | $2,900 | $2,308 |
| Jordan Valley Medical CenterWest Jordan | 26 | $16,210 | $2,811 | $2,221 |
| Logan Regional HospitalLogan | 24 | $8,806 | $2,418 | $1,821 |
| Castleview HospitalPrice | 23 | $16,969 | $3,106 | $2,469 |
| Uintah Basin Medical CenterRoosevelt | 22 | $9,484 | $3,105 | $2,474 |
| McKay-Dee Hospital CenterOgden | 21 | $15,990 | $2,900 | $2,310 |
| Lakeview HospitalBountiful | 21 | $26,800 | $2,900 | $2,304 |
| Cottonwood Hospital Med CntrMurray | 20 | $12,689 | $2,900 | $2,301 |
| The Orthopedic Specialty HospitalMurray | 19 | $9,977 | $2,900 | $2,288 |
| Lone Peak HospitalDraper | 16 | $27,596 | $2,755 | $2,166 |
| Intermountain Health Spanish Fork HospitalSpanish Fork | 16 | $13,063 | $2,900 | $2,310 |
| Mountain West Medical CenterTooele | 15 | $25,636 | $2,900 | $2,307 |
| Cache Valley Speciality HospitalNorth Logan | 15 | $18,317 | $2,746 | $2,156 |
| Riverton HospitalRiverton | 14 | $11,351 | $2,900 | $2,297 |
| Utah Valley Regional Medical CenterProvo | 13 | $16,556 | $2,722 | $2,118 |
| Mountain View HospitalPayson | – | – | – | – |
| Bear River Valley HospitalTremonton | – | – | – | – |
| Timpanogos Regional HospitalOrem | – | – | – | – |
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
| Logan Regional HospitalLogan, UT | $2,418 |
|---|---|
| Utah Valley Regional Medical CenterProvo, UT | $2,722 |
| Cache Valley Speciality HospitalNorth Logan, UT | $2,746 |
| Lone Peak HospitalDraper, UT | $2,755 |
| Alta View HospitalSandy, UT | $2,760 |
Highest
| Castleview HospitalPrice, UT | $3,106 |
|---|---|
| Uintah Basin Medical CenterRoosevelt, UT | $3,105 |
| St. George Regional HospitalSt George, UT | $3,040 |
| Sevier Valley HospitalRichfield, UT | $3,037 |
| Ashley Valley Medical CenterVernal, UT | $3,023 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Utah?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 33 hospitals in Utah was billed at $14,685 on average, while the average medicare-allowed amount was $2,882, of which Medicare paid $2,281. 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.