University Health Care Hospitals And Clinics – Outpatient Hospital Services – Page 3

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 5193 RUCA 1

Level 3 Endovascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

119

Beneficiary Count

107

Avg Medicare Allowed

$10,187.45

Avg Medicare Payment

$8,587.45

Avg Total Charges

$39,735.55

Outlier Services

21

Avg Outlier Amount

$2,026.39

RUCA Classification

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

APC 5194 RUCA 1

Level 4 Endovascular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

15

Beneficiary Count

15

Avg Medicare Allowed

$16,030.47

Avg Medicare Payment

$14,483.80

Avg Total Charges

$55,530.68

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5200 RUCA 1

Implantation Wireless PA Pressure Monitor

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5211 RUCA 1

Level 1 Electrophysiologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5212 RUCA 1

Level 2 Electrophysiologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5213 RUCA 1

Level 3 Electrophysiologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

156

Beneficiary Count

152

Avg Medicare Allowed

$22,387.10

Avg Medicare Payment

$20,787.10

Avg Total Charges

$60,193.93

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 5222 RUCA 1

Level 2 Pacemaker and Similar Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

39

Beneficiary Count

39

Avg Medicare Allowed

$7,897.13

Avg Medicare Payment

$6,297.13

Avg Total Charges

$20,896.76

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 5223 RUCA 1

Level 3 Pacemaker and Similar Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

64

Beneficiary Count

64

Avg Medicare Allowed

$9,984.14

Avg Medicare Payment

$8,384.14

Avg Total Charges

$25,959.49

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5224 RUCA 1

Level 4 Pacemaker and Similar Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

18

Beneficiary Count

18

Avg Medicare Allowed

$18,023.15

Avg Medicare Payment

$16,423.15

Avg Total Charges

$46,027.75

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 5231 RUCA 1

Level 1 ICD and Similar Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

NA

Beneficiary Count

NA

Avg Medicare Allowed

NA

Avg Medicare Payment

NA

Avg Total Charges

NA

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5232 RUCA 1

Level 2 ICD and Similar Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

37

Beneficiary Count

37

Avg Medicare Allowed

$30,938.70

Avg Medicare Payment

$29,338.70

Avg Total Charges

$85,020.61

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5302 RUCA 1

Level 2 Upper GI Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

508

Beneficiary Count

393

Avg Medicare Allowed

$1,610.67

Avg Medicare Payment

$1,279.41

Avg Total Charges

$6,293.89

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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