Utah / Lone Peak Hospital
CMS certification 460060 · Draper, UT · 2 entries in CMS's price-transparency list
Lone Peak Hospital: charges and Medicare payments
Lone Peak Hospital reported 131 Medicare inpatient stays across 8 DRGs in 2024. Across them it charged 6.84 times what it was paid — among the higher ratios in Utah, number 2 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: 27 stays at an average charge of $66,257, 27% below the national average. It also billed 549 outpatient services, charging 11.36 times what Medicare paid.
- 1Medicare inpatient stays 131
- 2Charge ÷ paid, inpatient 6.84×
- 3Rank in UT (highest ratio = 1) 2 of 21
- 4CMS price-transparency actions 2
Inpatient stays
For the 8 DRGs that can be compared with the national average, Lone Peak Hospital charged more than the national average in 5 (63%). 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 | 27 | $66,257 | -27% | $11,844 |
| 291 Heart Failure and Shock with MCC | 20 | $48,191 | -15% | $7,963 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $44,443 | -26% | $7,790 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 16 | $133,294 | +43% | $12,730 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 13 | $217,917 | +7% | $33,196 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $50,699 | +3% | $6,583 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 12 | $144,060 | +16% | $20,828 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $189,883 | +11% | $27,942 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 218 | $109,095 | $11,288 |
| Level 6 Musculoskeletal Procedures | 80 | $177,567 | $16,283 |
| Level 4 Musculoskeletal Procedures | 69 | $52,002 | $6,409 |
| Comprehensive Observation Services | 51 | $33,027 | $2,452 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 39 | $14,121 | $1,423 |
| Level 5 Neurostimulator and Related Procedures | 20 | $225,347 | $27,736 |
| Level 3 Musculoskeletal Procedures | 16 | $27,596 | $2,755 |
| Level 5 Urology and Related Services | 16 | $57,875 | $4,635 |
| Level 2 Musculoskeletal Procedures | 15 | $11,244 | $1,440 |
| Level 2 Laparoscopy and Related Services | 13 | $71,325 | $9,216 |
| Level 1 Nerve Procedures | 12 | $60,970 | $1,730 |
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lone Peak Hospital charged $66,257 on average, 12% more than the Utah average of $59,168, and was paid $11,844 against a state average of $16,261. For Heart Failure and Shock with MCC (DRG 291), Lone Peak Hospital charged $48,191 on average, 10% more than the Utah average of $43,793, and was paid $7,963 against a state average of $11,505. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lone Peak Hospital charged $44,443 on average, 18% more than the Utah average of $37,536, and was paid $7,790 against a state average of $11,384. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Lone Peak Hospital charged $133,294 on average, 93% more than the Utah average of $69,156, and was paid $12,730 against a state average of $16,850. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,095 was 79% above the state average of $60,839. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $177,567 was 146% above the state average of $72,133. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $52,002 was 55% above the state average of $33,581. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,027 was 82% above the state average of $18,167.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Lone Peak Hospital in Draper, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-07 (CMS case 1920)
- Met Requirements — 2025-04-28 (CMS case 4175)
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.