Utah / Castleview Hospital
CMS certification 460011 · Price, UT · 4 entries in CMS's price-transparency list
Castleview Hospital: charges and Medicare payments
Castleview Hospital reported 266 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 3.94 times what it was paid — mid-range in Utah, number 10 of 21 hospitals with at least 100 stays (state median 3.69×, national 4.15×). Its most frequent stay was DRG 470, Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC: 85 stays at an average charge of $103,696, 11% above the national average. It also billed 670 outpatient services, charging 6.49 times what Medicare paid.
- 1Medicare inpatient stays 266
- 2Charge ÷ paid, inpatient 3.94×
- 3Rank in UT (highest ratio = 1) 10 of 21
- 4CMS price-transparency actions 4
Inpatient stays
For the 10 DRGs that can be compared with the national average, Castleview Hospital charged more than the national average in 1 (10%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 85 | $103,696 | +11% | $19,148 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 66 | $43,216 | -52% | $15,876 |
| 193 Simple Pneumonia and Pleurisy with MCC | 26 | $30,987 | -48% | $11,194 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $35,935 | -49% | $13,148 |
| 689 Kidney and Urinary Tract Infections with MCC | 13 | $31,995 | -38% | $11,382 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $36,705 | -25% | $12,613 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $25,745 | -31% | $6,298 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $31,833 | -45% | $10,249 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $33,073 | -35% | $10,102 |
| 291 Heart Failure and Shock with MCC | 11 | $38,629 | -31% | $10,367 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 219 | $18,182 | $2,559 |
| Level 1 Intraocular Procedures | 176 | $7,155 | $2,206 |
| Level 4 Musculoskeletal Procedures | 43 | $43,530 | $6,864 |
| Level 2 Musculoskeletal Procedures | 40 | $10,597 | $1,542 |
| Level 1 Laparoscopy and Related Services | 37 | $25,333 | $5,536 |
| Level 2 Upper GI Procedures | 32 | $8,502 | $1,826 |
| Level 5 Neurostimulator and Related Procedures | 28 | $146,751 | $29,703 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 24 | $9,228 | $1,556 |
| Level 3 Musculoskeletal Procedures | 23 | $16,969 | $3,106 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 19 | $21,827 | $3,180 |
| Level 5 Musculoskeletal Procedures | 16 | $71,205 | $11,922 |
| Level 1 Nerve Procedures | 13 | $17,864 | $1,852 |
Against the Utah average
For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Castleview Hospital charged $103,696 on average, 50% more than the Utah average of $69,156, and was paid $19,148 against a state average of $16,850. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Castleview Hospital charged $43,216 on average, 27% less than the Utah average of $59,168, and was paid $15,876 against a state average of $16,261. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Castleview Hospital charged $30,987 on average, 17% less than the Utah average of $37,536, and was paid $11,194 against a state average of $11,384. For Respiratory Infections and Inflammations with MCC (DRG 177), Castleview Hospital charged $35,935 on average, 21% less than the Utah average of $45,681, and was paid $13,148 against a state average of $14,258. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,182 was 0% below the state average of $18,167. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,155 was 11% below the state average of $8,002. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $43,530 was 30% above the state average of $33,581. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $10,597 was 35% above the state average of $7,876.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Castleview Hospital in Price, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-04-28 (CMS case 569)
- CAP Request — 2023-08-07 (CMS case 569)
- Closure Notice — 2023-09-28 (CMS case 569)
- Met Requirements — 2025-04-11 (CMS case 3769)
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.