Utah Valley Regional Med. Ctr. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Utah Valley Regional Med. Ctr., Provo, UT in 2024, from traditional Medicare claims. Back to the Utah Valley Regional Med. Ctr. profile, with quality ratings, finances and negotiated rates.
2,437
Medicare inpatient discharges
In 74 published DRGs
2.22
Case mix index
IPPS FY 2027
35%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
2,461
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system681 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 124 | $45,826 | $8,840 | $10,723 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 64 | $82,564 | $11,847 | $19,320 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 62 | $93,946 | $22,585 | $21,983 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 49 | $156,772 | $42,399 | $36,685 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 43 | $123,077 | $20,926 | $28,800 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 32 | $156,724 | $34,781 | $36,673 | 4.88 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 30 | $70,115 | $14,584 | $16,407 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 28 | $28,031 | $5,762 | $6,559 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 27 | $35,527 | $7,177 | $8,313 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $65,612 | $15,157 | $15,353 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $44,386 | $10,266 | $10,386 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $27,339 | $4,681 | $6,397 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $58,164 | $14,679 | $13,610 | 2.09 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 21 | $153,203 | $24,089 | $35,850 | 4.04 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 20 | $179,534 | $35,529 | $42,011 | 5.20 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $39,906 | $8,519 | $9,338 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 17 | $30,440 | $5,881 | $7,123 | 0.86 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 14 | $197,199 | $37,640 | $46,145 | 5.24 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $145,248 | $25,434 | $33,988 | 3.46 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 12 | $174,510 | $39,796 | $40,835 | 5.88 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $146,630 | $26,213 | $34,311 | 4.16 |
Infectious and parasitic diseases544 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 374 | $59,519 | $12,983 | $13,927 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 77 | $34,569 | $6,597 | $8,089 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 72 | $138,339 | $34,919 | $32,371 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 21 | $60,134 | $12,633 | $14,071 | 2.04 |
Musculoskeletal system and connective tissue335 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 61 | $77,343 | $13,523 | $18,098 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 33 | $38,985 | $6,322 | $9,123 | 0.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 32 | $88,976 | $28,855 | $20,820 | 4.61 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $76,306 | $14,307 | $17,856 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 29 | $109,757 | $22,177 | $25,683 | 3.66 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 22 | $68,245 | $11,702 | $15,969 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 21 | $97,141 | $18,895 | $22,731 | 2.95 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 19 | $134,140 | $19,548 | $31,389 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 19 | $44,393 | $10,562 | $10,388 | 1.70 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 18 | $129,236 | $40,345 | $30,241 | 6.12 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 14 | $123,715 | $25,727 | $28,949 | 3.46 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $47,269 | $7,519 | $11,061 | 1.09 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $66,069 | $18,803 | $15,460 | 2.96 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $68,295 | $15,960 | $15,981 | 2.40 |
Respiratory system230 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $45,885 | $8,529 | $10,737 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $44,019 | $10,210 | $10,301 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 35 | $37,642 | $9,081 | $8,808 | 1.40 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $44,171 | $8,552 | $10,336 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $72,959 | $19,055 | $17,072 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 15 | $146,535 | $33,727 | $34,289 | 4.71 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $83,499 | $17,558 | $19,539 | 2.55 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $40,940 | $7,077 | $9,580 | 1.05 |
Nervous system200 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 55 | $32,205 | $6,413 | $7,536 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $60,915 | $12,825 | $14,254 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 25 | $150,961 | $30,697 | $35,325 | 4.42 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 20 | $52,814 | $9,133 | $12,359 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 19 | $76,830 | $15,476 | $17,978 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $20,533 | $4,555 | $4,805 | 0.69 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $138,770 | $30,310 | $32,472 | 5.67 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $33,647 | $7,394 | $7,873 | 1.06 |
Kidney and urinary tract188 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 51 | $30,912 | $5,777 | $7,233 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $50,736 | $10,493 | $11,872 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $48,416 | $11,132 | $11,329 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $32,530 | $7,665 | $7,612 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $31,528 | $5,528 | $7,378 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $33,939 | $7,266 | $7,942 | 1.02 |
Digestive system150 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 45 | $31,768 | $6,702 | $7,434 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $54,541 | $11,279 | $12,763 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $28,116 | $4,781 | $6,579 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $31,282 | $4,688 | $7,320 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $82,884 | $16,181 | $19,395 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $44,302 | $11,877 | $10,367 | 1.75 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $44,595 | $8,648 | $10,435 | 1.28 |
Endocrine, nutritional and metabolic68 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 37 | $31,995 | $8,659 | $7,487 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $24,784 | $5,324 | $5,799 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $44,922 | $9,231 | $10,512 | 1.45 |
Other28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 15 | $193,455 | $30,736 | $45,268 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 13 | $85,428 | $15,894 | $19,990 | 2.49 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $69,656 | $15,877 | $16,299 | 2.32 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 328 | 312 | $15,656 | $1,935 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 217 | 216 | $17,258 | $2,068 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 189 | 162 | $5,969 | $1,345 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 167 | 152 | $10,764 | $1,126 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 151 | 140 | $53,882 | $10,008 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 136 | 135 | $128,097 | $19,299 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 104 | 82 | $16,102 | $2,209 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 101 | 100 | $59,651 | $8,208 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 87 | 87 | $25,655 | $3,999 | $4,358 |
| Level 2 Intraocular ProceduresAPC 5492 | 83 | 76 | $13,486 | $2,898 | $3,116 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 73 | 73 | $47,460 | $7,810 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 67 | 67 | $45,651 | $7,132 | $8,164 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 65 | 61 | $10,049 | $1,602 | $1,780 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 59 | 58 | $16,727 | $2,028 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 54 | $26,292 | $3,690 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 51 | 49 | $27,732 | $3,919 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 47 | $15,198 | $2,484 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 49 | $33,576 | $4,800 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 44 | 44 | $60,723 | $14,424 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 43 | 40 | $86,966 | $14,037 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 37 | 33 | $10,221 | $1,048 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 33 | 21 | $12,464 | $1,366 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 28 | $36,153 | $3,801 | $3,946 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 28 | $25,534 | $2,666 | $2,833 |
| Level 3 Intraocular ProceduresAPC 5493 | 24 | 20 | $18,681 | $3,730 | $4,004 |
| Level 5 ENT ProceduresAPC 5165 | 23 | 23 | $30,286 | $3,811 | $4,436 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 23 | $19,770 | $2,461 | $2,636 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 23 | 20 | $14,793 | $2,760 | $2,969 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 18 | $8,969 | $1,211 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $146,726 | $27,752 | $29,375 |
| Complex GI ProceduresAPC 5331 | 15 | 11 | $21,502 | $3,797 | $4,263 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $7,435 | $983 | $1,196 |
| Cochlear Implant ProcedureAPC 5166 | 14 | 14 | $95,551 | $28,319 | $29,489 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 12 | $16,556 | $2,118 | $2,373 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 12 | $11,548 | $2,231 | $2,389 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $14,445 | $2,749 | $2,888 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.