Other respiratory system operating room procedures with major complications in Utah
What 2 hospitals in Utah charged and were paid for a Medicare hospital stay for other respiratory system operating room procedures with major complications (DRG 166), from 2024 Medicare claims.
Average charge
$88,631
Hospital list price billed
Average payment
$33,867
Medicare + patient + other payers
Medicare paid
$29,424
Average per stay
Volume
32
Medicare hospital stays
Hospitals in Utah billed an average of $88,631 for other respiratory system operating room procedures with major complications, about 2.6 times the average total payment of $33,867. That payment is 24% below the U.S. average of $44,318.
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 $33,867Billed $88,631
About 38¢ was paid for every $1 hospitals in Utah billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Utah:
Utah hospitals: other respiratory system operating room procedures 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 | 17 | $89,176 | $37,113 | $31,764 |
| Lds HospitalSalt Lake City | 15 | $88,013 | $30,188 | $26,772 |
Other respiratory system operating room procedures with major complications in other states
Questions
How much does other respiratory system operating room procedures with major complications cost in Utah?
In 2024 Medicare data, a hospital stay for other respiratory system operating room procedures with major complications (DRG 166) at 2 hospitals in Utah was billed at $88,631 on average, while the average total payment was $33,867, of which Medicare paid $29,424. 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 2.6 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.