What 22 hospitals in Mississippi charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Hospitals in Mississippi billed an average of $49,776 for complex gi procedures, about 10.5 times the average medicare-allowed amount of $4,740. That payment is 12% 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.
About 10¢ was paid for every $1 hospitals in Mississippi billed for this service.
Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Forrest General HospitalHattiesburg, MS | $4,654 |
|---|---|
| Singing River GulfportGulfport, MS | $4,654 |
| University of Mississippi Med CenterJackson, MS | $4,771 |
| River Oaks HospitalFlowood, MS | $4,771 |
| River Oaks HospitalFlowood, MS | $4,771 |
|---|---|
| University of Mississippi Med CenterJackson, MS | $4,771 |
| Singing River GulfportGulfport, MS | $4,654 |
| Forrest General HospitalHattiesburg, MS | $4,654 |
In 2024 Medicare data, complex gi procedures (APC 5331) at 22 hospitals in Mississippi was billed at $49,776 on average, while the average medicare-allowed amount was $4,740, of which Medicare paid $3,773. Your own cost depends on your insurance, deductible and the hospital.
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 Mississippi, average charges were 10.5 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.