University of Utah Hospital and Clinics
50 North Medical Drive, Salt Lake City, UT 84132 · 114 Priced Procedures · 82% Patient Recommendation
Typical commercial prices here are +32% above the fair benchmark (1.32×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.32× fair market pricing.
Aligned Regional Benchmark Peer
University of Utah Hospital and Clinics prices shoppable and inpatient services (2.9× to 1.8× Medicare, divergence 0.62×) in alignment with regional hospital peers (1.32× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.22× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 11% of shoppable procedures (99/100 Cash Honesty)
- 5-Star CMS clinical rating with 82% patient recommendation (77/100 safety score)
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Commercial insurance median sits at 1.63× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 2.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 5.9× Medicare (20¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at University of Utah Hospital and Clinics
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $5,706 | 3.9× |
| Breast lump removal CPT Code: 19120 | $4,716 | 1.2× |
| Inguinal hernia repair CPT Code: 49505 | $3,862 | 1.1× |
| Rabies immune globulin HCPCS Code: 90375 | $3,165 | 9.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,512 | 1.0× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,071 | 2.1× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,094 | 1.7× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,585 | 1.6× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,503 | 1.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,401 | 2.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,150 | 3.4× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,150 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,150 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $936 | 3.1× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $936 | 2.1× |
| CT scan, head (no contrast) CPT Code: 70450 | $936 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $936 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $936 | unverified |
| CT scan, sinuses CPT Code: 70486 | $936 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $936 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $936 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $936 | unverified |
| CT scan, pelvis CPT Code: 72192 | $936 | unverified |
| Blood transfusion CPT Code: 36430 | $706 | 1.4× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $728 | 1.2× |
Audit a Bill or Quote at University of Utah Hospital and Clinics (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($5,706) Beats Your Bill
University of Utah Hospital and Clinics's published 45 CFR § 180 self-pay cash rate is $5,706 (vs. $5,706 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($8,151) is $6,698 above the denoised Fair BaseRate ($1,453) and 6.0× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify University of Utah Hospital and Clinics as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (1,157 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for University of Utah Hospital and Clinics.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.