facebook tracking Pulmonary edema and respiratory failure cost in Utah: 14 hospitals compared (DRG 189)

Pulmonary edema and respiratory failure in Utah

What 14 hospitals in Utah charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.

DRG 189 Inpatient 2024 Medicare data
Average charge $46,538 Hospital list price billed
Average payment $12,043 Medicare + patient + other payers
Medicare paid $9,017 Average per stay
State rank #38 of 50 1 = lowest average payment

Hospitals in Utah billed an average of $46,538 for pulmonary edema and respiratory failure, about 3.9 times the average total payment of $12,043. That payment is 1% below the U.S. average of $12,197.

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 $12,043Billed $46,538

About 26¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: pulmonary edema and respiratory failure

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 71 $45,448 $10,407 $9,190
Lds HospitalSalt Lake City 70 $62,030 $15,993 $9,122
St Marks HospitalSalt Lake City 41 $56,698 $10,582 $7,005
Utah Valley Regional Medical CenterProvo 33 $44,171 $11,016 $8,552
McKay-Dee Hospital CenterOgden 29 $58,989 $12,853 $8,728
Uintah Basin Medical CenterRoosevelt 29 $27,550 $12,101 $10,826
University Health Care/Univ Hospitals and ClinicsSalt Lake City 28 $33,847 $14,136 $11,698
Cottonwood Hospital Med CntrMurray 20 $42,942 $11,879 $10,805
Logan Regional HospitalLogan 18 $44,749 $9,813 $8,468
Ogden Regional Medical CenterOgden 17 $45,980 $9,782 $7,197
Riverton HospitalRiverton 17 $35,838 $10,913 $8,212
Jordan Valley Medical CenterWest Jordan 16 $40,551 $11,942 $8,079
Alta View HospitalSandy 14 $28,855 $10,035 $8,233
Castleview HospitalPrice 11 $31,833 $10,249 $9,359
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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

Ogden Regional Medical CenterOgden, UT$9,782
Logan Regional HospitalLogan, UT$9,813
Alta View HospitalSandy, UT$10,035
Castleview HospitalPrice, UT$10,249
St. George Regional HospitalSt George, UT$10,407

Highest

Lds HospitalSalt Lake City, UT$15,993
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$14,136
McKay-Dee Hospital CenterOgden, UT$12,853
Uintah Basin Medical CenterRoosevelt, UT$12,101
Jordan Valley Medical CenterWest Jordan, UT$11,942

Pulmonary edema and respiratory failure in other states

Questions

How much does pulmonary edema and respiratory failure cost in Utah?

In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 14 hospitals in Utah was billed at $46,538 on average, while the average total payment was $12,043, of which Medicare paid $9,017. 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 3.9 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.