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Pneumonia (hospital stay) in Utah: what insurers pay

Posted commercial rates at 16 Utah hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Mountain West Medical Center Tooele$5,9121.0×42026-09-17
Castleview Hospital Price$13,2632.3×12026-07-14
Lds Hospital Salt Lake City$14,0442.4×62026-08-05
Intermountain Health Utah Valley Hospital Provo$14,1862.4×62026-08-05
Mckay-Dee Hospital Ogden$14,1862.4×62026-08-05
Intermountain Medical Center Murray$14,1862.4×62026-08-05
American Fork Hospital American Fork$14,1862.4×62026-08-05
Orem Community Hospital Orem$14,1862.4×62026-08-05
Intermountain Health Alta View Hospital Sandy$14,1862.4×62026-08-05
Intermountain Health Riverton Hospital Riverton$14,1862.4×62026-08-05
Intermountain Health Layton Hospital Layton$14,1862.4×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$14,1862.4×62026-08-05
Intermountain Health Logan Regional Hospital Logan$19,2153.3×112026-08-05
Intermountain Health Park City Hospital Park City$19,9933.4×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$19,9933.4×62026-08-05

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Mountain West Medical Center Tooele$9,6421.0×42026-09-17
Lds Hospital Salt Lake City$20,1042.1×62026-08-05
Intermountain Health Utah Valley Hospital Provo$20,3062.1×62026-08-05
Mckay-Dee Hospital Ogden$20,3062.1×62026-08-05
Intermountain Medical Center Murray$20,3062.1×62026-08-05
American Fork Hospital American Fork$20,3062.1×62026-08-05
Orem Community Hospital Orem$20,3062.1×62026-08-05
Intermountain Health Alta View Hospital Sandy$20,3062.1×62026-08-05
Intermountain Health Riverton Hospital Riverton$20,3062.1×62026-08-05
Intermountain Health Layton Hospital Layton$20,3062.1×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$20,3062.1×62026-08-05
Castleview Hospital Price$20,5002.2×12026-07-14
Intermountain Health Logan Regional Hospital Logan$27,5062.9×112026-08-05
Intermountain Health Park City Hospital Park City$28,6193.0×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$28,6193.0×62026-08-05

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Mountain West Medical Center Tooele$4,6101.0×42026-09-17
Milford Memorial Hospital Milford$4,8001.1×12026-01-01
Lds Hospital Salt Lake City$9,5872.1×62026-08-05
Intermountain Health Utah Valley Hospital Provo$9,6832.1×62026-08-05
Mckay-Dee Hospital Ogden$9,6832.1×62026-08-05
Intermountain Medical Center Murray$9,6832.1×62026-08-05
American Fork Hospital American Fork$9,6832.1×62026-08-05
Orem Community Hospital Orem$9,6832.1×62026-08-05
Intermountain Health Alta View Hospital Sandy$9,6832.1×62026-08-05
Intermountain Health Riverton Hospital Riverton$9,6832.1×62026-08-05
Intermountain Health Layton Hospital Layton$9,6832.1×62026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$9,6832.1×62026-08-05
Castleview Hospital Price$10,1312.2×12026-07-14
Intermountain Health Logan Regional Hospital Logan$13,1172.9×112026-08-05
Intermountain Health Park City Hospital Park City$13,6483.0×62026-08-05
Intermountain Health Heber Valley Hospital Heber City$13,6483.0×62026-08-05

Questions

How much do insurers pay for pneumonia (hospital stay) in Utah?

16 Utah hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 15 hospitals is $14,186, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.