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University of Utah Hospital and Clinics

University of Utah Hospital and Clinics in Salt Lake City charges 3.2x the Medicare reimbursement rate across 173 analyzed procedures, representing a government-owned facility's pricing structure.

Salt Lake City, UT 84132 · Acute Care Hospitals · CMS Rating: 5/5

By David Park , Healthcare Cost Researcher · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.

173 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.3x15.0x
3.2x
Medicare markup ratio
UT lowestUniversity of Utah Hos...UT highest
3.2x
Avg markup ratio
3.1x
Median markup
173
Procedures
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Compare your charges against 4 CMS benchmark datasets — including the rates shown on this page.

Billing patterns — government

Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.

Pricing grade

C

Average

Avg markup vs Medicare

3.22x

Charge / Medicare rate

Max markup

10.63x

Worst procedure

Procedures analyzed

173

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
KIDNEY TRANSPLANT652$267,404$133,70210.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$50,984$25,4925.5x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC082$94,152$47,0765.4x
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC674$84,835$42,4174.5x
PERIPHERAL VASCULAR DISORDERS WITH CC300$43,631$21,8154.5x
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC841$94,476$47,2384.5x
HEART FAILURE AND SHOCK WITH CC292$32,836$16,4184.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$50,029$25,0144.3x
SEIZURES WITH MCC100$69,363$34,6824.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$26,870$13,4354.2x
COAGULATION DISORDERS813$60,075$30,0374.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$38,463$19,2324.1x
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC093$27,709$13,8554x
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC846$110,394$55,1974x
SEIZURES WITHOUT MCC101$33,398$16,6994x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC315$39,945$19,9734x
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC847$51,508$25,7543.9x
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$55,534$27,7673.9x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$142,064$71,0323.9x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$29,616$14,8083.9x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$84,017$42,0083.8x
SYNCOPE AND COLLAPSE312$38,282$19,1413.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$56,864$28,4323.8x
SIGNS AND SYMPTOMS WITHOUT MCC948$26,882$13,4413.8x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$82,717$41,3593.8x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$135,624$67,8123.8x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC027$85,705$42,8533.7x
COMPLICATIONS OF TREATMENT WITH MCC919$62,238$31,1193.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$63,182$31,5913.7x
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO809$40,427$20,2133.7x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$35,822$17,9113.7x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$36,772$18,3863.7x
OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC516$66,529$33,2643.7x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$46,511$23,2553.7x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$36,294$18,1473.7x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$110,081$55,0403.6x
BRONCHITIS AND ASTHMA WITH CC/MCC202$29,973$14,9873.6x
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC840$101,419$50,7093.6x
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$52,607$26,3033.6x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$31,241$15,6203.6x
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$56,948$28,4743.6x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$52,275$26,1383.6x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$34,153$17,0763.6x
HEART FAILURE AND SHOCK WITH MCC291$41,752$20,8763.5x
PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC543$33,945$16,9733.5x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$59,752$29,8763.5x
PNEUMOTHORAX WITH CC200$34,696$17,3483.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$94,934$47,4673.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$27,410$13,7053.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$91,509$45,7543.5x

Showing 50 of 173 procedures

How UNIVERSITY OF UTAH HOSPITAL AND CLINICS compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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