facebook tracking Level 2 Upper GI Procedures cost in Alabama: 61 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Alabama

What 61 hospitals in Alabama charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $16,831 Hospital list price billed
Average allowed $1,560 Medicare's payment + patient's share
Medicare paid $1,233 Average per service
State rank #3 of 49 1 = lowest average payment

Hospitals in Alabama billed an average of $16,831 for level 2 upper gi procedures, about 10.8 times the average medicare-allowed amount of $1,560. That payment is 14% below the U.S. average 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.

Paid $1,560Billed $16,831

About 9¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 2 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Northeast Alabama Regional Med CenterAnniston 577 $15,186 $1,680 $1,327
University of Alabama HospitalBirmingham 452 $14,117 $1,527 $1,205
Grandview Medical CenterBirmingham 396 $38,359 $1,520 $1,198
Crestwood Medical CenterHuntsville 284 $32,260 $1,565 $1,238
Huntsville HospitalHuntsville 176 $7,270 $1,542 $1,218
Russell HospitalAlexander City 160 $4,656 $1,558 $1,236
USA Health University HospitalMobile 155 $7,631 $1,541 $1,223
Mobile InfirmaryMobile 154 $5,888 $1,500 $1,182
Thomas HospitalFairhope 151 $6,061 $1,548 $1,226
North Alabama Medical CenterFlorence 148 $12,120 $1,520 $1,213
Southeast Alabama Medical CenterDothan 110 $11,944 $1,574 $1,247
Marshall Medical Center SouthBoaz 101 $5,519 $1,548 $1,230
Gadsden Regional Medical CenterGadsden 96 $38,422 $1,516 $1,187
Medical West, an Affiliate of UAB Health SystemBessemer 95 $6,336 $1,536 $1,220
Jackson Hospital & Clinic INCMontgomery 91 $7,856 $1,495 $1,186
Providence HospitalMobile 88 $4,793 $1,538 $1,218
Springhill Medical CenterMobile 87 $11,281 $1,484 $1,163
South Baldwin Regional Medical CenterFoley 85 $27,556 $1,537 $1,214
Riverview Regional Medical CenterGadsden 81 $11,623 $1,562 $1,236
Flowers HospitalDothan 81 $66,416 $1,584 $1,250
Helen Keller Memorial HospitalSheffield 67 $6,747 $1,540 $1,224
Dekalb Regional Medical CenterFort Payne 62 $15,519 $1,648 $1,310
D C H Regional Medical CenterTuscaloosa 54 $7,336 $1,642 $1,297
Brookwood Medical CenterBirmingham 43 $20,223 $1,530 $1,207
St Vincent's BirminghamBirmingham 42 $17,177 $1,558 $1,232
Andalusia Regional HospitalAndalusia 36 $11,143 $1,592 $1,263
Baptist Medical Center EastMontgomery 35 $5,354 $1,508 $1,195
Coosa Valley Medical CenterSylacauga 34 $8,357 $1,545 $1,224
St Vincent's St ClairPell City 27 $8,704 $1,589 $1,256
Cullman Regional Medical CenterCullman 24 $5,570 $1,628 $1,286
Athens-Limestone HospitalAthens 23 $7,453 $1,242 $967
St Vincent's EastBirmingham 22 $16,299 $1,588 $1,266
East Alabama Medical Center and SnfOpelika 22 $4,666 $1,683 $1,345
Medical Center EnterpriseEnterprise 21 $40,275 $1,499 $1,180
Princeton Baptist Medical CenterBirmingham 20 $20,807 $1,525 $1,202
Community Hospital INCTallassee 18 $2,929 $1,598 $1,267
Decatur General HospitalDecatur 18 $10,476 $1,607 $1,270
Baptist Medical Center SouthMontgomery 17 $5,618 $1,555 $1,244
Walker Baptist Medical CenterJasper 15 $24,329 $1,503 $1,166
Highlands Medical CenterScottsboro 14 $6,273 $1,742 $1,384
Troy Regional Medical CenterTroy 14 $9,586 $1,514 $1,189
Citizens Baptist Medical CenterTalladega 13 $20,358 $1,492 $1,172
North Baldwin InfirmaryBay Minette 12 $4,614 $1,381 $1,067
Mizell Memorial HospitalOpp – – – –
Shelby Baptist Medical CenterAlabaster – – – –
Dale Medical CenterOzark – – – –
Wiregrass Medical CenterGeneva – – – –
Medical Center BarbourEufaula – – – –
Clay County HospitalAshland – – – –
North Mississippi Health Services - South MarionWinfield – – – –
Elmore Community HospitalWetumpka – – – –
D W McMillan Memorial HospitalBrewton – – – –
Prattville Baptist HospitalPrattville – – – –
Bryan W Whitfield Mem Hosp INCDemopolis – – – –
Vaughan Reg Med Center Parkway CampusSelma – – – –
Monroe County HospitalMonroeville – – – –
L V Stabler Memorial HospitalGreenville – – – –
Shoals HospitalMuscle Shoals – – – –
Russellville HospitalRussellville – – – –
Jack Hughston Memorial HospitalPhenix City – – – –
St Vincent's ChiltonClanton – – – –
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Lowest and highest allowed amounts in Alabama

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

Athens-Limestone HospitalAthens, AL$1,242
North Baldwin InfirmaryBay Minette, AL$1,381
Springhill Medical CenterMobile, AL$1,484
Citizens Baptist Medical CenterTalladega, AL$1,492
Jackson Hospital & Clinic INCMontgomery, AL$1,495

Highest

Level 2 Upper GI Procedures in other states

Questions

How much does level 2 upper gi procedures cost in Alabama?

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 61 hospitals in Alabama was billed at $16,831 on average, while the average medicare-allowed amount was $1,560, of which Medicare paid $1,233. 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 Alabama, average charges were 10.8 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.