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Utah: one knee, three prices

What Medicare pays Utah hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.

Surgery center
$8,650
Median Medicare knee rate, 29 orthopedic surgery centers
Hospital, same day
$11,645
Median Medicare allowed amount
Hospital, overnight
$15,459
Median avg total payment (incl. patient share), 14 hospitals

Utah has no certificate-of-need law.

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Lowest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
Lone Peak HospitalDraper$12,730$133,294$11,288
Mountain View HospitalPayson$13,618$100,529$11,775
Lakeview HospitalBountiful$13,676$95,170$11,714
Logan Regional HospitalLogan$14,136$53,534$11,134
Holy Cross Hospital-DavisLayton$14,154$52,188$11,775
Park City HospitalPark City$15,216$49,148$11,575
Ogden Regional Medical CenterOgden$15,439$134,100$11,474
McKay-Dee HospitalOgden$15,479$67,804$11,635
St George Regional HospitalSt George$15,748$48,717$12,544
Lds HospitalSalt Lake City$16,322$53,595$11,550

Highest average total payment per stay

HospitalCityInpatient avg total paymentList priceOutpatient allowed
University of Utah Hospital and ClinicsSalt Lake City$19,262$42,423$11,484
Castleview HospitalPrice$19,148$103,696$11,922
Brigham City Community HospitalBrigham City$17,138$87,694$11,775
Intermountain Health Utah Valley HospitalProvo$16,736$68,245$11,640
Lds HospitalSalt Lake City$16,322$53,595$11,550
St George Regional HospitalSt George$15,748$48,717$12,544
McKay-Dee HospitalOgden$15,479$67,804$11,635
Ogden Regional Medical CenterOgden$15,439$134,100$11,474
Park City HospitalPark City$15,216$49,148$11,575
Holy Cross Hospital-DavisLayton$14,154$52,188$11,775

Every Utah hospital (32)

Orthopedic surgery centers (29)

Questions

How much does Medicare pay for a knee replacement in Utah?

In 2024 the median average total payment to Utah hospitals was $15,459 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 14 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $11,645 per outpatient case. An orthopedic surgery center is paid about $8,650 for a knee.

Which Utah hospitals have the lowest Medicare payment for a joint replacement?

Lone Peak Hospital ($12,730), Mountain View Hospital ($13,618), Lakeview Hospital ($13,676) (average total payment per inpatient stay, patient share included).

What do Utah hospitals list for a joint replacement?

The median list (chargemaster) price is $68,025, about 4.4× the median average total payment for a Medicare stay.

Does Utah have a certificate-of-need law?

Utah has no certificate-of-need law. No certificate of need program; the state repealed its CON law in 1984.