Utah / Riverton Hospital
CMS certification 460058 · Riverton, UT · 1 entry in CMS's price-transparency list
Riverton Hospital: charges and Medicare payments
Riverton Hospital reported 250 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 2.9 times what it was paid — among the lower ratios in Utah, number 15 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: 55 stays at an average charge of $38,748, 57% below the national average. It also billed 469 outpatient services, charging 5.09 times what Medicare paid.
- 1Medicare inpatient stays 250
- 2Charge ÷ paid, inpatient 2.9×
- 3Rank in UT (highest ratio = 1) 15 of 21
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, Riverton 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 | 55 | $38,748 | -57% | $13,971 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $24,867 | -49% | $9,309 |
| 291 Heart Failure and Shock with MCC | 27 | $32,375 | -43% | $10,029 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $31,070 | -56% | $12,421 |
| 683 Renal Failure with CC | 19 | $22,301 | -45% | $8,172 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $35,838 | -38% | $10,913 |
| 389 Gastrointestinal Obstruction with CC | 17 | $21,988 | -44% | $7,833 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $22,373 | -41% | $6,976 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $56,102 | -44% | $15,001 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $24,814 | -49% | $8,432 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $25,806 | -57% | $10,663 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $20,460 | -45% | $7,264 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Upper GI Procedures | 106 | $5,647 | $1,691 |
| Comprehensive Observation Services | 72 | $14,490 | $2,452 |
| Level 1 Intraocular Procedures | 67 | $8,129 | $2,069 |
| Level 5 Musculoskeletal Procedures | 56 | $41,682 | $10,331 |
| Level 1 Laparoscopy and Related Services | 38 | $22,698 | $5,169 |
| Level 5 Urology and Related Services | 30 | $23,007 | $4,532 |
| Level 2 Laparoscopy and Related Services | 19 | $39,138 | $9,216 |
| Level 2 Musculoskeletal Procedures | 16 | $6,254 | $1,440 |
| Level 4 Musculoskeletal Procedures | 16 | $24,371 | $6,409 |
| Level 3 Musculoskeletal Procedures | 14 | $11,351 | $2,900 |
| Level 4 ENT Procedures | 13 | $11,451 | $2,884 |
| Level 6 Musculoskeletal Procedures | 11 | $51,133 | $16,659 |
| Level 3 Urology and Related Services | 11 | $12,217 | $1,825 |
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverton Hospital charged $38,748 on average, 35% less than the Utah average of $59,168, and was paid $13,971 against a state average of $16,261. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Riverton Hospital charged $24,867 on average, 24% less than the Utah average of $32,567, and was paid $9,309 against a state average of $9,393. For Heart Failure and Shock with MCC (DRG 291), Riverton Hospital charged $32,375 on average, 26% less than the Utah average of $43,793, and was paid $10,029 against a state average of $11,505. For Respiratory Infections and Inflammations with MCC (DRG 177), Riverton Hospital charged $31,070 on average, 32% less than the Utah average of $45,681, and was paid $12,421 against a state average of $14,258. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $5,647 was 29% below the state average of $8,000. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,490 was 20% below the state average of $18,167. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,129 was 2% above the state average of $8,002. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,682 was 31% below the state average of $60,839.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Riverton Hospital in Riverton, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-09 (CMS case 3736)
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.