Utah / Timpanogos Regional Hospital
CMS certification 460052 · Orem, UT · 2 entries in CMS's price-transparency list
Timpanogos Regional Hospital: charges and Medicare payments
Timpanogos Regional Hospital reported 62 Medicare inpatient stays across 3 DRGs in 2024. Across them it charged 6.85 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 34 stays at an average charge of $91,940, 2% above the national average. It also billed 613 outpatient services, charging 12.4 times what Medicare paid.
- 1Medicare inpatient stays 62
- 2Charge ÷ paid, inpatient 6.85×
- 3Rank in UT (highest ratio = 1) –
- 4CMS price-transparency actions 2
Inpatient stays
For the 3 DRGs that can be compared with the national average, Timpanogos Regional Hospital charged more than the national average in 2 (67%). 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 | 34 | $91,940 | +2% | $12,853 |
| 291 Heart Failure and Shock with MCC | 15 | $58,772 | +4% | $8,960 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $49,177 | 0% | $8,202 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 3 Electrophysiologic Procedures | 110 | $290,561 | $21,044 |
| Level 5 Urology and Related Services | 90 | $59,910 | $4,594 |
| Comprehensive Observation Services | 88 | $25,125 | $2,330 |
| Level 5 Musculoskeletal Procedures | 76 | $99,185 | $11,775 |
| Level 2 Laparoscopy and Related Services | 38 | $54,077 | $9,216 |
| Level 2 Upper GI Procedures | 36 | $16,930 | $1,627 |
| Level 3 Pacemaker and Similar Procedures | 31 | $102,595 | $9,559 |
| Level 6 Musculoskeletal Procedures | 26 | $147,951 | $16,659 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 19 | $53,837 | $5,842 |
| Level 1 Laparoscopy and Related Services | 18 | $37,092 | $5,169 |
| Level 6 Urology and Related Services | 17 | $55,063 | $8,252 |
| Level 1 Endovascular Procedures | 15 | $34,266 | $2,625 |
| Level 4 Urology and Related Services | 15 | $28,309 | $3,123 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 12 | $15,118 | $1,453 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 11 | $27,939 | $3,167 |
| Level 2 ICD and Similar Procedures | 11 | $165,109 | $29,384 |
Against the Utah average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Timpanogos Regional Hospital charged $91,940 on average, 55% more than the Utah average of $59,168, and was paid $12,853 against a state average of $16,261. For Heart Failure and Shock with MCC (DRG 291), Timpanogos Regional Hospital charged $58,772 on average, 34% more than the Utah average of $43,793, and was paid $8,960 against a state average of $11,505. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Timpanogos Regional Hospital charged $49,177 on average, 51% more than the Utah average of $32,567, and was paid $8,202 against a state average of $9,393. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $290,561 was 30% above the state average of $223,258. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $59,910 was 127% above the state average of $26,362. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,125 was 38% above the state average of $18,167. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $99,185 was 63% above the state average of $60,839.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Timpanogos Regional Hospital in Orem, UT, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-12-18 (CMS case 2004)
- Met Requirements — 2025-04-29 (CMS case 4215)
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.