Level 5 Musculoskeletal Procedures in Utah
What 33 hospitals in Utah charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$60,878
Hospital list price billed
Average allowed
$11,712
Medicare's payment + patient's share
Medicare paid
$10,082
Average per service
State rank
#21 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $60,878 for level 5 musculoskeletal procedures, about 5.2 times the average medicare-allowed amount of $11,712. That payment is 6% below the U.S. average of $12,402.
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 $11,712Billed $60,878
About 19¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 5 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 |
|---|---|---|---|---|
| St. George Regional HospitalSt George | 511 | $37,003 | $12,544 | $10,910 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 449 | $33,674 | $11,484 | $9,851 |
| Lakeview HospitalBountiful | 333 | $88,588 | $11,714 | $10,082 |
| Cottonwood Hospital Med CntrMurray | 284 | $42,087 | $11,550 | $9,916 |
| St Marks HospitalSalt Lake City | 243 | $108,042 | $11,650 | $10,015 |
| McKay-Dee Hospital CenterOgden | 218 | $49,718 | $11,635 | $10,001 |
| Lone Peak HospitalDraper | 218 | $109,095 | $11,288 | $9,724 |
| Ogden Regional Medical CenterOgden | 169 | $129,888 | $11,474 | $9,842 |
| Park City Medical CenterPark City | 152 | $40,424 | $11,575 | $9,942 |
| Utah Valley Regional Medical CenterProvo | 151 | $53,882 | $11,640 | $10,008 |
| Jordan Valley Medical CenterWest Jordan | 138 | $56,280 | $11,421 | $9,784 |
| Logan Regional HospitalLogan | 95 | $38,574 | $11,134 | $9,498 |
| Alta View HospitalSandy | 90 | $39,498 | $11,554 | $9,916 |
| Mountain View HospitalPayson | 81 | $83,807 | $11,775 | $10,143 |
| Intermountain Health Cedar City HospitalCedar City | 78 | $35,537 | $12,468 | $10,835 |
| Timpanogos Regional HospitalOrem | 76 | $99,185 | $11,775 | $10,138 |
| American Fork HospitalAmerican Fork | 69 | $42,064 | $11,481 | $9,849 |
| Sevier Valley HospitalRichfield | 65 | $41,960 | $12,608 | $10,976 |
| Riverton HospitalRiverton | 56 | $41,682 | $10,331 | $8,694 |
| Davis Hospital and Medical CenterLayton | 55 | $41,609 | $11,775 | $10,139 |
| Salt Lake Regional Medical CenterSalt Lake City | 52 | $52,670 | $11,580 | $9,948 |
| Lds HospitalSalt Lake City | 45 | $43,265 | $11,775 | $10,138 |
| Ashley Valley Medical CenterVernal | 40 | $101,671 | $12,334 | $10,694 |
| The Orthopedic Specialty HospitalMurray | 33 | $37,384 | $11,467 | $9,835 |
| Mountain West Medical CenterTooele | 32 | $67,077 | $11,141 | $9,509 |
| Intermountain Health Spanish Fork HospitalSpanish Fork | 25 | $46,094 | $10,973 | $9,331 |
| Cache Valley Speciality HospitalNorth Logan | 24 | $97,697 | $11,775 | $10,129 |
| Uintah Basin Medical CenterRoosevelt | 22 | $38,857 | $12,109 | $10,477 |
| Intermountain Health Layton HospitalLayton | 17 | $44,608 | $11,775 | $10,143 |
| Castleview HospitalPrice | 16 | $71,205 | $11,922 | $10,285 |
| Brigham City Community HospitalBrigham City | 14 | $99,399 | $11,775 | $10,143 |
| Orem Community HospitalOrem | 12 | $39,275 | $11,775 | $10,143 |
| Bear River Valley HospitalTremonton | – | – | – | – |
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
| Riverton HospitalRiverton, UT | $10,331 |
|---|---|
| Intermountain Health Spanish Fork HospitalSpanish Fork, UT | $10,973 |
| Logan Regional HospitalLogan, UT | $11,134 |
| Mountain West Medical CenterTooele, UT | $11,141 |
| Lone Peak HospitalDraper, UT | $11,288 |
Highest
| Sevier Valley HospitalRichfield, UT | $12,608 |
|---|---|
| St. George Regional HospitalSt George, UT | $12,544 |
| Intermountain Health Cedar City HospitalCedar City, UT | $12,468 |
| Ashley Valley Medical CenterVernal, UT | $12,334 |
| Uintah Basin Medical CenterRoosevelt, UT | $12,109 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Utah?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 33 hospitals in Utah was billed at $60,878 on average, while the average medicare-allowed amount was $11,712, of which Medicare paid $10,082. 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 5.2 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.