Revision of Hip or Knee Replacement Without Cc/Mcc in Utah
MS-DRG 468: Revision of hip or knee replacement without cc/mcc
$114,368typical hospital bill
$24,187typical amount paid
$20,398–$26,109range paid across 6 hospitals
Utah hospitals billed Medicare a typical $114,368 for this stay in 2024, about 4.7 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 | |
|---|---|---|---|---|---|
| Lakeview Hospital | Bountiful | 18 | $138,810 | $20,398 | |
| Lone Peak Hospital | Draper | 12 | $144,060 | $20,828 | |
| St. George Regional Hospital | St George | 32 | $54,954 | $22,912 | |
| Holy Cross Hospital - Salt Lake | Salt Lake City | 14 | $89,926 | $25,463 | |
| University of Utah Hospital and Clinics | Salt Lake City | 37 | $83,753 | $25,986 | |
| St Mark's Hospital | Salt Lake City | 25 | $189,276 | $26,109 |
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.