Nervous system neoplasms with major complications in Utah
What 1 hospital in Utah charged and were paid for a Medicare hospital stay for nervous system neoplasms with major complications (DRG 054), from 2024 Medicare claims.
Average charge
$56,890
Hospital list price billed
Average payment
$16,706
Medicare + patient + other payers
Medicare paid
$13,339
Average per stay
Volume
20
Medicare hospital stays
Hospitals in Utah billed an average of $56,890 for nervous system neoplasms with major complications, about 3.4 times the average total payment of $16,706. That payment is about the same as the U.S. average of $16,778.
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 $16,706Billed $56,890
About 29¢ 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: nervous system neoplasms with 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 | 20 | $56,890 | $16,706 | $13,339 |
Nervous system neoplasms with major complications in other states
Questions
How much does nervous system neoplasms with major complications cost in Utah?
In 2024 Medicare data, a hospital stay for nervous system neoplasms with major complications (DRG 054) at 1 hospital in Utah was billed at $56,890 on average, while the average total payment was $16,706, of which Medicare paid $13,339. 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 3.4 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.