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The Price of Medicare Procedures in Utah



This table shows the 100 most frequently charged procedures/diagnosis in Utah to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Utah 11 $19126 $7362 $11764
Acute Myocardial Infarction Discharged Alive With Complications
 Utah 46 $19184 $7775 $11409
Acute Myocardial Infarction Discharged Alive With Major Complications
 Utah 67 $29079 $15064 $14015
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Utah 136 $13097 $4347 $8750
Atherosclerosis No Major Complications
 Utah 13 $12696 $4760 $7936
Back And Neck Proc Exc Spinal Fusion No Complications
 Utah 196 $16245 $6853 $9392
Bronchitis And Asthma With Complications
 Utah 29 $12060 $5394 $6666
Cardiac Arrhythmia And Conduction Disorders No Complications
 Utah 218 $9279 $3819 $5460
Cardiac Arrhythmia And Conduction Disorders With Complications
 Utah 197 $13655 $5678 $7977
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Utah 146 $20978 $8652 $12326
Cellulitis No Major Complications
 Utah 271 $13952 $5441 $8511
Cellulitis With Major Complications
 Utah 11 $32035 $9296 $22739
Cervical Spinal Fusion No Complications
 Utah 142 $34412 $13919 $20493
Chest Pain
 Utah 178 $11233 $3939 $7294
Chronic Obstructive Pulmonary Disease No Complications
 Utah 94 $12036 $4835 $7201
Chronic Obstructive Pulmonary Disease With Complications
 Utah 138 $15921 $6555 $9366
Chronic Obstructive Pulmonary Disease With Major Complications
 Utah 287 $19934 $7747 $12187
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Utah 411 $20345 $7700 $12645
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Utah 93 $38140 $15802 $22338
Cranial And Peripheral Nerve Disorders No Major Complications
 Utah 13 $32920 $9395 $23525
Degenerative Nervous System Disorders No Major Complications
 Utah 28 $22005 $8344 $13661
Diabetes With Complications
 Utah 101 $13082 $6144 $6938
Disorders Of Pancreas Except Malignancy With Complications
 Utah 68 $19087 $7450 $11637
Dysequilibrium
 Utah 11 $8738 $3871 $4867
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Utah 552 $14115 $5111 $9004
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Utah 71 $22892 $8645 $14247
Extracranial Procedures No Complications
 Utah 109 $20488 $6928 $13560
Fractures Of Hip And Pelvis No Major Complications
 Utah 84 $12099 $4329 $7770
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Utah 11 $14450 $4227 $10223
Gi Hemorrhage No Complications
 Utah 45 $10564 $5269 $5295
Gi Hemorrhage With Complications
 Utah 482 $17247 $6752 $10495
Gi Hemorrhage With Major Complications
 Utah 128 $26733 $12034 $14699
Gi Obstruction No Complications
 Utah 124 $10839 $4481 $6358
Gi Obstruction With Complications
 Utah 165 $15822 $6332 $9490
Heart Failure And Shock No Complications
 Utah 164 $12519 $4838 $7681
Heart Failure And Shock With Complications
 Utah 543 $17471 $6803 $10668
Heart Failure And Shock With Major Complications
 Utah 357 $25351 $9646 $15705
Hip And Femur Procedures Except Major Joint No Complications
 Utah 99 $27932 $9987 $17945
Hip And Femur Procedures Except Major Joint With Complications
 Utah 354 $34051 $11922 $22129
Hip And Femur Procedures Except Major Joint With Major Complications
 Utah 80 $41965 $17683 $24282
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Utah 212 $88519 $39426 $49093
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Utah 194 $15446 $5449 $9997
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Utah 362 $20658 $7526 $13132
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Utah 228 $30722 $13489 $17233
Kidney And Urinary Tract Infections No Major Complications
 Utah 628 $12921 $4914 $8007
Kidney And Urinary Tract Infections With Major Complications
 Utah 164 $16780 $7167 $9613
Laparoscopic Cholecystectomy No Cde No Complications
 Utah 67 $18073 $7890 $10183
Laparoscopic Cholecystectomy No Cde With Complications
 Utah 53 $24890 $10646 $14244
Major Cardiovasc Procedures No Major Complications
 Utah 171 $68781 $22704 $46077
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Utah 65 $17181 $8095 $9086
Major Joint Replacement Of Lower Extremity No Major Complications
 Utah 3579 $36502 $13992 $22510
Major Joint Replacement Of Lower Extremity With Major Complications
 Utah 125 $51077 $19306 $31771
Major Small And Large Bowel Procedures With Complications
 Utah 239 $40236 $17750 $22486
Major Small And Large Bowel Procedures With Major Complications
 Utah 138 $89859 $39048 $50811
Medical Back Problems No Major Complications
 Utah 192 $18393 $5857 $12536
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Utah 565 $11952 $4746 $7206
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Utah 175 $17846 $7760 $10086
Other Circulatory System Diagnoses With Complications
 Utah 41 $24377 $8522 $15855
Other Circulatory System Diagnoses With Major Complications
 Utah 88 $37829 $16345 $21484
Other Digestive System Diagnoses With Complications
 Utah 114 $16626 $6840 $9786
Other Kidney And Urinary Tract Diagnoses With Complications
 Utah 44 $17879 $9674 $8205
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Utah 97 $24982 $10924 $14058
Other Vascular Procedures No Complications
 Utah 26 $24164 $11124 $13040
Other Vascular Procedures With Complications
 Utah 95 $40330 $17125 $23205
Other Vascular Procedures With Major Complications
 Utah 75 $52578 $22072 $30506
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Utah 145 $39555 $13248 $26307
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Utah 548 $43613 $13840 $29773
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Utah 183 $63071 $23872 $39199
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Utah 86 $36934 $11442 $25492
Peripheral Vascular Disorders No Complications
 Utah 13 $9559 $4142 $5417
Peripheral Vascular Disorders With Complications
 Utah 73 $13610 $6345 $7265
Permanent Cardiac Pacemaker Implant No Complications
 Utah 135 $37855 $13354 $24501
Permanent Cardiac Pacemaker Implant With Complications
 Utah 113 $47695 $17444 $30251
Poisoning And Toxic Effects Of Drugs No Major Complications
 Utah 172 $11324 $4329 $6995
Poisoning And Toxic Effects Of Drugs With Major Complications
 Utah 152 $25842 $9918 $15924
Psychoses
 Utah 94 $15367 $6072 $9295
Pulmonary Edema And Respiratory Failure
 Utah 224 $26272 $8697 $17575
Pulmonary Embolism No Major Complications
 Utah 380 $16411 $6964 $9447
Red Blood Cell Disorders No Major Complications
 Utah 108 $12937 $5240 $7697
Red Blood Cell Disorders With Major Complications
 Utah 31 $22551 $9353 $13198
Renal Failure No Complications
 Utah 36 $11510 $4915 $6595
Renal Failure With Complications
 Utah 512 $16834 $6731 $10103
Renal Failure With Major Complications
 Utah 331 $27679 $10736 $16943
Respiratory Infections And Inflammations With Complications
 Utah 182 $22780 $9512 $13268
Respiratory Infections And Inflammations With Major Complications
 Utah 202 $34138 $14447 $19691
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Utah 26 $99523 $41634 $57889
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Utah 168 $44035 $16419 $27616
Seizures No Major Complications
 Utah 99 $14600 $6420 $8180
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Utah 538 $16996 $7341 $9655
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Utah 1703 $30053 $12205 $17848
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Utah 31 $105622 $44923 $60699
Signs And Symptoms No Major Complications
 Utah 158 $13509 $4765 $8744
Simple Pneumonia And Pleurisy No Complications
 Utah 352 $12231 $4560 $7671
Simple Pneumonia And Pleurisy With Complications
 Utah 868 $16111 $6555 $9556
Simple Pneumonia And Pleurisy With Major Complications
 Utah 481 $22327 $8972 $13355
Spinal Fusion Except Cervical No Major Complications
 Utah 583 $75089 $27832 $47257
Syncope And Collapse
 Utah 194 $14129 $4988 $9141
Transient Ischemia
 Utah 121 $14050 $4955 $9095


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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