Complex GI Procedures in Arkansas
What 21 hospitals in Arkansas charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$21,932
Hospital list price billed
Average allowed
$4,783
Medicare's payment + patient's share
Medicare paid
$3,786
Average per service
State rank
#14 of 48
1 = lowest average payment
Hospitals in Arkansas billed an average of $21,932 for complex gi procedures, about 4.6 times the average medicare-allowed amount of $4,783. That payment is 11% below the U.S. average of $5,364.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $4,783Billed $21,932
About 22¢ was paid for every $1 hospitals in Arkansas billed for this service.
Arkansas hospitals: complex gi procedures
Every Arkansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Arkansas
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Baptist Health Medical Center-Little RockLittle Rock, AR | $4,611 |
|---|---|
| University of Arkansas Medical SciencesLittle Rock, AR | $4,808 |
| Baxter Regional Medical CenterMountain Home, AR | $5,149 |
| St Vincent Infirmary Medical CenterLittle Rock, AR | $5,235 |
Highest
| St Vincent Infirmary Medical CenterLittle Rock, AR | $5,235 |
|---|---|
| Baxter Regional Medical CenterMountain Home, AR | $5,149 |
| University of Arkansas Medical SciencesLittle Rock, AR | $4,808 |
| Baptist Health Medical Center-Little RockLittle Rock, AR | $4,611 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Arkansas?
In 2024 Medicare data, complex gi procedures (APC 5331) at 21 hospitals in Arkansas was billed at $21,932 on average, while the average medicare-allowed amount was $4,783, of which Medicare paid $3,786. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Arkansas, average charges were 4.6 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.