facebook tracking Level 2 Upper GI Procedures cost in Illinois: 108 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Illinois

What 108 hospitals in Illinois charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $13,648 Hospital list price billed
Average allowed $1,792 Medicare's payment + patient's share
Medicare paid $1,429 Average per service
State rank #29 of 49 1 = lowest average payment

Hospitals in Illinois billed an average of $13,648 for level 2 upper gi procedures, about 7.6 times the average medicare-allowed amount of $1,792. That payment is 1% 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 $1,792Billed $13,648

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

Illinois hospitals: level 2 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Northwestern Memorial HospitalChicago 743 $16,536 $1,833 $1,460
Silver Cross HospitalJoliet 508 $5,605 $1,781 $1,420
Evanston HospitalEvanston 455 $11,471 $1,771 $1,417
Central Dupage HospitalWinfield 400 $18,932 $1,796 $1,438
Edward HospitalNaperville 364 $14,906 $1,784 $1,415
Northwest Community HospitalArlington Heights 359 $8,337 $1,796 $1,424
Rush University Medical CenterChicago 357 $15,755 $1,842 $1,466
The University of Chicago Medical CenterChicago 341 $21,416 $1,799 $1,425
Saint Francis Medical CenterPeoria 307 $12,390 $1,740 $1,386
Advocate Lutheran General HospitalPark Ridge 294 $10,586 $1,788 $1,425
Carle Foundation HospitalUrbana 291 $10,147 $1,688 $1,346
Advocate Christ Hospital & Medical CenterOak Lawn 262 $8,824 $1,791 $1,422
Lake Forest HospitalLake Forest 217 $22,724 $1,782 $1,435
Delnor Community HospitalGeneva 205 $16,638 $1,842 $1,477
Advocate Good Samaritan HospitalDowners Grove 196 $13,224 $1,778 $1,422
Elmhurst Memorial HospitalElmhurst 187 $14,783 $1,807 $1,439
Saint Anthony Medical CenterRockford 174 $12,904 $1,810 $1,425
Alexian Brothers Medical CenterElk Grove Village 173 $17,158 $1,842 $1,478
Sherman HospitalElgin 171 $18,812 $1,850 $1,475
Memorial Medical CenterSpringfield 170 $12,196 $1,758 $1,401
Loyola University Medical CenterMaywood 168 $11,752 $1,842 $1,469
St Johns HospitalSpringfield 122 $13,805 $1,737 $1,381
Northwestern Medicine McHenryMcHenry 116 $19,589 $1,762 $1,404
Hinsdale HospitalHinsdale 110 $7,576 $1,780 $1,421
Palos Community HospitalPalos Heights 103 $13,605 $1,792 $1,431
Swedish American HospitalRockford 101 $22,652 $1,836 $1,461
Advocate Good Shepherd HospitalBarrington 94 $9,834 $1,780 $1,414
Jersey Community HospitalJerseyville 92 $4,805 $1,745 $1,387
Javon Bea HospitalRockford 84 $13,024 $1,741 $1,391
University of Illinois Hospital and ClinicsChicago 82 $14,498 $1,833 $1,460
Advocate Condell Medical CenterLibertyville 78 $10,494 $1,777 $1,421
Decatur Memorial HospitalDecatur 72 $10,197 $1,739 $1,384
Memorial HospitalBelleville 72 $11,638 $1,739 $1,392
St Elizabeth HospitalBelleville 72 $12,139 $1,749 $1,401
Sarah Bush Lincoln Health CenterMattoon 72 $11,352 $1,825 $1,445
Blessing HospitalQuincy 68 $14,119 $1,883 $1,513
St Marys HospitalDecatur 68 $11,870 $1,758 $1,408
Resurrection Medical CenterChicago 64 $14,359 $1,807 $1,442
Provena St Joseph Medical CenterJoliet 61 $10,214 $1,783 $1,420
Good Samaritan Regional Hlth CenterMt Vernon 59 $14,866 $1,758 $1,414
Midwestern Region Med CenterZion 59 $17,291 $1,796 $1,431
Anderson HospitalMaryville 59 $8,320 $1,758 $1,402
Methodist Medical Center of IllinoisPeoria 56 $27,660 $1,759 $1,398
Riverside Medical CenterKankakee 51 $15,617 $1,762 $1,400
Kishwaukee Community HospitalDekalb 51 $14,045 $1,850 $1,487
OSF Saint Katharine Medical CenterDixon 49 $14,139 $1,730 $1,378
Advocate Trinity HospitalChicago 49 $14,878 $1,718 $1,374
Little Company of Mary HospitalEvergreen Park 49 $13,162 $1,820 $1,450
St Alexius Medical CenterSchaumburg 49 $16,980 $1,851 $1,480
Advocate Illinois Masonic Medical CenterChicago 47 $12,920 $1,776 $1,422
Macneal HospitalBerwyn 42 $13,950 $1,816 $1,442
Alton Memorial HospitalAlton 41 $6,625 $1,758 $1,412
Graham Hospital AssociationCanton 39 $9,581 $1,738 $1,390
Rhc St Francis HospitalEvanston 39 $13,958 $1,851 $1,475
Franciscan Health Olympia & Chicago HeightsOlympia Fields 38 $15,468 $1,806 $1,444
Adventist GlenoaksGlendale Heights 38 $6,945 $1,806 $1,463
Morris Hospital & Healthcare CentersMorris 37 $12,753 $1,772 $1,420
Herrin HospitalHerrin 33 $17,954 $1,758 $1,404
Provena St Marys HospitalKankakee 33 $15,013 $1,789 $1,431
St Mary & Elizabeth Med Ctr-Division CampusChicago 32 $15,698 $1,717 $1,346
Harrisburg Medical CenterHarrisburg 32 $18,188 $1,883 $1,521
Adventist Bolingbrook HospitalBolingbrook 31 $7,878 $1,806 $1,445
OSF Saint James HospitalPontiac 30 $10,718 $1,866 $1,483
Trinity Rock IslandRock Island 30 $8,994 $1,758 $1,404
Swedish Covenant HospitalChicago 28 $11,570 $1,807 $1,439
Heartland Regional Medical CenterMarion 28 $26,424 $1,758 $1,404
Mercyhealth Hospital & Physician Clinic-Crystal laCrystal Lake 28 $15,379 $1,806 $1,462
Copley Memorial HospitalAurora 27 $12,930 $1,857 $1,490
Fhn Memorial HospitalFreeport 27 $15,015 $1,646 $1,307
Mc Donough District HospitalMacomb 26 $9,349 $1,883 $1,501
Ingalls Memorial HospitalHarvey 26 $10,627 $1,807 $1,439
Saint Joseph HospitalChicago 26 $13,653 $1,851 $1,471
Provena - Saint Joseph HospitalElgin 23 $18,271 $1,794 $1,417
Cgh Medical CenterSterling 21 $14,760 $1,759 $1,401
John H Stroger Jr HospitalChicago 19 $7,991 $1,807 $1,435
OSF Saint Elizabeth Mdl CtrOttawa 16 $11,134 $1,850 $1,498
Community First Medical CenterChicago 16 $9,850 $1,807 $1,420
Illini HospitalSilvis 16 $5,087 $1,759 $1,401
Crossroads Community HospitalMt Vernon 16 $10,747 $1,758 $1,412
Loyola Gottlieb Memorial HospitalMelrose Park 15 $14,251 $1,851 $1,481
Saint Anthony's Health CenterAlton 15 $11,299 $1,758 $1,407
Bromenn Healthcare SystemNormal 13 $6,307 $1,758 $1,408
St Mary Medical CenterGalesburg 11 $15,159 $1,883 $1,526
OSF Heart of Mary Medical CenterUrbana 11 $20,293 $1,758 $1,409
Mt Sinai Hospital Medical CenterChicago – – – –
St Anthonys Memorial HospitalEffingham – – – –
St Marys HospitalCentralia – – – –
West Suburban Hosp Med CenterOak Park – – – –
Rush Oak Park HospitalOak Park – – – –
Adventist la Grange Memorial HospitalLa Grange – – – –
Louis a Weiss Memorial HospitalChicago – – – –
Loretto HospitalChicago – – – –
Vista Medical Center EastWaukegan – – – –
OSF Sacred Heart Medical CenterDanville – – – –
St Bernard HospitalChicago – – – –
Thorek Memorial HospitalChicago – – – –
Pekin Memorial HospitalPekin – – – –
Gateway Regional Medical CenterGranite City – – – –
Holy Cross HospitalChicago – – – –
HSHS Holy Family HospitalGreenville – – – –
St Josephs HospitalBreese – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
St Joseph Medical CenterBloomington – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
Provena Mercy Medical CenterAurora – – – –
Methodist Hospital of ChicagoChicago – – – –
Humboldt Park HealthChicago – – – –
Provident Hospital of ChicagoChicago – – – –
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Lowest and highest allowed amounts in Illinois

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Mc Donough District HospitalMacomb, IL$1,883
Blessing HospitalQuincy, IL$1,883
Harrisburg Medical CenterHarrisburg, IL$1,883
St Mary Medical CenterGalesburg, IL$1,883
OSF Saint James HospitalPontiac, IL$1,866

Level 2 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 108 hospitals in Illinois was billed at $13,648 on average, while the average medicare-allowed amount was $1,792, of which Medicare paid $1,429. 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 Illinois, average charges were 7.6 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.