Utah / Cedar City Hospital
CMS certification 460007 · Cedar City, UT · 2 entries in CMS's price-transparency list
Cedar City Hospital: charges and Medicare payments
Cedar City Hospital reported 131 Medicare inpatient stays across 6 DRGs in 2024. Across them it charged 2.27 times what it was paid — among the lower ratios in Utah, number 21 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: 54 stays at an average charge of $34,937, 61% below the national average. It also billed 593 outpatient services, charging 4.09 times what Medicare paid.
- 1Medicare inpatient stays 131
- 2Charge ÷ paid, inpatient 2.27×
- 3Rank in UT (highest ratio = 1) 21 of 21
- 4CMS price-transparency actions 2
Inpatient stays
For the 6 DRGs that can be compared with the national average, Cedar City 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 | 54 | $34,937 | -61% | $17,579 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $24,086 | -60% | $11,719 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $23,760 | -52% | $10,056 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $42,040 | -58% | $17,702 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $56,321 | -45% | $18,170 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $31,095 | -36% | $9,060 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 126 | $13,572 | $2,568 |
| Level 5 Musculoskeletal Procedures | 78 | $35,537 | $12,468 |
| Level 1 Laparoscopy and Related Services | 56 | $16,151 | $5,378 |
| Level 5 Urology and Related Services | 49 | $15,667 | $4,752 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 43 | $11,395 | $3,258 |
| Level 3 Musculoskeletal Procedures | 42 | $10,116 | $2,988 |
| Level 4 Musculoskeletal Procedures | 40 | $20,785 | $6,414 |
| Level 4 Urology and Related Services | 37 | $9,386 | $3,345 |
| Level 2 Upper GI Procedures | 29 | $4,695 | $1,776 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 25 | $7,496 | $1,555 |
| Level 6 Musculoskeletal Procedures | 17 | $49,024 | $14,979 |
| Level 2 Vascular Procedures | 15 | $9,478 | $1,455 |
| Level 2 Musculoskeletal Procedures | 13 | $5,894 | $1,542 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 12 | $13,564 | $3,657 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 11 | $23,165 | $6,256 |
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cedar City Hospital charged $34,937 on average, 41% less than the Utah average of $59,168, and was paid $17,579 against a state average of $16,261. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Cedar City Hospital charged $24,086 on average, 36% less than the Utah average of $37,536, and was paid $11,719 against a state average of $11,384. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cedar City Hospital charged $23,760 on average, 27% less than the Utah average of $32,567, and was paid $10,056 against a state average of $9,393. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Cedar City Hospital charged $42,040 on average, 40% less than the Utah average of $70,327, and was paid $17,702 against a state average of $16,982. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,572 was 25% below the state average of $18,167. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $35,537 was 42% below the state average of $60,839. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $16,151 was 36% below the state average of $25,166. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $15,667 was 41% below the state average of $26,362.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Cedar City Hospital in Cedar City, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-02-18 (CMS case 3121)
- Closure Notice — 2025-05-21 (CMS case 3121)
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.