University Health Care Hospitals And Clinics – Outpatient Hospital Services – Page 5

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 5378 RUCA 1

Level 8 Urology and Related Services

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

45

Beneficiary Count

43

Avg Medicare Allowed

$18,232.61

Avg Medicare Payment

$16,632.61

Avg Total Charges

$50,163.41

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 5414 RUCA 1

Level 4 Gynecologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

47

Beneficiary Count

45

Avg Medicare Allowed

$2,735.46

Avg Medicare Payment

$2,179.47

Avg Total Charges

$8,305.01

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 5415 RUCA 1

Level 5 Gynecologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

54

Beneficiary Count

54

Avg Medicare Allowed

$4,484.39

Avg Medicare Payment

$3,569.58

Avg Total Charges

$14,517.82

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5416 RUCA 1

Level 6 Gynecologic Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

39

Beneficiary Count

39

Avg Medicare Allowed

$6,700.64

Avg Medicare Payment

$5,320.08

Avg Total Charges

$25,328.35

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5431 RUCA 1

Level 1 Nerve Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

778

Beneficiary Count

614

Avg Medicare Allowed

$1,709.00

Avg Medicare Payment

$1,356.31

Avg Total Charges

$7,012.83

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5432 RUCA 1

Level 2 Nerve Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

18

Beneficiary Count

17

Avg Medicare Allowed

$5,977.65

Avg Medicare Payment

$4,762.68

Avg Total Charges

$25,092.55

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5461 RUCA 1

Level 1 Neurostimulator and Related Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

12

Beneficiary Count

12

Avg Medicare Allowed

$3,142.03

Avg Medicare Payment

$2,503.41

Avg Total Charges

$9,431.07

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 5462 RUCA 1

Level 2 Neurostimulator and Related Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

66

Beneficiary Count

56

Avg Medicare Allowed

$6,234.76

Avg Medicare Payment

$4,936.18

Avg Total Charges

$17,332.95

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5463 RUCA 1

Level 3 Neurostimulator and Related Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

19

Beneficiary Count

18

Avg Medicare Allowed

$11,549.08

Avg Medicare Payment

$9,932.60

Avg Total Charges

$123,313.43

Outlier Services

16

Avg Outlier Amount

$17,046.41

RUCA Classification

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

APC 5464 RUCA 1

Level 4 Neurostimulator and Related Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

21

Beneficiary Count

19

Avg Medicare Allowed

$20,762.82

Avg Medicare Payment

$19,162.82

Avg Total Charges

$58,726.31

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5465 RUCA 1

Level 5 Neurostimulator and Related Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

48

Beneficiary Count

48

Avg Medicare Allowed

$28,319.95

Avg Medicare Payment

$26,719.95

Avg Total Charges

$74,400.06

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5471 RUCA 1

Implantation of Drug Infusion Device

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

22

Beneficiary Count

19

Avg Medicare Allowed

$15,011.65

Avg Medicare Payment

$13,411.65

Avg Total Charges

$38,032.59

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

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