University Health Care Hospitals And Clinics – Outpatient Hospital Services – Page 2

All Outpatient Hospital Services

This section provides data about outpatient hospital services provided by the facility. It includes details such as the 'Service Count,' which indicates how many services were provided, and the 'Beneficiary Count,' showing how many individuals received care. The 'Avg Total Charges' reflects the average charge for the services rendered, while the 'Avg Medicare Allowed' and 'Avg Medicare Payment' show the typical amount reimbursed by Medicare. The 'Outlier Services' represents any services that fall outside the normal cost range, with 'Avg Outlier Amount' showing the typical payment for these services. The 'RUCA Classification' gives information about the facility’s location, indicating whether it is in a metropolitan area or rural area.

APC 5153 RUCA 1

Level 3 Airway Endoscopy

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

151

Beneficiary Count

119

Avg Medicare Allowed

$1,512.77

Avg Medicare Payment

$1,200.66

Avg Total Charges

$4,102.22

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5154 RUCA 1

Level 4 Airway Endoscopy

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

200

Beneficiary Count

154

Avg Medicare Allowed

$3,148.11

Avg Medicare Payment

$2,492.58

Avg Total Charges

$10,560.01

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5155 RUCA 1

Level 5 Airway Endoscopy

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

75

Beneficiary Count

70

Avg Medicare Allowed

$5,858.63

Avg Medicare Payment

$4,642.00

Avg Total Charges

$23,607.47

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5163 RUCA 1

Level 3 ENT Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

17

Beneficiary Count

17

Avg Medicare Allowed

$1,342.98

Avg Medicare Payment

$1,070.02

Avg Total Charges

$3,231.20

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5164 RUCA 1

Level 4 ENT Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

26

Beneficiary Count

24

Avg Medicare Allowed

$2,688.95

Avg Medicare Payment

$2,142.41

Avg Total Charges

$9,060.38

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5165 RUCA 1

Level 5 ENT Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

109

Beneficiary Count

107

Avg Medicare Allowed

$5,090.44

Avg Medicare Payment

$4,040.44

Avg Total Charges

$16,837.51

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5166 RUCA 1

Cochlear Implant Procedure

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

34

Beneficiary Count

34

Avg Medicare Allowed

$30,486.90

Avg Medicare Payment

$28,894.53

Avg Total Charges

$70,728.88

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5182 RUCA 1

Level 2 Vascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

101

Beneficiary Count

99

Avg Medicare Allowed

$1,430.89

Avg Medicare Payment

$1,139.86

Avg Total Charges

$5,980.44

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5183 RUCA 1

Level 3 Vascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

362

Beneficiary Count

302

Avg Medicare Allowed

$2,837.61

Avg Medicare Payment

$2,254.40

Avg Total Charges

$10,470.41

Outlier Services

22

Avg Outlier Amount

$4,457.35

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5184 RUCA 1

Level 4 Vascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

135

Beneficiary Count

111

Avg Medicare Allowed

$4,258.34

Avg Medicare Payment

$3,374.93

Avg Total Charges

$22,004.37

Outlier Services

11

Avg Outlier Amount

$4,753.09

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5191 RUCA 1

Level 1 Endovascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

299

Beneficiary Count

287

Avg Medicare Allowed

$2,794.39

Avg Medicare Payment

$1,944.08

Avg Total Charges

$12,833.70

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5192 RUCA 1

Level 2 Endovascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

109

Beneficiary Count

96

Avg Medicare Allowed

$4,971.98

Avg Medicare Payment

$3,946.42

Avg Total Charges

$17,334.35

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater