Utah / American Fork Hospital
CMS certification 460023 · American Fork, UT · 2 entries in CMS's price-transparency list
American Fork Hospital: charges and Medicare payments
American Fork Hospital reported 345 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.88 times what it was paid — among the lower ratios in Utah, number 16 of 21 hospitals with at least 100 stays (state median 3.69×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 130 stays at an average charge of $36,925, 59% below the national average. It also billed 873 outpatient services, charging 4.93 times what Medicare paid.
- 1Medicare inpatient stays 345
- 2Charge ÷ paid, inpatient 2.88×
- 3Rank in UT (highest ratio = 1) 16 of 21
- 4CMS price-transparency actions 2
Inpatient stays
For the 13 DRGs that can be compared with the national average, American Fork Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 130 | $36,925 | -59% | $13,499 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $23,428 | -52% | $8,426 |
| 291 Heart Failure and Shock with MCC | 30 | $31,114 | -45% | $9,533 |
| 193 Simple Pneumonia and Pleurisy with MCC | 17 | $25,844 | -57% | $9,759 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $27,518 | -43% | $7,907 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $31,267 | -57% | $11,512 |
| 683 Renal Failure with CC | 15 | $27,055 | -34% | $7,319 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $26,153 | -63% | $11,894 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $21,539 | -43% | $7,016 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $43,570 | -49% | $12,517 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $21,750 | -46% | $6,569 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $28,573 | -23% | $7,259 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $21,547 | -58% | $9,062 |
Outpatient services
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), American Fork Hospital charged $36,925 on average, 38% less than the Utah average of $59,168, and was paid $13,499 against a state average of $16,261. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), American Fork Hospital charged $23,428 on average, 28% less than the Utah average of $32,567, and was paid $8,426 against a state average of $9,393. For Heart Failure and Shock with MCC (DRG 291), American Fork Hospital charged $31,114 on average, 29% less than the Utah average of $43,793, and was paid $9,533 against a state average of $11,505. For Simple Pneumonia and Pleurisy with MCC (DRG 193), American Fork Hospital charged $25,844 on average, 31% less than the Utah average of $37,536, and was paid $9,759 against a state average of $11,384. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,116 was 11% below the state average of $8,002. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $14,551 was 45% below the state average of $26,362. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,064 was 31% below the state average of $60,839. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,772 was 40% below the state average of $8,000.
Price-transparency record
CMS's enforcement list records these actions for a hospital named American Fork Hospital in American Fork, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-19 (CMS case 3120)
- Closure Notice — 2025-05-21 (CMS case 3120)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.