Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc in Utah
MS-DRG 489: Knee procedures without principal diagnosis of infection without cc/mcc
$31,626typical hospital bill
$11,718typical amount paid
$9,967–$13,469range paid across 2 hospitals
Utah hospitals billed Medicare a typical $31,626 for this stay in 2024, about 2.7 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| St. George Regional Hospital | St George | 12 | $29,241 | $9,967 | |
| University of Utah Hospital and Clinics | Salt Lake City | 12 | $34,012 | $13,469 |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.