Level 2 Upper GI Procedures in Indiana
What 71 hospitals in Indiana charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$13,090
Hospital list price billed
Average allowed
$1,712
Medicare's payment + patient's share
Medicare paid
$1,364
Average per service
State rank
#23 of 49
1 = lowest average payment
Hospitals in Indiana billed an average of $13,090 for level 2 upper gi procedures, about 7.6 times the average medicare-allowed amount of $1,712. That payment is 6% 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 $1,712Billed $13,090
About 13¢ was paid for every $1 hospitals in Indiana billed for this service.
Indiana hospitals: level 2 upper gi procedures
Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Deaconess Hospital INCEvansville | 492 | $9,074 | $1,688 | $1,349 |
| Community HospitalMunster | 362 | $11,736 | $1,774 | $1,416 |
| Reid Hosp & Hlth Care ServicesRichmond | 259 | $5,569 | $1,782 | $1,420 |
| Clarian Health PartnersIndianapolis | 250 | $21,596 | $1,734 | $1,381 |
| Parkview HospitalFort Wayne | 246 | $15,048 | $1,746 | $1,391 |
| Community Hospital NorthIndianapolis | 242 | $12,376 | $1,685 | $1,334 |
| Lutheran Hospital of IndianaFort Wayne | 198 | $14,039 | $1,702 | $1,356 |
| Bloomington HospitalBloomington | 196 | $20,933 | $1,705 | $1,360 |
| Franciscan Health IndianapolisIndianapolis | 181 | $14,090 | $1,711 | $1,361 |
| Franciscan Physicians Hospital LLCMunster | 172 | $10,895 | $1,768 | $1,414 |
| St Vincent Hospital & Health ServicesIndianapolis | 167 | $19,976 | $1,699 | $1,352 |
| Indiana University Health Arnett HospitalLafayette | 157 | $15,071 | $1,655 | $1,306 |
| Union Hospital INCTerre Haute | 154 | $7,185 | $1,719 | $1,374 |
| Franciscan St Anthony Health - Michigan CityMichigan City | 153 | $11,283 | $1,652 | $1,314 |
| Floyd Memorial Hospital and Health ServicesNew Albany | 142 | $18,380 | $1,677 | $1,335 |
| Columbus Regional HospitalColumbus | 130 | $9,416 | $1,729 | $1,381 |
| St Mary's Medical Center of Evansville INCEvansville | 125 | $13,749 | $1,696 | $1,352 |
| IU Health Goshen HospitalGoshen | 120 | $11,929 | $1,739 | $1,387 |
| Porter, Valparaiso HospitalValparaiso | 116 | $18,873 | $1,651 | $1,304 |
| Ball Memorial Hospital INCMuncie | 111 | $18,436 | $1,712 | $1,367 |
| Hendricks Regional HealthDanville | 106 | $9,443 | $1,666 | $1,336 |
| Physicians' Medical Center LLCNew Albany | 88 | $6,736 | $1,659 | $1,320 |
| Clark Memorial HospitalJeffersonville | 86 | $18,370 | $1,696 | $1,354 |
| St Mary Medical Center INCHobart | 83 | $10,907 | $1,742 | $1,379 |
| St Vincent Carmel Hospital INCCarmel | 78 | $15,036 | $1,704 | $1,349 |
| Good Samaritan HospitalVincennes | 73 | $6,752 | $1,696 | $1,355 |
| Dearborn County HospitalLawrenceburg | 70 | $10,937 | $1,658 | $1,308 |
| Franciscan St Anthony Health - Crown PointCrown Point | 69 | $12,472 | $1,789 | $1,432 |
| Saint Joseph Reg Medical CtrSouth Bend | 65 | $8,682 | $1,682 | $1,335 |
| Community Hospital of Anderson and Madison CountyAnderson | 62 | $11,167 | $1,650 | $1,307 |
| Memorial Hospital and Health Care CenterJasper | 59 | $7,764 | $1,673 | $1,330 |
| Community Hospital SouthIndianapolis | 52 | $13,572 | $1,734 | $1,385 |
| Hancock Regional HospitalGreenfield | 48 | $9,870 | $1,719 | $1,370 |
| Indiana University Health West HospitalAvon | 39 | $17,647 | $1,719 | $1,372 |
| Memorial Hospital of South BendSouth Bend | 34 | $11,251 | $1,717 | $1,375 |
| Dupont Hospital LLCFort Wayne | 34 | $11,627 | $1,728 | $1,376 |
| Indiana University Health North HospitalCarmel | 33 | $18,479 | $1,675 | $1,326 |
| Howard Regional Health SystemKokomo | 29 | $6,716 | $1,692 | $1,338 |
| Kosciusko Community HospitalWarsaw | 29 | $13,775 | $1,654 | $1,313 |
| Elkhart General HospitalElkhart | 27 | $10,169 | $1,757 | $1,406 |
| La Porte Regional Health SystLa Porte | 26 | $19,620 | $1,696 | $1,349 |
| Schneck Medical CenterSeymour | 26 | $9,374 | $1,734 | $1,385 |
| Marion General HospitalMarion | 18 | $9,501 | $1,841 | $1,464 |
| Terre Haute Regional HospitalTerre Haute | 18 | $31,578 | $1,696 | $1,356 |
| Bluffton Regional Medical CenterBluffton | 17 | $13,459 | $1,700 | $1,365 |
| Franciscan Health LafayetteLafayette | 17 | $14,396 | $1,696 | $1,356 |
| Riverview HospitalNoblesville | 16 | $12,802 | $1,718 | $1,385 |
| Methodist Hospitals, INCGary | 15 | $15,540 | $1,694 | $1,331 |
| Johnson Memorial HospitalFranklin | 14 | $11,324 | $1,719 | $1,375 |
| Saint John's Health SystemAnderson | 14 | $22,413 | $1,719 | $1,369 |
| Dekalb Memorial Hospital INCAuburn | 13 | $11,793 | $1,696 | $1,364 |
| King's Daughters' Hospital and Health Services,TheMadison | 12 | $10,443 | $1,816 | $1,453 |
| St Catherine Hospital INCEast Chicago | 11 | $17,243 | $1,789 | $1,434 |
| Eskenazi HealthIndianapolis | 11 | $10,987 | $1,719 | $1,368 |
| Major HospitalShelbyville | 11 | $16,838 | $1,719 | $1,377 |
| Pinnacle HospitalCrown Point | 11 | $31,251 | $1,790 | $1,426 |
| St Joseph Hospital & Health Center INCKokomo | – | – | – | – |
| Franciscan Health CrawfordsvilleCrawfordsville | – | – | – | – |
| Henry County Memorial HospitalNew Castle | – | – | – | – |
| St Joseph HospitalFort Wayne | – | – | – | – |
| Daviess Community HospitalWashington | – | – | – | – |
| Memorial HospitalLogansport | – | – | – | – |
| Community Hospital EastIndianapolis | – | – | – | – |
| Saint Joseph's Regional Medical Center - PlymouthPlymouth | – | – | – | – |
| Franciscan St Margaret Health - DyerDyer | – | – | – | – |
| Parkview Huntington HospitalHuntington | – | – | – | – |
| Parkview Whitley HospitalColumbia City | – | – | – | – |
| Starke Memorial HospitalKnox | – | – | – | – |
| Witham Health ServicesLebanon | – | – | – | – |
| Ascension St Vincent FishersFishers | – | – | – | – |
| Monroe HospitalBloomington | – | – | – | – |
Lowest and highest allowed amounts in Indiana
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
| Community Hospital of Anderson and Madison CountyAnderson, IN | $1,650 |
|---|---|
| Porter, Valparaiso HospitalValparaiso, IN | $1,651 |
| Franciscan St Anthony Health - Michigan CityMichigan City, IN | $1,652 |
| Kosciusko Community HospitalWarsaw, IN | $1,654 |
| Indiana University Health Arnett HospitalLafayette, IN | $1,655 |
Highest
| Marion General HospitalMarion, IN | $1,841 |
|---|---|
| King's Daughters' Hospital and Health Services,TheMadison, IN | $1,816 |
| Pinnacle HospitalCrown Point, IN | $1,790 |
| Franciscan St Anthony Health - Crown PointCrown Point, IN | $1,789 |
| St Catherine Hospital INCEast Chicago, IN | $1,789 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Indiana?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 71 hospitals in Indiana was billed at $13,090 on average, while the average medicare-allowed amount was $1,712, of which Medicare paid $1,364. 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 Indiana, 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.