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Heart valve surgery (open) in Utah: what insurers pay

Posted commercial rates at 3 Utah hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 220

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$118,0203.1×12026-08-05
Intermountain Health Utah Valley Hospital Provo$122,7383.2×12026-08-05
Lds Hospital Salt Lake City$122,7383.2×12026-08-05

MS-DRG 219

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$174,3873.1×12026-08-05
Intermountain Health Utah Valley Hospital Provo$181,3583.3×12026-08-05
Lds Hospital Salt Lake City$181,3583.3×12026-08-05

MS-DRG 216

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$178,9552.5×12026-08-05
Intermountain Health Utah Valley Hospital Provo$186,1092.6×12026-08-05
Lds Hospital Salt Lake City$186,1092.6×12026-08-05

MS-DRG 217

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$138,1292.9×12026-08-05
Intermountain Health Utah Valley Hospital Provo$143,6513.0×12026-08-05
Lds Hospital Salt Lake City$143,6513.0×12026-08-05

Questions

How much do insurers pay for heart valve surgery (open) in Utah?

3 Utah hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 3 hospitals is $122,738, 3.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.