Complex GI Procedures in New Hampshire
What 12 hospitals in New Hampshire charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$28,018
Hospital list price billed
Average allowed
$5,639
Medicare's payment + patient's share
Medicare paid
$4,490
Average per service
State rank
#37 of 48
1 = lowest average payment
Hospitals in New Hampshire billed an average of $28,018 for complex gi procedures, about 5.0 times the average medicare-allowed amount of $5,639. That payment is 5% above 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 $5,639Billed $28,018
About 20¢ was paid for every $1 hospitals in New Hampshire billed for this service.
New Hampshire hospitals: complex gi procedures
Every New Hampshire hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mary Hitchcock Mem HospitalLebanon | 48 | $25,440 | $5,762 | $4,587 |
| Concord HospitalConcord | 17 | $27,775 | $5,436 | $4,331 |
| Wentworth-Douglass HospitalDover | 14 | $37,152 | $5,464 | $4,354 |
| Concord Hospital- LaconiaLaconia | – | – | – | – |
| St Joseph HospitalNashua | – | – | – | – |
| Elliot HospitalManchester | – | – | – | – |
| Frisbie Memorial HospitalRochester | – | – | – | – |
| Cheshire Medical CenterKeene | – | – | – | – |
| Southern Nh Medical CenterNashua | – | – | – | – |
| Exeter HospitalExeter | – | – | – | – |
| Portsmouth Regional HospitalPortsmouth | – | – | – | – |
| Catholic Medical CenterManchester | – | – | – | – |
Lowest and highest allowed amounts in New Hampshire
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
| Concord HospitalConcord, NH | $5,436 |
|---|---|
| Wentworth-Douglass HospitalDover, NH | $5,464 |
| Mary Hitchcock Mem HospitalLebanon, NH | $5,762 |
Highest
| Mary Hitchcock Mem HospitalLebanon, NH | $5,762 |
|---|---|
| Wentworth-Douglass HospitalDover, NH | $5,464 |
| Concord HospitalConcord, NH | $5,436 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in New Hampshire?
In 2024 Medicare data, complex gi procedures (APC 5331) at 12 hospitals in New Hampshire was billed at $28,018 on average, while the average medicare-allowed amount was $5,639, of which Medicare paid $4,490. 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 New Hampshire, average charges were 5.0 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.