facebook tracking Complex GI Procedures cost in Mississippi: 22 hospitals compared (APC 5331)

Complex GI Procedures in Mississippi

What 22 hospitals in Mississippi charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.

APC 5331 Outpatient 2024 Medicare data
Average charge $49,776 Hospital list price billed
Average allowed $4,740 Medicare's payment + patient's share
Medicare paid $3,773 Average per service
State rank #8 of 48 1 = lowest average payment

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.

Paid $4,740Billed $49,776

About 10¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: complex gi procedures

Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
University of Mississippi Med CenterJackson 31 $22,842 $4,771 $3,801
River Oaks HospitalFlowood 31 $78,117 $4,771 $3,794
Forrest General HospitalHattiesburg 11 $19,581 $4,654 $3,708
Singing River GulfportGulfport 11 $76,005 $4,654 $3,701
North Mississippi Medical CenterTupelo – – – –
Memorial Hospital at GulfportGulfport – – – –
Baptist Memorial Hospital North MsOxford – – – –
George County HospitalLucedale – – – –
Singing River HospitalPascagoula – – – –
Baptist Memorial Hospital BoonevilleBooneville – – – –
St Dominic-Jackson Memorial HospitalJackson – – – –
South Central Regional Med CtrLaurel – – – –
Rush Foundation HospitalMeridian – – – –
Wayne General HospitalWaynesboro – – – –
Natchez Regional Medical CtrNatchez – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Mississippi Baptist Medical CenterJackson – – – –
Anderson Regional Medical CenterMeridian – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
University of Mississippi Medical Center- GrenadaGrenada – – – –
Panola Medical CenterBatesville – – – –
Advertisement

Lowest and highest allowed amounts in Mississippi

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

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

Highest

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

Complex GI Procedures in other states

Questions

How much does complex gi procedures cost in Mississippi?

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.

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 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.