What 61 hospitals in Alabama charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
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.
About 9¢ was paid for every $1 hospitals in Alabama billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| Highlands Medical CenterScottsboro, AL | $1,742 |
|---|---|
| East Alabama Medical Center and SnfOpelika, AL | $1,683 |
| Northeast Alabama Regional Med CenterAnniston, AL | $1,680 |
| Dekalb Regional Medical CenterFort Payne, AL | $1,648 |
| D C H Regional Medical CenterTuscaloosa, AL | $1,642 |
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.
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.