University of Utah Hospital and Clinics: charges and Medicare payments

University of Utah Hospital and Clinics reported 5,085 Medicare inpatient stays across 174 DRGs in 2024. Across them it charged 2.67 times what it was paid — among the lower ratios in Utah, number 17 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: 320 stays at an average charge of $64,101, 29% below the national average. It also billed 11,975 outpatient services, charging 4.55 times what Medicare paid.

1Medicare inpatient stays 5,085
2Charge ÷ paid, inpatient 2.67×
3Rank in UT (highest ratio = 1) 17 of 21
4CMS price-transparency actions 0

Average charge per stay at University of Utah Hospital and Clinics, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 174 DRGs that can be compared with the national average, University of Utah Hospital and Clinics charged more than the national average in 5 (3%). 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	320	$64,101	-29%	$23,128
291 Heart Failure and Shock with MCC	150	$37,612	-33%	$15,272
470 Major Hip and Knee Joint Replacement or Reattachment of...	131	$42,423	-54%	$19,262
177 Respiratory Infections and Inflammations with MCC	99	$47,538	-33%	$18,707
460 Spinal Fusion except Cervical without MCC	92	$80,677	-53%	$36,279
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	81	$42,605	-29%	$16,126
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	80	$39,553	-29%	$12,950
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	71	$26,905	-45%	$12,944
025 Craniotomy and Endovascular Intracranial Procedures with MCC	70	$121,772	-47%	$43,170
193 Simple Pneumonia and Pleurisy with MCC	64	$31,378	-47%	$14,972
698 Other Kidney and Urinary Tract Diagnoses with MCC	60	$44,736	-39%	$19,033
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	56	$73,812	-26%	$24,151
267 Endovascular Cardiac Valve Replacement and Supplement...	56	$152,179	-31%	$45,578
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	56	$24,458	-39%	$10,129
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	54	$65,777	-3%	$16,573
853 Infectious and Parasitic Diseases with O.R. Procedures with...	54	$135,334	-41%	$52,520
467 Revision of Hip or Knee Replacement with CC	53	$92,681	-41%	$32,927
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$23,114	-38%	$10,410
652 Kidney Transplant	49	$273,876	-19%	$29,667
683 Renal Failure with CC	48	$21,446	-47%	$11,142
309 Cardiac Arrhythmia and Conduction Disorders with CC	47	$20,578	-43%	$9,974
330 Major Small and Large Bowel Procedures with CC	47	$58,432	-51%	$25,201
312 Syncope and Collapse	46	$27,524	-40%	$10,974
483 Major Joint or Limb Reattachment Procedures of Upper...	46	$64,771	-49%	$25,273
699 Other Kidney and Urinary Tract Diagnoses with CC	46	$38,753	-18%	$13,751
378 Gastrointestinal Hemorrhage with CC	44	$28,302	-42%	$11,947
708 Major Male Pelvic Procedures without CC/MCC	41	$30,409	-66%	$15,943
286 Circulatory Disorders except AMI, with Cardiac...	40	$81,827	-27%	$29,225
481 Hip and Femur Procedures except Major Joint with CC	40	$62,113	-38%	$21,778
690 Kidney and Urinary Tract Infections without MCC	40	$24,110	-36%	$10,286
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	39	$33,060	-46%	$15,241
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	38	$37,819	-42%	$16,695
377 Gastrointestinal Hemorrhage with MCC	38	$54,709	-36%	$21,575
468 Revision of Hip or Knee Replacement without CC/MCC	37	$83,753	-32%	$25,986
682 Renal Failure with MCC	37	$57,506	-13%	$23,484
092 Other Disorders of Nervous System with CC	36	$32,082	-38%	$12,591
280 Acute Myocardial Infarction, Discharged Alive with MCC	36	$55,207	-27%	$20,807
389 Gastrointestinal Obstruction with CC	36	$26,942	-31%	$10,602
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	36	$158,956	-26%	$56,559
329 Major Small and Large Bowel Procedures with MCC	35	$119,895	-44%	$48,927
023 Craniotomy with Major Device Implant or Acute Complex Cns...	34	$151,875	-46%	$58,279
441 Disorders of Liver except Malignancy, Cirrhosis or Alcoholic...	34	$58,880	-32%	$22,492
543 Pathological Fractures and Musculoskeletal and Connective...	34	$38,116	-22%	$13,558
689 Kidney and Urinary Tract Infections with MCC	34	$35,101	-32%	$14,115
314 Other Circulatory System Diagnoses with MCC	33	$59,110	-38%	$24,118
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$247,026	-38%	$91,259
322 Percutaneous Cardiovascular Procedures with Intraluminal...	32	$63,669	-44%	$19,794
393 Other Digestive System Diagnoses with MCC	32	$49,072	-36%	$21,332
603 Cellulitis without MCC	32	$20,775	-44%	$11,084
454 Combined Anterior and Posterior Spinal Fusion with CC	31	$113,956	-59%	$57,272
091 Other Disorders of Nervous System with MCC	30	$56,060	-32%	$21,021
308 Cardiac Arrhythmia and Conduction Disorders with MCC	30	$63,869	+13%	$23,013
394 Other Digestive System Diagnoses with CC	30	$32,808	-30%	$11,777
018 Chimeric Antigen Receptor (Car) T-Cell and Other...	29	$1,096,941	-50%	$462,838
027 Craniotomy and Endovascular Intracranial Procedures without...	29	$84,292	-40%	$25,385
180 Respiratory Neoplasms with MCC	28	$61,730	-30%	$20,928
189 Pulmonary Edema and Respiratory Failure	28	$33,847	-41%	$14,136
190 Chronic Obstructive Pulmonary Disease with MCC	28	$41,261	-18%	$14,433
287 Circulatory Disorders except AMI, with Cardiac...	28	$46,467	-27%	$14,560
066 Intracranial Hemorrhage or Cerebral Infarction without...	27	$27,864	-34%	$9,006

Showing the 60 most frequent of 174 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	1,739	$7,056	$2,066
Level 2 Urology and Related Services	1,158	$2,134	$520
Level 1 Nerve Procedures	765	$8,051	$1,717
Level 3 Urology and Related Services	606	$4,748	$1,671
Level 2 Upper GI Procedures	600	$7,343	$1,614
Level 3 Excision/ Biopsy/ Incision and Drainage	566	$12,018	$2,515
Level 2 Excision/ Biopsy/ Incision and Drainage	562	$5,877	$1,425
Level 5 Musculoskeletal Procedures	449	$33,674	$11,484
Level 3 Vascular Procedures	368	$11,943	$2,812
Level 2 Intraocular Procedures	313	$12,503	$3,580
Level 3 Extraocular, Repair, and Plastic Eye Procedures	282	$6,038	$2,024
Level 1 Endovascular Procedures	280	$13,446	$2,834
Level 4 Musculoskeletal Procedures	279	$22,425	$6,336
Level 5 Urology and Related Services	254	$21,746	$4,606
Level 4 Airway Endoscopy	210	$14,444	$3,253
Level 4 Urology and Related Services	208	$10,966	$3,085
Level 3 Airway Endoscopy	175	$8,225	$1,500
Level 3 Musculoskeletal Procedures	149	$10,545	$2,803
Level 3 Electrophysiologic Procedures	149	$65,449	$20,696
Level 2 Musculoskeletal Procedures	145	$3,884	$1,418
Level 2 Laparoscopy and Related Services	145	$32,875	$8,967
Comprehensive Observation Services	143	$17,522	$2,410
Complex GI Procedures	141	$17,121	$3,845
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	136	$10,666	$3,036
Level 1 Laparoscopy and Related Services	135	$19,846	$4,955

Against the Utah average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Utah Hospital and Clinics charged $64,101 on average, 8% more than the Utah average of $59,168, and was paid $23,128 against a state average of $16,261. For Heart Failure and Shock with MCC (DRG 291), University of Utah Hospital and Clinics charged $37,612 on average, 14% less than the Utah average of $43,793, and was paid $15,272 against a state average of $11,505. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), University of Utah Hospital and Clinics charged $42,423 on average, 39% less than the Utah average of $69,156, and was paid $19,262 against a state average of $16,850. For Respiratory Infections and Inflammations with MCC (DRG 177), University of Utah Hospital and Clinics charged $47,538 on average, 4% more than the Utah average of $45,681, and was paid $18,707 against a state average of $14,258. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,056 was 12% below the state average of $8,002. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,134 was 4% below the state average of $2,230. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,051 was 34% below the state average of $12,207. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,748 was 40% below the state average of $7,855.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.