Level 2 Upper GI Procedures in Kentucky
What 59 hospitals in Kentucky charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$13,387
Hospital list price billed
Average allowed
$1,639
Medicare's payment + patient's share
Medicare paid
$1,306
Average per service
State rank
#12 of 49
1 = lowest average payment
Hospitals in Kentucky billed an average of $13,387 for level 2 upper gi procedures, about 8.2 times the average medicare-allowed amount of $1,639. 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 $1,639Billed $13,387
About 12¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 2 upper gi procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 560 | $11,972 | $1,621 | $1,292 |
| Jewish HospitalLouisville | 278 | $16,869 | $1,604 | $1,274 |
| University of Kentucky HospLexington | 256 | $11,879 | $1,592 | $1,255 |
| Hardin Memorial HospitalElizabethtown | 232 | $13,919 | $1,618 | $1,289 |
| King's Daughters' Medical CenterAshland | 204 | $10,838 | $1,586 | $1,264 |
| Baptist Hospital EastLouisville | 176 | $16,823 | $1,604 | $1,279 |
| Owensboro Medical Health SystemOwensboro | 149 | $12,223 | $1,751 | $1,395 |
| Western Baptist HospitalPaducah | 118 | $15,520 | $1,741 | $1,395 |
| Saint Joseph HospitalLexington | 111 | $9,740 | $1,648 | $1,316 |
| St Elizabeth FlorenceFlorence | 108 | $10,502 | $1,635 | $1,304 |
| St Elizabeth Med Center-SouthEdgewood | 105 | $11,022 | $1,624 | $1,298 |
| University of Louisville HospitalLouisville | 105 | $22,401 | $1,615 | $1,281 |
| Ephraim McDowell Regional Medical CenterDanville | 101 | $6,854 | $1,612 | $1,280 |
| Lourdes HospitalPaducah | 101 | $10,255 | $1,741 | $1,383 |
| Georgetown Community HospitalGeorgetown | 93 | $14,641 | $1,626 | $1,292 |
| Greenview Regional HospitalBowling Green | 87 | $23,105 | $1,629 | $1,297 |
| Jackson Purchase Medical CenterMayfield | 75 | $17,741 | $1,706 | $1,357 |
| Pikeville Medical CenterPikeville | 74 | $11,101 | $1,691 | $1,340 |
| Three Rivers Medical CenterLouisa | 71 | $27,337 | $1,660 | $1,316 |
| Baptist Health RichmondRichmond | 67 | $14,302 | $1,638 | $1,310 |
| Lake Cumberland Regional HospitalSomerset | 67 | $18,732 | $1,754 | $1,404 |
| The Medical Center at Bowling GreenBowling Green | 65 | $6,691 | $1,644 | $1,318 |
| Deaconess Henderson HospitalHenderson | 64 | $9,039 | $1,655 | $1,321 |
| Hazard Arh Regional Medical CenterHazard | 61 | $12,720 | $1,616 | $1,285 |
| Central Baptist HospitalLexington | 61 | $21,429 | $1,648 | $1,319 |
| Clark Regional Medical CenterWinchester | 60 | $10,261 | $1,626 | $1,299 |
| Baptist Health Deaconess MadisonvilleMadisonville | 59 | $17,294 | $1,760 | $1,407 |
| Baptist Hospital NortheastLa Grange | 42 | $16,692 | $1,622 | $1,303 |
| T J Samson Community HospitalGlasgow | 40 | $7,316 | $1,708 | $1,356 |
| Flaget Memorial HospitalBardstown | 39 | $8,731 | $1,639 | $1,306 |
| Saint Joseph Mount SterlingMt Sterling | 35 | $9,494 | $1,591 | $1,277 |
| Baptist Regional Medical CtrCorbin | 33 | $12,561 | $1,596 | $1,274 |
| Jennie Stuart Medical CenterHopkinsville | 28 | $7,454 | $1,710 | $1,365 |
| Crittenden Community HospitalMarion | 28 | $8,167 | $1,676 | $1,351 |
| Murray-Calloway County HospitalMurray | 25 | $7,480 | $1,596 | $1,281 |
| Harrison Memorial HospitalCynthiana | 24 | $4,863 | $1,596 | $1,275 |
| St Claire Regional Medical CenterMorehead | 23 | $9,875 | $1,716 | $1,367 |
| Taylor Regional HospitalCampbellsville | 21 | $8,931 | $1,596 | $1,279 |
| The Medical Center at RussellvilleRussellville | 19 | $7,058 | $1,596 | $1,289 |
| Bourbon Community HospitalParis | 18 | $11,172 | $1,655 | $1,322 |
| Frankfort Regional Medical CenterFrankfort | 17 | $19,164 | $1,577 | $1,251 |
| St Elizabeth Ft ThomasFort Thomas | 16 | $12,194 | $1,655 | $1,324 |
| Jewish Hospital - ShelbyvilleShelbyville | 16 | $13,197 | $1,562 | $1,230 |
| Meadowview Regional Medical CenterMaysville | 14 | $12,175 | $1,710 | $1,353 |
| Whitesburg Arh HospitalWhitesburg | – | – | – | – |
| Muhlenberg Community HospitalGreenville | – | – | – | – |
| Highlands Regional Medical CenterPrestonsburg | – | – | – | – |
| Saint Joseph LondonLondon | – | – | – | – |
| Middlesboro Appalachian Regional Healthcare HospitMiddlesboro | – | – | – | – |
| Spring View HospitalLebanon | – | – | – | – |
| Memorial HospitalManchester | – | – | – | – |
| Harlan Appalachian Regional Healthcare HospitalHarlan | – | – | – | – |
| Williamson Arh HospitalSouth Williamson | – | – | – | – |
| Twin Lakes Regional Medical CenterLeitchfield | – | – | – | – |
| Paintsville Arh HospitalPaintsville | – | – | – | – |
| Crittenden Community HospitalMarion | – | – | – | – |
| Rockcastle Reg Hospital & Respiratory Care CtrMt Vernon | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
| Pineville Community Health Center, INCPineville | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| Jewish Hospital - ShelbyvilleShelbyville, KY | $1,562 |
|---|---|
| Frankfort Regional Medical CenterFrankfort, KY | $1,577 |
| King's Daughters' Medical CenterAshland, KY | $1,586 |
| Saint Joseph Mount SterlingMt Sterling, KY | $1,591 |
| University of Kentucky HospLexington, KY | $1,592 |
Highest
| Baptist Health Deaconess MadisonvilleMadisonville, KY | $1,760 |
|---|---|
| Lake Cumberland Regional HospitalSomerset, KY | $1,754 |
| Owensboro Medical Health SystemOwensboro, KY | $1,751 |
| Lourdes HospitalPaducah, KY | $1,741 |
| Western Baptist HospitalPaducah, KY | $1,741 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Kentucky?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 59 hospitals in Kentucky was billed at $13,387 on average, while the average medicare-allowed amount was $1,639, of which Medicare paid $1,306. 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 Kentucky, average charges were 8.2 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.