Simple pneumonia and pleurisy with major complications in Utah
What 22 hospitals in Utah charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$37,709
Hospital list price billed
Average payment
$11,433
Medicare + patient + other payers
Medicare paid
$8,909
Average per stay
State rank
#26 of 50
1 = lowest average payment
Hospitals in Utah billed an average of $37,709 for simple pneumonia and pleurisy with major complications, about 3.3 times the average total payment of $11,433. That payment is 5% below the U.S. average of $12,020.
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 $11,433Billed $37,709
About 30¢ 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: simple pneumonia and pleurisy 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 | 125 | $34,021 | $10,733 | $9,126 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 64 | $31,378 | $14,972 | $11,442 |
| Utah Valley Regional Medical CenterProvo | 59 | $45,885 | $10,654 | $8,529 |
| Lds HospitalSalt Lake City | 56 | $52,392 | $13,361 | $9,610 |
| St Marks HospitalSalt Lake City | 46 | $51,260 | $12,005 | $7,225 |
| McKay-Dee Hospital CenterOgden | 43 | $52,898 | $10,984 | $8,008 |
| Jordan Valley Medical CenterWest Jordan | 39 | $37,432 | $10,983 | $8,769 |
| Intermountain Health Cedar City HospitalCedar City | 28 | $24,086 | $11,719 | $10,204 |
| Davis Hospital and Medical CenterLayton | 27 | $36,035 | $9,833 | $7,680 |
| Alta View HospitalSandy | 27 | $23,848 | $10,822 | $7,863 |
| Castleview HospitalPrice | 26 | $30,987 | $11,194 | $8,393 |
| Logan Regional HospitalLogan | 23 | $33,269 | $11,195 | $8,338 |
| Lone Peak HospitalDraper | 19 | $44,443 | $7,790 | $6,209 |
| Cottonwood Hospital Med CntrMurray | 17 | $28,725 | $12,187 | $10,337 |
| American Fork HospitalAmerican Fork | 17 | $25,844 | $9,759 | $8,156 |
| Ogden Regional Medical CenterOgden | 16 | $54,016 | $10,384 | $7,524 |
| Mountain View HospitalPayson | 16 | $46,139 | $9,524 | $8,300 |
| Intermountain Health Layton HospitalLayton | 14 | $21,932 | $9,397 | $7,765 |
| Sevier Valley HospitalRichfield | 13 | $28,074 | $12,381 | $10,749 |
| Ashley Valley Medical CenterVernal | 12 | $25,786 | $12,814 | $10,036 |
| Uintah Basin Medical CenterRoosevelt | 11 | $21,761 | $12,593 | $11,257 |
| Riverton HospitalRiverton | 11 | $25,806 | $10,663 | $8,150 |
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 | $7,790 |
|---|---|
| Intermountain Health Layton HospitalLayton, UT | $9,397 |
| Mountain View HospitalPayson, UT | $9,524 |
| American Fork HospitalAmerican Fork, UT | $9,759 |
| Davis Hospital and Medical CenterLayton, UT | $9,833 |
Highest
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $14,972 |
|---|---|
| Lds HospitalSalt Lake City, UT | $13,361 |
| Ashley Valley Medical CenterVernal, UT | $12,814 |
| Uintah Basin Medical CenterRoosevelt, UT | $12,593 |
| Sevier Valley HospitalRichfield, UT | $12,381 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Utah?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 22 hospitals in Utah was billed at $37,709 on average, while the average total payment was $11,433, of which Medicare paid $8,909. 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 3.3 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.