Complex GI Procedures in Kansas
What 20 hospitals in Kansas charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$27,030
Hospital list price billed
Average allowed
$4,777
Medicare's payment + patient's share
Medicare paid
$3,785
Average per service
State rank
#13 of 48
1 = lowest average payment
Hospitals in Kansas billed an average of $27,030 for complex gi procedures, about 5.7 times the average medicare-allowed amount of $4,777. 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 $4,777Billed $27,030
About 18¢ was paid for every $1 hospitals in Kansas billed for this service.
Kansas hospitals: complex gi procedures
Every Kansas hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Kansas
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
| University of Kansas HospitalKansas City, KS | $4,565 |
|---|---|
| Menorah Medical CenterShawnee Mission, KS | $4,825 |
| Kansas Medical Center LLCAndover, KS | $4,866 |
| Via Christi Hospitals Wichita INCWichita, KS | $4,866 |
| Wesley Medical CenterWichita, KS | $4,866 |
Highest
| Salina Regional Health CenterSalina, KS | $5,211 |
|---|---|
| Wesley Medical CenterWichita, KS | $4,866 |
| Via Christi Hospitals Wichita INCWichita, KS | $4,866 |
| Kansas Medical Center LLCAndover, KS | $4,866 |
| Menorah Medical CenterShawnee Mission, KS | $4,825 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Kansas?
In 2024 Medicare data, complex gi procedures (APC 5331) at 20 hospitals in Kansas was billed at $27,030 on average, while the average medicare-allowed amount was $4,777, of which Medicare paid $3,785. 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 Kansas, average charges were 5.7 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.