facebook tracking Major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Utah: 14 hospitals compared (DRG 470)

Major hip and knee joint replacement or reattachment of lower extremity without major complications in Utah

What 14 hospitals in Utah charged and were paid for a Medicare hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470), from 2024 Medicare claims.

DRG 470 Inpatient 2024 Medicare data
Average charge $68,166 Hospital list price billed
Average payment $17,031 Medicare + patient + other payers
Medicare paid $13,812 Average per stay
State rank #35 of 48 1 = lowest average payment

Hospitals in Utah billed an average of $68,166 for major hip and knee joint replacement or reattachment of lower extremity without major complications, about 4.0 times the average total payment of $17,031. That payment is 2% below the U.S. average of $17,318.

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 $17,031Billed $68,166

About 25¢ was paid for every $1 hospitals in Utah billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Utah:

Utah hospitals: major hip and knee joint replacement or reattachment of lower extremity without major complications

Every Utah hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 131 $42,423 $19,262 $16,362
Castleview HospitalPrice 85 $103,696 $19,148 $13,081
St. George Regional HospitalSt George 64 $48,717 $15,748 $13,165
Cottonwood Hospital Med CntrMurray 34 $53,595 $16,322 $14,731
McKay-Dee Hospital CenterOgden 31 $67,804 $15,479 $12,119
Park City Medical CenterPark City 26 $49,148 $15,216 $13,584
Utah Valley Regional Medical CenterProvo 22 $68,245 $16,736 $11,702
Mountain View HospitalPayson 17 $100,529 $13,618 $12,082
Lone Peak HospitalDraper 16 $133,294 $12,730 $11,401
Logan Regional HospitalLogan 15 $53,534 $14,136 $12,830
Ogden Regional Medical CenterOgden 13 $134,100 $15,439 $11,010
Brigham City Community HospitalBrigham City 12 $87,694 $17,138 $15,506
Davis Hospital and Medical CenterLayton 12 $52,188 $14,154 $10,725
Lakeview HospitalBountiful 12 $95,170 $13,676 $12,044
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Lowest and highest payments in Utah

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Lone Peak HospitalDraper, UT$12,730
Mountain View HospitalPayson, UT$13,618
Lakeview HospitalBountiful, UT$13,676
Logan Regional HospitalLogan, UT$14,136
Davis Hospital and Medical CenterLayton, UT$14,154

Major hip and knee joint replacement or reattachment of lower extremity without major complications in other states

Questions

How much does major hip and knee joint replacement or reattachment of lower extremity without major complications cost in Utah?

In 2024 Medicare data, a hospital stay for major hip and knee joint replacement or reattachment of lower extremity without major complications (DRG 470) at 14 hospitals in Utah was billed at $68,166 on average, while the average total payment was $17,031, of which Medicare paid $13,812. 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 stay in Utah, average charges were 4.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.