Utah / Sevier Valley Hospital
CMS certification 460026 · Richfield, UT · 2 entries in CMS's price-transparency list
Sevier Valley Hospital: charges and Medicare payments
Sevier Valley Hospital reported 28 Medicare inpatient stays across 2 DRGs in 2024. Across them it charged 1.72 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 15 stays at an average charge of $24,481, 73% below the national average. It also billed 568 outpatient services, charging 3.54 times what Medicare paid.
- 1Medicare inpatient stays 28
- 2Charge ÷ paid, inpatient 1.72×
- 3Rank in UT (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 2 DRGs that can be compared with the national average, Sevier Valley 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 | 15 | $24,481 | -73% | $17,617 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $28,074 | -53% | $12,381 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 245 | $4,961 | $2,221 |
| Level 5 Musculoskeletal Procedures | 65 | $41,960 | $12,608 |
| Level 3 Musculoskeletal Procedures | 36 | $9,003 | $3,037 |
| Level 2 Upper GI Procedures | 32 | $4,312 | $1,826 |
| Level 4 Musculoskeletal Procedures | 31 | $22,767 | $6,864 |
| Level 1 Laparoscopy and Related Services | 31 | $15,774 | $5,394 |
| Comprehensive Observation Services | 27 | $12,527 | $2,626 |
| Level 2 Musculoskeletal Procedures | 23 | $5,791 | $1,449 |
| Level 6 Musculoskeletal Procedures | 22 | $47,107 | $17,840 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 20 | $5,407 | $1,556 |
| Level 5 Urology and Related Services | 20 | $14,000 | $4,964 |
| Level 3 Urology and Related Services | 16 | $7,461 | $1,954 |
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sevier Valley Hospital charged $24,481 on average, 59% less than the Utah average of $59,168, and was paid $17,617 against a state average of $16,261. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Sevier Valley Hospital charged $28,074 on average, 25% less than the Utah average of $37,536, and was paid $12,381 against a state average of $11,384. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,961 was 38% below the state average of $8,002. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,960 was 31% below the state average of $60,839. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $9,003 was 39% below the state average of $14,739. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $4,312 was 46% below the state average of $8,000.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sevier Valley Hospital in Richfield, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-05-25 (CMS case 1258)
- Met Requirements — 2025-04-25 (CMS case 4108)
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.