facebook tracking Level 2 Upper GI Procedures cost in California: 239 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in California

What 239 hospitals in California charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $19,065 Hospital list price billed
Average allowed $2,420 Medicare's payment + patient's share
Medicare paid $1,930 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $19,065 for level 2 upper gi procedures, about 7.9 times the average medicare-allowed amount of $2,420. That payment is 33% above 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 $2,420Billed $19,065

About 13¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 2 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 883 $34,290 $2,672 $2,130
Cedars-Sinai Medical CenterLos Angeles 768 $38,456 $2,317 $1,843
University of California San Diego Medical CenterSan Diego 674 $13,791 $2,336 $1,868
UCI Health-OrangeOrange 661 $13,241 $2,329 $1,860
Hoag Memorial Hospital PresbyterianNewport Beach 660 $9,801 $2,332 $1,855
Community Regional Medical CenterFresno 578 $15,587 $2,334 $1,861
UCLA Medical CenterLos Angeles 512 $11,601 $2,297 $1,825
UCSF Medical CenterSan Francisco 485 $20,460 $2,672 $2,128
USC University HospitalLos Angeles 465 $18,896 $2,327 $1,852
Mission Hospital Regional Med CenterMission Viejo 431 $6,815 $2,328 $1,879
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 387 $13,941 $2,693 $2,139
Scripps Green HospitalLa Jolla 383 $16,575 $2,334 $1,871
Enloe Medical CenterChico 343 $17,254 $2,333 $1,864
University of California Davis Medical CenterSacramento 342 $18,866 $2,361 $1,880
Santa Rosa Memorial HospitalSanta Rosa 334 $26,841 $2,665 $2,135
City of Hope Natl Medical CtrDuarte 319 $35,041 $2,339 $1,869
Memorial Medical CenterModesto 285 $12,969 $2,313 $1,848
Eisenhower Memorial HospitalRancho Mirage 262 $15,762 $2,325 $1,855
John Muir Medical Center - Walnut Creek CampusWalnut Creek 243 $38,562 $2,649 $2,118
El Camino HospitalMountain View 233 $21,023 $2,670 $2,134
Sutter General HospitalSacramento 225 $13,330 $2,648 $2,108
Sutter Medical Center of Santa RosaSanta Rosa 225 $12,920 $2,531 $2,023
St Jude Medical CenterFullerton 212 $12,714 $2,331 $1,858
Clovis Community Medical CenterClovis 197 $17,864 $2,339 $1,870
Santa Barbara Cottage HospitalSanta Barbara 174 $15,862 $2,494 $1,984
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 153 $9,923 $2,315 $1,844
Community Hospital of the Monterey PeninsulaMonterey 152 $17,000 $2,679 $2,142
Grossmont HospitalLa Mesa 143 $12,250 $2,339 $1,868
Stanford Health Care Tri-ValleyPleasanton 142 $29,580 $2,664 $2,128
Loma Linda University Medical CenterLoma Linda 142 $19,935 $2,339 $1,861
Sutter Roseville Medical CenterRoseville 139 $12,809 $2,404 $1,912
Los Robles Hospital & Medical CenterThousand Oaks 139 $38,324 $2,326 $1,853
Saint Agnes Medical CenterFresno 136 $11,868 $2,339 $1,865
Sharp Memorial HospitalSan Diego 130 $12,222 $2,314 $1,839
Marian Medical CenterSanta Maria 129 $20,700 $2,325 $1,842
Oroville HospitalOroville 128 $12,737 $2,339 $1,877
Saint John's Health CenterSanta Monica 127 $11,450 $2,295 $1,827
Scripps Memorial Hospital la JollaLa Jolla 127 $17,237 $2,310 $1,843
Providence Saint Joseph Medical CtrBurbank 121 $10,945 $2,339 $1,873
French Hospital Medical CenterSan Luis Obispo 118 $12,299 $2,319 $1,853
Torrance Memorial Medical CenterTorrance 115 $19,204 $2,339 $1,863
Marshall Medical Center (1-Rh)Placerville 112 $16,622 $2,430 $1,944
Marinhealth Medical CenterGreenbrae 112 $45,095 $2,657 $2,159
Sutter Auburn Faith HospitalAuburn 108 $11,959 $2,395 $1,938
Lodi Memorial HospitalLodi 107 $27,808 $2,389 $1,912
Kaweah Delta Medical CenterVisalia 102 $10,297 $2,321 $1,848
Sequoia HospitalRedwood City 99 $18,370 $2,658 $2,113
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 99 $12,282 $2,501 $1,999
Orange Coast Memorial Medical CenterFountain Valley 96 $20,472 $2,309 $1,833
Hanford Community Medical CenterHanford 95 $15,812 $2,339 $1,866
Dominican HospitalSanta Cruz 94 $17,592 $2,493 $1,991
Mercy HospitalBakersfield 94 $19,595 $2,320 $1,846
St Josephs Med Center of StocktonStockton 93 $25,251 $2,611 $2,080
Peninsula Medical CenterBurlingame 92 $11,778 $2,720 $2,170
St Joseph HospitalEureka 89 $21,614 $2,317 $1,844
Mercy Medical Center ReddingRedding 88 $6,532 $2,340 $1,858
Bakersfield Memorial HospitalBakersfield 87 $14,359 $2,340 $1,858
St Helena HospitalDeer Park 82 $21,325 $2,442 $1,943
Sutter Tracy Community HospitalTracy 82 $14,169 $2,389 $1,918
Sonora Community HospitalSonora 82 $19,142 $2,505 $2,012
St Johns Regional Medical CenterOxnard 79 $8,770 $2,324 $1,862
Santa Clara Valley Medical CenterSan Jose 78 $19,461 $2,679 $2,141
John Muir Medical Center - Concord CampusConcord 71 $36,747 $2,649 $2,115
Sutter Davis HospitalDavis 71 $12,340 $2,403 $1,922
PIH Health Hospital-WhittierWhittier 70 $13,929 $2,340 $1,857
Providence Little Company of Mary Med Ctr TorranceTorrance 68 $13,776 $2,339 $1,872
San Francisco General HospitalSan Francisco 67 $25,014 $2,720 $2,163
Adventist Health BakersfieldBakersfield 67 $12,124 $2,339 $1,868
Community Memorial Hospital - VenturaVentura 66 $12,291 $2,311 $1,836
Huntington Memorial HospitalPasadena 66 $20,901 $2,339 $1,873
Sierra Vista Regional Medical CenterSan Luis Obispo 65 $26,014 $2,339 $1,862
Pomona Valley Hospital Medical CenterPomona 64 $27,298 $2,339 $1,868
Scripps Mercy HospitalSan Diego 61 $15,859 $2,320 $1,845
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 61 $12,899 $2,642 $2,114
St Joseph HospitalOrange 60 $12,567 $2,339 $1,868
Glendale Adventist Medical CtrGlendale 60 $22,477 $2,320 $1,853
Scripps Memorial Hospital - EncinitasEncinitas 60 $17,439 $2,339 $1,870
Mercy San Juan Medical CenterCarmichael 57 $17,240 $2,430 $1,938
Mercy General HospitalSacramento 55 $14,127 $2,430 $1,943
Ukiah Valley Medical Center/Hospital DUkiah 54 $7,830 $2,469 $1,958
Washington HospitalFremont 52 $24,186 $2,679 $2,134
Good Samaritan HospitalSan Jose 50 $54,052 $2,679 $2,138
Verdugo Hills HospitalGlendale 47 $10,898 $2,315 $1,842
Doctors Hospital of MantecaManteca 46 $30,118 $2,348 $1,872
Salinas Valley Memorial HospitalSalinas 45 $21,180 $2,679 $2,138
Providence Holy Cross Medical CenterMission Hills 44 $12,541 $2,339 $1,865
Long Beach Memorial Medical CenterLong Beach 44 $29,627 $2,339 $1,864
Twin Cities Community HospitalTempleton 44 $19,952 $2,339 $1,875
Riverside Community HospitalRiverside 43 $20,993 $2,339 $1,866
Palomar Medical CenterEscondido 43 $12,136 $1,906 $1,432
Antelope Valley Hospital Med CenterLancaster 42 $9,780 $2,255 $1,778
Sutter Delta Medical CenterAntioch 39 $18,354 $2,649 $2,136
Henry Mayo Newhall Memorial HospitalValencia 39 $20,360 $2,244 $1,768
San Antonio Community HospitalUpland 37 $15,594 $2,340 $1,859
Corona Regional Medical CenterCorona 37 $17,223 $2,339 $1,873
Doctors Medical CenterModesto 36 $30,591 $2,339 $1,866
Emanuel Medical Center INCTurlock 35 $29,865 $2,336 $1,850
Lompoc Healthcare DistrictLompoc 34 $13,126 $2,339 $1,877
USC Arcadia HospitalArcadia 33 $10,254 $2,170 $1,677
Rideout Memorial HospitalMarysville 32 $17,991 $2,466 $1,973
Lac/Harbor-UCLA Med CenterTorrance 32 $10,613 $2,340 $1,858
Simi Valley Hospital & Health Care ServicesSimi Valley 31 $12,443 $2,275 $1,811
Kern Medical CenterBakersfield 29 $8,625 $2,294 $1,828
Northbay Medical CenterFairfield 29 $48,169 $2,662 $2,116
Alta Bates Summit Medical CenterOakland 28 $13,003 $2,642 $2,110
Glendale Mem Hospital & Hlth CenterGlendale 28 $20,344 $2,339 $1,865
West Hills Hospital & Medical CenterWest Hills 28 $57,895 $2,339 $1,864
Palmdale Regional Medical CenterLancaster 26 $28,184 $2,339 $1,866
Seton Medical CenterDaly City 26 $28,342 $2,664 $2,117
Riverside County Regional Medical CenterMoreno Valley 26 $21,683 $2,295 $1,810
Novato Community HospitalNovato 25 $13,676 $2,657 $2,133
Alhambra Hospital Medical CenterAlhambra 25 $15,799 $2,340 $1,858
Barton Memorial HospitalSouth Lake Tahoe 25 $24,709 $2,430 $1,945
Emanate Health Inter-Community HospitalCovina 25 $8,484 $2,340 $1,854
Monterey Park HospitalMonterey Park 25 $21,008 $2,340 $1,853
Sutter Solano Medical CenterVallejo 23 $11,704 $2,738 $2,181
Woodland Memorial HospitalWoodland 23 $11,980 $2,430 $1,944
Highland HospitalOakland 21 $13,441 $2,643 $2,094
Eden Medical CenterCastro Valley 21 $14,272 $2,642 $2,105
El Centro Regional Medical CenterEl Centro 20 $12,936 $2,281 $1,808
Sierra View District HospitalPorterville 20 $12,715 $2,339 $1,861
Sutter Coast HospitalCrescent City 20 $13,721 $2,505 $2,021
Los Angeles General Medical CenterLos Angeles 19 $6,785 $2,339 $1,861
UCI Health-Placentia LindaPlacentia 19 $21,576 $2,340 $1,855
San Gabriel Valley Medical CenterSan Gabriel 18 $8,337 $2,339 $1,864
John F Kennedy Memorial HospIndio 18 $17,422 $2,339 $1,866
College Medical CenterLong Beach 18 $12,452 $2,339 $1,870
White Memorial Medical CenterLos Angeles 17 $18,721 $2,340 $1,816
Sharp Chula Vista Medical CenterChula Vista 17 $9,380 $2,340 $1,859
Downey Regional Medical CenterDowney 17 $15,572 $2,339 $1,877
Northridge Hospital Medical CenterNorthridge 16 $22,122 $2,339 $1,864
Desert Regional Medical CenterPalm Springs 16 $22,386 $2,339 $1,864
Los Alamitos Medical CenterLos Alamitos 16 $23,203 $2,340 $1,859
Methodist Hospital of SacramentoSacramento 15 $17,604 $2,430 $1,939
Queen of the Valley Medical CenterNapa 14 $19,361 $2,665 $2,133
Dameron HospitalStockton 14 $30,268 $2,390 $1,895
Petaluma Valley HospitalPetaluma 14 $14,478 $2,395 $1,897
Valley Presbyterian HospitalVan Nuys 13 $11,798 $2,340 $1,849
Redlands Community HospitalRedlands 13 $12,361 $2,340 $1,849
Lakewood Regional Medical CenterLakewood 13 $21,199 $2,339 $1,863
Southwest Healthcare SystemMurrieta 13 $10,940 $2,339 $1,864
Providence Tarzana Medical CenterTarzana 13 $22,419 $2,339 $1,864
Temecula Valley HospitalTemecula 13 $21,038 $2,339 $1,873
Mercy Hospital of FolsomFolsom 12 $30,935 $2,430 $1,946
Mercy Medical Ctr MercedMerced 12 $18,689 $2,340 $1,847
Foothill Presbyterian HospitalGlendora 12 $14,171 $2,339 $1,883
Delano Regional Medical CenterDelano 12 $5,150 $2,339 $1,864
San Ramon Regional Medical CtrSan Ramon 12 $28,622 $2,649 $2,122
Providence Little Co of Mary Med Ctr San PedroLos Angeles 11 $9,786 $2,340 $1,847
Ventura County Medical CenterVentura 11 $7,403 $2,233 $1,779
St Mary Medical CenterApple Valley 11 $7,970 $2,339 $1,864
Palomar Medical Center PowayPoway 11 $14,142 $2,000 $1,529
Coast Plaza HospitalNorwalk 11 $24,200 $2,209 $1,732
Casa Colina HospitalPomona 11 $12,370 $2,339 $1,864
St Rose HospitalHayward – – – –
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Sutter Amador HospitalJackson – – – –
Paradise Valley HospitalNational City – – – –
Mad River Community HospitalArcata – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
St Elizabeth Community HospitalRed Bluff – – – –
San Gorgonio Memorial HospitalBanning – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
Oak Valley District HospitalOakdale – – – –
Kaiser Foundation Hospital - South San FranciscoMillbrae – – – –
Kaiser Foundation HospitalSanta Clara – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
Community and Mission Hospital of Huntington ParkHuntington Park – – – –
Parkview Community Hospital Medical CenterRiverside – – – –
Saint Francis Medical CenterLynwood – – – –
San Mateo Medical CenterSan Mateo – – – –
Tri-City Medical CenterOceanside – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Sierra Nevada Memorial HospitalGrass Valley – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
San Joaquin General HospitalFrench Camp – – – –
St Mary Medical CenterLong Beach – – – –
Watsonville Community HospitalWatsonville – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
Garden Grove Hospital & Medical CenterGarden Grove – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Arrowhead Regional Medical CenterColton – – – –
Natividad Medical CenterSalinas – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Hi-Desert Medical CenterJoshua Tree – – – –
Barstow Community HospitalBarstow – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Goleta Valley Cottage HospitalSanta Barbara – – – –
Hemet Valley Medical CenterHemet – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
West Anaheim Medical CenterAnaheim – – – –
St Mary's Medical CenterSan Francisco – – – –
Memorial Hospital of GardenaGardena – – – –
Good Samaritan HospitalLos Angeles – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Victor Valley Community HospitalVictorville – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
La Palma Intercommunity HospBuena Park – – – –
Chino Valley Medical CenterChino – – – –
San Dimas Community HospitalSan Dimas – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
East los Angeles Doctors HospitalLos Angeles – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
Los Angeles Community HospitalLos Angeles – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
Kaiser Foundation Hospital-Santa RosaSanta Rosa – – – –
Desert Valley HospitalVictorville – – – –
Kaiser Foundation Hospital - FresnoFresno – – – –
Kaiser Foundation Hospital - Baldwin ParkBaldwin Park – – – –
Stanislaus Surgical HospitalModesto – – – –
Whittier Hospital Medical CenterWhittier – – – –
Centinela Hospital Medical CenterInglewood – – – –
Marina del Rey HospitalMarina del Rey – – – –
Western Medical Center Hosp AnaheimAnaheim – – – –
Orange County Global Medical CenterSanta Ana – – – –
Kaiser Foundation Hospital MantecaManteca – – – –
Montclair Hospital Medical CenterMontclair – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Shasta Regional Medical CenterRedding – – – –
Kaiser Foundation Hospital - VacavilleVacaville – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Foothill Regional Medical CenterTustin – – – –
Colusa Medical CenterColusa – – – –
Level 2 Upper GI Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Palomar Medical CenterEscondido, CA$1,906
Palomar Medical Center PowayPoway, CA$2,000
USC Arcadia HospitalArcadia, CA$2,170
Coast Plaza HospitalNorwalk, CA$2,209
Ventura County Medical CenterVentura, CA$2,233

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

Level 2 Upper GI Procedures in other states

Alaska · $2,004 Connecticut · $2,108 Hawaii · $2,151 Massachusetts · $2,031 Nevada · $2,030 New Jersey · $2,013 New York · $2,088 Oregon · $2,019

Questions

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

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 239 hospitals in California was billed at $19,065 on average, while the average medicare-allowed amount was $2,420, of which Medicare paid $1,930. 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 California, average charges were 7.9 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.