Level 6 Musculoskeletal Procedures in Utah
What 33 hospitals in Utah charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$71,866
Hospital list price billed
Average allowed
$15,193
Medicare's payment + patient's share
Medicare paid
$13,706
Average per service
State rank
#3 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $71,866 for level 6 musculoskeletal procedures, about 4.7 times the average medicare-allowed amount of $15,193. That payment is 13% below the U.S. average of $17,392.
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 $15,193Billed $71,866
About 21¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 6 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 | 178 | $43,858 | $17,762 | $16,130 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 133 | $52,473 | $16,433 | $14,801 |
| McKay-Dee Hospital CenterOgden | 117 | $10,515 | $2,990 | $2,697 |
| Park City Medical CenterPark City | 85 | $44,887 | $16,306 | $14,673 |
| Lone Peak HospitalDraper | 80 | $177,567 | $16,283 | $14,651 |
| Intermountain Health Layton HospitalLayton | 70 | $49,499 | $16,444 | $14,811 |
| St Marks HospitalSalt Lake City | 46 | $164,035 | $16,659 | $15,027 |
| Utah Valley Regional Medical CenterProvo | 44 | $60,723 | $16,037 | $14,424 |
| Jordan Valley Medical CenterWest Jordan | 36 | $79,329 | $16,659 | $15,021 |
| Cottonwood Hospital Med CntrMurray | 34 | $55,946 | $16,659 | $15,027 |
| Lakeview HospitalBountiful | 33 | $132,401 | $16,204 | $14,572 |
| Davis Hospital and Medical CenterLayton | 28 | $59,310 | $16,659 | $15,027 |
| Timpanogos Regional HospitalOrem | 26 | $147,951 | $16,659 | $15,027 |
| Mountain View HospitalPayson | 25 | $117,765 | $16,058 | $14,424 |
| Sevier Valley HospitalRichfield | 22 | $47,107 | $17,840 | $16,208 |
| Lds HospitalSalt Lake City | 21 | $73,246 | $16,659 | $15,020 |
| Ogden Regional Medical CenterOgden | 20 | $181,375 | $16,659 | $15,027 |
| Intermountain Health Cedar City HospitalCedar City | 17 | $49,024 | $14,979 | $13,347 |
| Alta View HospitalSandy | 17 | $57,806 | $16,659 | $15,013 |
| Mountain West Medical CenterTooele | 13 | $83,937 | $15,503 | $13,871 |
| Logan Regional HospitalLogan | 13 | $52,283 | $16,659 | $15,027 |
| Cache Valley Speciality HospitalNorth Logan | 11 | $178,764 | $16,659 | $15,027 |
| Riverton HospitalRiverton | 11 | $51,133 | $16,659 | $15,027 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| Castleview HospitalPrice | – | – | – | – |
| Brigham City Community HospitalBrigham City | – | – | – | – |
| Uintah Basin Medical CenterRoosevelt | – | – | – | – |
| American Fork HospitalAmerican Fork | – | – | – | – |
| Ashley Valley Medical CenterVernal | – | – | – | – |
| Bear River Valley HospitalTremonton | – | – | – | – |
| Orem Community HospitalOrem | – | – | – | – |
| The Orthopedic Specialty HospitalMurray | – | – | – | – |
| 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
| McKay-Dee Hospital CenterOgden, UT | $2,990 |
|---|---|
| Intermountain Health Cedar City HospitalCedar City, UT | $14,979 |
| Mountain West Medical CenterTooele, UT | $15,503 |
| Utah Valley Regional Medical CenterProvo, UT | $16,037 |
| Mountain View HospitalPayson, UT | $16,058 |
Highest
| Sevier Valley HospitalRichfield, UT | $17,840 |
|---|---|
| St. George Regional HospitalSt George, UT | $17,762 |
| Alta View HospitalSandy, UT | $16,659 |
| Lds HospitalSalt Lake City, UT | $16,659 |
| Jordan Valley Medical CenterWest Jordan, UT | $16,659 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Utah?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 33 hospitals in Utah was billed at $71,866 on average, while the average medicare-allowed amount was $15,193, of which Medicare paid $13,706. 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 4.7 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.