facebook tracking Permanent cardiac pacemaker implant with major complications cost in Utah: 5 hospitals compared (DRG 242)

Permanent cardiac pacemaker implant with major complications in Utah

What 5 hospitals in Utah charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.

DRG 242 Inpatient 2024 Medicare data
Average charge $151,260 Hospital list price billed
Average payment $26,473 Medicare + patient + other payers
Medicare paid $23,994 Average per stay
State rank #12 of 41 1 = lowest average payment

Hospitals in Utah billed an average of $151,260 for permanent cardiac pacemaker implant with major complications, about 5.7 times the average total payment of $26,473. That payment is 13% below the U.S. average of $30,574.

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 $26,473Billed $151,260

About 18¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: permanent cardiac pacemaker implant 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
St. George Regional HospitalSt George 18 $88,715 $27,615 $26,074
Lds HospitalSalt Lake City 17 $114,875 $28,080 $24,940
St Marks HospitalSalt Lake City 15 $284,843 $21,945 $20,766
Utah Valley Regional Medical CenterProvo 14 $145,248 $27,253 $25,434
McKay-Dee Hospital CenterOgden 12 $136,662 $27,234 $21,887
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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

St Marks HospitalSalt Lake City, UT$21,945
McKay-Dee Hospital CenterOgden, UT$27,234
Utah Valley Regional Medical CenterProvo, UT$27,253
St. George Regional HospitalSt George, UT$27,615
Lds HospitalSalt Lake City, UT$28,080

Highest

Lds HospitalSalt Lake City, UT$28,080
St. George Regional HospitalSt George, UT$27,615
Utah Valley Regional Medical CenterProvo, UT$27,253
McKay-Dee Hospital CenterOgden, UT$27,234
St Marks HospitalSalt Lake City, UT$21,945

Permanent cardiac pacemaker implant with major complications in other states

Questions

How much does permanent cardiac pacemaker implant with major complications cost in Utah?

In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 5 hospitals in Utah was billed at $151,260 on average, while the average total payment was $26,473, of which Medicare paid $23,994. 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 5.7 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.