Level 2 Upper GI Procedures
What 2,698 hospitals in the U.S. charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$13,589
Hospital list price billed
Average allowed
$1,815
Medicare's payment + patient's share
Medicare paid
$1,444
Average per service
Volume
208,333
Medicare services
Hospitals in the U.S. billed an average of $13,589 for level 2 upper gi procedures, about 7.5 times the average medicare-allowed amount of $1,815.
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.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Rutland Regional Medical CenterRutland, VT | $827 |
|---|---|
| Central Vermont Medical CenterGraniteville-East Barre, VT | $839 |
| Northwestern Medical CenterSt Albans, VT | $866 |
| Memorial Hospital at GulfportGulfport, MS | $928 |
| Southwestern Vermont Medical CenterBennington, VT | $950 |
| Brattleboro Memorial HospitalBrattleboro, VT | $1,007 |
| Metrohealth SystemCleveland, OH | $1,046 |
| Marietta Memorial HospitalMarietta, OH | $1,082 |
| Fletcher Allen Hospital of VermontBurlington, VT | $1,166 |
| Gettysburg HospitalGettysburg, PA | $1,232 |
Highest
| Sutter Solano Medical CenterVallejo, CA | $2,738 |
|---|---|
| San Francisco General HospitalSan Francisco, CA | $2,720 |
| Peninsula Medical CenterBurlingame, CA | $2,720 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $2,693 |
| Washington HospitalFremont, CA | $2,679 |
| Good Samaritan HospitalSan Jose, CA | $2,679 |
| Salinas Valley Memorial HospitalSalinas, CA | $2,679 |
| Santa Clara Valley Medical CenterSan Jose, CA | $2,679 |
| Community Hospital of the Monterey PeninsulaMonterey, CA | $2,679 |
| UCSF Medical CenterSan Francisco, CA | $2,672 |
Level 2 Upper GI Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 61 | $16,831 | $1,560 | $1,242 – $1,742 |
| Alaska | 6 | $17,772 | $2,004 | $1,934 – $2,103 |
| Arizona | 47 | $14,473 | $1,861 | $1,693 – $2,040 |
| Arkansas | 38 | $8,297 | $1,633 | $1,558 – $1,748 |
| California | 239 | $19,065 | $2,420 | $1,906 – $2,738 |
| Colorado | 45 | $14,815 | $1,819 | $1,778 – $1,940 |
| Connecticut | 26 | $10,695 | $2,108 | $1,995 – $2,273 |
| Delaware | 6 | $8,455 | $1,902 | $1,883 – $1,914 |
| Florida | 163 | $18,896 | $1,708 | $1,609 – $1,846 |
| Georgia | 89 | $14,974 | $1,689 | $1,127 – $1,858 |
| Hawaii | 11 | $11,465 | $2,151 | $2,110 – $2,344 |
| Idaho | 14 | $8,276 | $1,765 | $1,675 – $1,842 |
| Illinois | 108 | $13,648 | $1,792 | $1,646 – $1,883 |
| Indiana | 71 | $13,090 | $1,712 | $1,650 – $1,841 |
| Iowa | 31 | $10,612 | $1,637 | $1,559 – $1,844 |
| Kansas | 36 | $10,784 | $1,651 | $1,531 – $1,804 |
| Kentucky | 59 | $13,387 | $1,639 | $1,562 – $1,760 |
| Louisiana | 63 | $12,075 | $1,585 | $1,488 – $1,632 |
| Maine | 17 | $8,372 | $1,741 | $1,607 – $1,818 |
| Massachusetts | 53 | $8,334 | $2,031 | $1,978 – $2,130 |
| Michigan | 81 | $8,678 | $1,680 | $1,611 – $1,789 |
| Minnesota | 47 | $10,690 | $1,861 | $1,754 – $1,940 |
| Mississippi | 43 | $15,392 | $1,477 | $928 – $1,706 |
| Missouri | 65 | $9,688 | $1,657 | $1,586 – $1,864 |
| Montana | 10 | $7,994 | $1,811 | $1,630 – $1,903 |
| Nebraska | 19 | $10,109 | $1,699 | $1,571 – $1,847 |
| Nevada | 19 | $24,290 | $2,030 | $1,969 – $2,310 |
| New Hampshire | 13 | $12,954 | $1,858 | $1,777 – $1,944 |
| New Jersey | 59 | $16,802 | $2,013 | $1,782 – $2,165 |
| New Mexico | 19 | $11,873 | $1,729 | $1,625 – $1,908 |
| New York | 124 | $15,167 | $2,088 | $807 – $2,203 |
| North Carolina | 79 | $11,316 | $1,687 | $1,596 – $1,849 |
| North Dakota | 6 | $9,037 | $1,794 | $1,755 – $1,894 |
| Ohio | 112 | $10,335 | $1,607 | $1,046 – $1,829 |
| Oklahoma | 56 | $14,152 | $1,632 | $1,546 – $1,756 |
| Oregon | 32 | $9,225 | $2,019 | $1,877 – $2,474 |
| Pennsylvania | 120 | $15,417 | $1,762 | $1,232 – $2,006 |
| Rhode Island | 10 | $8,528 | $1,919 | $1,909 – $1,931 |
| South Carolina | 48 | $14,051 | $1,625 | $1,457 – $1,777 |
| South Dakota | 13 | $9,454 | $1,801 | $1,724 – $1,911 |
| Tennessee | 70 | $11,305 | $1,593 | $1,295 – $1,739 |
| Texas | 223 | $16,207 | $1,687 | $1,478 – $1,834 |
| Utah | 31 | $7,943 | $1,674 | $1,466 – $1,826 |
| Vermont | 6 | $8,946 | $1,027 | $827 – $1,166 |
| Virginia | 66 | $13,791 | $1,691 | $1,575 – $1,856 |
| Washington | 44 | $10,810 | $1,935 | $1,816 – $2,116 |
| West Virginia | 21 | $9,600 | $1,594 | $1,233 – $1,763 |
| Wisconsin | 62 | $11,674 | $1,748 | $1,648 – $1,844 |
| Wyoming | 10 | $10,955 | $1,859 | $1,749 – $1,911 |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester, MN | 1,680 | $14,105 | $1,940 |
| NYU Hospitals CenterNew York, NY | 1,238 | $32,122 | $2,134 |
| Cleveland Clinic - Main CampusCleveland, OH | 1,059 | $8,281 | $1,507 |
| New York-Presbyterian HospitalNew York, NY | 973 | $16,537 | $2,143 |
| Mayo ClinicJacksonville, FL | 970 | $14,006 | $1,681 |
| Univ of Tx M D Anderson CtrHouston, TX | 969 | $14,657 | $1,753 |
| Mem Sloan-Kettering Cancer CtrNew York, NY | 959 | $13,306 | $2,150 |
| Beth Israel Deaconess Medical CenterBoston, MA | 945 | $7,318 | $2,035 |
| Stanford HospitalPalo Alto, CA | 883 | $34,290 | $2,672 |
| Massachusetts General HospitalBoston, MA | 846 | $8,210 | $2,028 |
| Adventhealth OrlandoOrlando, FL | 823 | $18,952 | $1,699 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 768 | $38,456 | $2,317 |
| Mayo Clinic HospitalPhoenix, AZ | 746 | $15,551 | $1,832 |
| Northwestern Memorial HospitalChicago, IL | 743 | $16,536 | $1,833 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | 741 | $11,980 | $1,761 |
Questions
How much does level 2 upper gi procedures cost in the U.S.?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 2,698 hospitals in the U.S. was billed at $13,589 on average, while the average medicare-allowed amount was $1,815, of which Medicare paid $1,444. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 2 upper gi procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,420), Hawaii ($2,151), Connecticut ($2,108) and lowest in Vermont ($1,027), Mississippi ($1,477), Alabama ($1,560).
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 the U.S., average charges were 7.5 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.