Level 4 Musculoskeletal Procedures in Utah
What 33 hospitals in Utah charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$33,485
Hospital list price billed
Average allowed
$6,374
Medicare's payment + patient's share
Medicare paid
$5,048
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $33,485 for level 4 musculoskeletal procedures, about 5.3 times the average medicare-allowed amount of $6,374. That payment is 5% below the U.S. average of $6,708.
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 $6,374Billed $33,485
About 19¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 4 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 | 279 | $22,425 | $6,336 | $5,035 |
| St. George Regional HospitalSt George | 274 | $22,238 | $6,695 | $5,293 |
| St Marks HospitalSalt Lake City | 86 | $77,316 | $6,290 | $4,987 |
| Jordan Valley Medical CenterWest Jordan | 86 | $35,532 | $6,409 | $5,104 |
| Davis Hospital and Medical CenterLayton | 74 | $26,735 | $6,083 | $4,781 |
| Lds HospitalSalt Lake City | 73 | $29,654 | $6,339 | $5,033 |
| Lone Peak HospitalDraper | 69 | $52,002 | $6,409 | $5,106 |
| McKay-Dee Hospital CenterOgden | 64 | $32,525 | $6,249 | $4,945 |
| Intermountain Health Layton HospitalLayton | 59 | $26,776 | $6,325 | $5,016 |
| Ogden Regional Medical CenterOgden | 55 | $79,280 | $6,223 | $4,917 |
| Park City Medical CenterPark City | 54 | $20,413 | $6,314 | $5,012 |
| Alta View HospitalSandy | 52 | $25,418 | $6,114 | $4,812 |
| Utah Valley Regional Medical CenterProvo | 50 | $33,576 | $6,106 | $4,800 |
| Mountain View HospitalPayson | 49 | $35,091 | $6,332 | $5,029 |
| Mountain West Medical CenterTooele | 47 | $42,888 | $5,974 | $4,672 |
| Castleview HospitalPrice | 43 | $43,530 | $6,864 | $5,469 |
| American Fork HospitalAmerican Fork | 42 | $24,593 | $6,044 | $4,741 |
| Intermountain Health Cedar City HospitalCedar City | 40 | $20,785 | $6,414 | $5,019 |
| Lakeview HospitalBountiful | 37 | $67,122 | $6,409 | $5,106 |
| Intermountain Health Spanish Fork HospitalSpanish Fork | 33 | $26,062 | $6,254 | $4,951 |
| Sevier Valley HospitalRichfield | 31 | $22,767 | $6,864 | $5,469 |
| Logan Regional HospitalLogan | 28 | $22,258 | $6,226 | $4,924 |
| Cottonwood Hospital Med CntrMurray | 27 | $26,609 | $6,409 | $5,105 |
| Ashley Valley Medical CenterVernal | 24 | $51,294 | $6,864 | $5,456 |
| Cache Valley Speciality HospitalNorth Logan | 21 | $43,839 | $6,166 | $4,862 |
| Orem Community HospitalOrem | 20 | $26,691 | $6,153 | $4,851 |
| Salt Lake Regional Medical CenterSalt Lake City | 17 | $24,926 | $6,108 | $4,806 |
| Brigham City Community HospitalBrigham City | 16 | $78,548 | $6,090 | $4,787 |
| Riverton HospitalRiverton | 16 | $24,371 | $6,409 | $5,106 |
| Uintah Basin Medical CenterRoosevelt | 13 | $21,780 | $6,864 | $5,469 |
| The Orthopedic Specialty HospitalMurray | 13 | $14,891 | $6,409 | $5,096 |
| 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
| Mountain West Medical CenterTooele, UT | $5,974 |
|---|---|
| American Fork HospitalAmerican Fork, UT | $6,044 |
| Davis Hospital and Medical CenterLayton, UT | $6,083 |
| Brigham City Community HospitalBrigham City, UT | $6,090 |
| Utah Valley Regional Medical CenterProvo, UT | $6,106 |
Highest
| Ashley Valley Medical CenterVernal, UT | $6,864 |
|---|---|
| Castleview HospitalPrice, UT | $6,864 |
| Uintah Basin Medical CenterRoosevelt, UT | $6,864 |
| Sevier Valley HospitalRichfield, UT | $6,864 |
| St. George Regional HospitalSt George, UT | $6,695 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Utah?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 33 hospitals in Utah was billed at $33,485 on average, while the average medicare-allowed amount was $6,374, of which Medicare paid $5,048. 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.