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Pneumonia (hospital stay) in Utah: what insurers pay

Posted commercial rates at 9 Utah hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$15,6562.7×12026-08-05
Intermountain Health Utah Valley Hospital Provo$16,2822.8×12026-08-05
Lds Hospital Salt Lake City$16,2822.8×12026-08-05
Intermountain Medical Center Murray$16,2822.8×12026-08-05
American Fork Hospital American Fork$16,2822.8×12026-08-05
Orem Community Hospital Orem$16,2822.8×12026-08-05
Intermountain Health Alta View Hospital Sandy$16,2822.8×12026-08-05
Intermountain Health Layton Hospital Layton$16,2822.8×12026-08-05
Intermountain Health Spanish Fork Hospital Spanish Fork$16,2822.8×12026-08-05

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$22,4112.4×12026-08-05
Intermountain Health Utah Valley Hospital Provo$23,3072.5×12026-08-05
Lds Hospital Salt Lake City$23,3072.5×12026-08-05

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
Mckay-Dee Hospital Ogden$10,6872.4×12026-08-05
Intermountain Health Utah Valley Hospital Provo$11,1142.5×12026-08-05
Lds Hospital Salt Lake City$11,1142.5×12026-08-05

Questions

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

9 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 9 hospitals is $16,282, 2.8× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.