University Health Care Hospitals And Clinics – Outpatient Hospital Services – Page 6

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 5491 RUCA 1

Level 1 Intraocular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

1,680

Beneficiary Count

1,090

Avg Medicare Allowed

$2,047.15

Avg Medicare Payment

$1,622.52

Avg Total Charges

$6,957.05

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 5492 RUCA 1

Level 2 Intraocular Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

355

Beneficiary Count

283

Avg Medicare Allowed

$3,830.12

Avg Medicare Payment

$3,047.30

Avg Total Charges

$12,868.97

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

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

APC 5493 RUCA 1

Level 3 Intraocular 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 5494 RUCA 1

Level 4 Intraocular 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 5503 RUCA 1

Level 3 Extraocular, Repair, and Plastic Eye Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

276

Beneficiary Count

252

Avg Medicare Allowed

$1,998.07

Avg Medicare Payment

$1,588.83

Avg Total Charges

$5,889.03

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 5504 RUCA 1

Level 4 Extraocular, Repair, and Plastic Eye Procedures

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

35

Beneficiary Count

34

Avg Medicare Allowed

$3,381.79

Avg Medicare Payment

$2,694.43

Avg Total Charges

$10,428.77

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 5627 RUCA 1

Level 7 Radiation Therapy

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

42

Beneficiary Count

41

Avg Medicare Allowed

$7,299.24

Avg Medicare Payment

$5,786.96

Avg Total Charges

$64,704.30

Outlier Services

41

Avg Outlier Amount

$5,422.04

RUCA Classification

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

APC 8011 RUCA 1

Comprehensive Observation Services

50 North Medical Drive, Salt Lake City, UT 84132

Service Count

130

Beneficiary Count

124

Avg Medicare Allowed

$2,316.06

Avg Medicare Payment

$1,847.52

Avg Total Charges

$14,925.54

Outlier Services

11

Avg Outlier Amount

$5,871.13

RUCA Classification

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