Level 2 Upper GI Procedures in Iowa
What 31 hospitals in Iowa charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$10,612
Hospital list price billed
Average allowed
$1,637
Medicare's payment + patient's share
Medicare paid
$1,304
Average per service
State rank
#11 of 49
1 = lowest average payment
Hospitals in Iowa billed an average of $10,612 for level 2 upper gi procedures, about 6.5 times the average medicare-allowed amount of $1,637. That payment is 10% 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 $1,637Billed $10,612
About 15¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 2 upper gi procedures
Every Iowa hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Iowa Hospital & ClinicsIowa City | 520 | $10,642 | $1,559 | $1,233 |
| Iowa Methodist Medical CenterDes Moines | 310 | $11,548 | $1,623 | $1,291 |
| Southeast Iowa Regional Medical CenterWest Burlington | 208 | $8,716 | $1,737 | $1,385 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 199 | $8,356 | $1,641 | $1,318 |
| St Lukes HospitalCedar Rapids | 183 | $9,461 | $1,641 | $1,320 |
| Mercy Medical Center-Des MoinesDes Moines | 151 | $18,263 | $1,619 | $1,290 |
| Mary Greeley Medical CenterAmes | 145 | $8,018 | $1,610 | $1,277 |
| Mercyone Waterloo Medical CenterWaterloo | 89 | $14,893 | $1,615 | $1,295 |
| Mercy Medical Center-North IowaMason City | 62 | $15,049 | $1,844 | $1,469 |
| Genesis Medical Center-DavenportDavenport | 60 | $6,133 | $1,641 | $1,307 |
| Sartori Memorial HospitalCedar Falls | 59 | $15,770 | $1,627 | $1,317 |
| Mercy Medical Center-DubuqueDubuque | 51 | $10,091 | $1,735 | $1,382 |
| Lakes Regional HealthcareSpirit Lake | 44 | $5,216 | $1,628 | $1,293 |
| Spencer Municipal HospitalSpencer | 41 | $6,097 | $1,628 | $1,299 |
| Trinity Regional Medical CenterFort Dodge | 35 | $5,335 | $1,743 | $1,399 |
| Jennie Edmundson HospitalCouncil Bluffs | 32 | $7,705 | $1,715 | $1,364 |
| Ottumwa Regional Health CenterOttumwa | 26 | $18,175 | $1,757 | $1,400 |
| Mercy HospitalIowa City | 22 | $14,655 | $1,698 | $1,359 |
| Mercyone Siouxland Medical CenterSioux City | 22 | $6,282 | $1,652 | $1,308 |
| Mercy Medical Center-ClintonClinton | 19 | $9,802 | $1,743 | $1,384 |
| Allen Memorial HospitalWaterloo | 18 | $8,694 | $1,628 | $1,297 |
| St Lukes Regional Medical CenterSioux City | 18 | $6,430 | $1,633 | $1,290 |
| Marshalltown Medical & Surgical CenterMarshalltown | 11 | $7,756 | $1,749 | $1,404 |
| Grinnell Regional Medical CenterGrinnell | 11 | $7,904 | $1,633 | $1,301 |
| St Anthony Regional Hospital & Nursing HomeCarroll | – | – | – | – |
| Trinity MuscatineMuscatine | – | – | – | – |
| Alegent Health Mercy HospitalCouncil Bluffs | – | – | – | – |
| Mercyone Newton Medical CenterNewton | – | – | – | – |
| Broadlawns Medical CenterDes Moines | – | – | – | – |
| Trinity Medical CenterDavenport | – | – | – | – |
| The Finley HospitalDubuque | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| University of Iowa Hospital & ClinicsIowa City, IA | $1,559 |
|---|---|
| Mary Greeley Medical CenterAmes, IA | $1,610 |
| Mercyone Waterloo Medical CenterWaterloo, IA | $1,615 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $1,619 |
| Iowa Methodist Medical CenterDes Moines, IA | $1,623 |
Highest
| Mercy Medical Center-North IowaMason City, IA | $1,844 |
|---|---|
| Ottumwa Regional Health CenterOttumwa, IA | $1,757 |
| Marshalltown Medical & Surgical CenterMarshalltown, IA | $1,749 |
| Mercy Medical Center-ClintonClinton, IA | $1,743 |
| Trinity Regional Medical CenterFort Dodge, IA | $1,743 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Iowa?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 31 hospitals in Iowa was billed at $10,612 on average, while the average medicare-allowed amount was $1,637, of which Medicare paid $1,304. 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 Iowa, average charges were 6.5 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.