Level 2 Upper GI Procedures in Massachusetts
What 53 hospitals in Massachusetts charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$8,334
Hospital list price billed
Average allowed
$2,031
Medicare's payment + patient's share
Medicare paid
$1,620
Average per service
State rank
#45 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $8,334 for level 2 upper gi procedures, about 4.1 times the average medicare-allowed amount of $2,031. That payment is 12% 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 $2,031Billed $8,334
About 24¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 upper gi procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Beth Israel Deaconess Medical CenterBoston | 945 | $7,318 | $2,035 | $1,622 |
| Massachusetts General HospitalBoston | 846 | $8,210 | $2,028 | $1,619 |
| Brigham and Women's HosptialBoston | 694 | $9,687 | $2,015 | $1,607 |
| Umass Memorial Medical Center INCWorcester | 519 | $14,589 | $2,025 | $1,607 |
| Lahey Clinic HospitalBurlington | 494 | $8,223 | $2,016 | $1,606 |
| Berkshire Medical Center INCPittsfield | 314 | $12,021 | $2,130 | $1,703 |
| Baystate Medical CenterSpringfield | 271 | $8,508 | $2,019 | $1,609 |
| Faulkner HospitalBoston | 232 | $6,709 | $2,022 | $1,615 |
| Newton-Wellesley HospitalNewton Lower Falls | 221 | $7,139 | $2,043 | $1,634 |
| Southcoast Hospital Group, INCFall River | 220 | $10,440 | $2,039 | $1,625 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 202 | $5,563 | $2,043 | $1,634 |
| Tufts Medical CenterBoston | 181 | $10,600 | $2,020 | $1,609 |
| Mercy Medical CenterSpringfield | 180 | $3,917 | $2,025 | $1,616 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 159 | $6,254 | $2,023 | $1,619 |
| Lowell General HospitalLowell | 154 | $4,471 | $2,017 | $1,607 |
| Emerson HospitalConcord | 153 | $6,016 | $2,033 | $1,615 |
| Winchester HospitalWinchester | 148 | $6,973 | $2,022 | $1,611 |
| Union HospitalLynn | 141 | $6,913 | $2,032 | $1,625 |
| Baystate Franklin Medical CenterGreenfield | 127 | $8,548 | $2,030 | $1,631 |
| Metrowest Medical CenterFramingham | 122 | $17,602 | $2,044 | $1,624 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 118 | $5,680 | $2,043 | $1,640 |
| Mount Auburn HospitalCambridge | 107 | $6,684 | $2,015 | $1,607 |
| Beverly Hospital CorporationBeverly | 105 | $10,322 | $2,028 | $1,624 |
| Milford Regional Medical CenterMilford | 104 | $4,370 | $2,015 | $1,610 |
| South Shore HospitalSouth Weymouth | 103 | $4,215 | $2,019 | $1,607 |
| Holyoke Medical CenterHolyoke | 85 | $9,610 | $2,012 | $1,601 |
| Melrosewakefield HealthcareMelrose | 78 | $4,471 | $2,005 | $1,596 |
| Heywood HospitalGardner | 66 | $4,953 | $2,044 | $1,630 |
| Falmouth HospitalFalmouth | 66 | $9,258 | $2,043 | $1,634 |
| Boston Medical Center-BrightonBrighton | 65 | $6,550 | $1,978 | $1,564 |
| Milton HospitalMilton | 63 | $4,262 | $2,043 | $1,635 |
| Cape Cod HospitalHyannis | 62 | $7,910 | $2,027 | $1,616 |
| Anna Jaques HospitalNewburyport | 60 | $5,911 | $2,043 | $1,634 |
| Morton Hospital & Medical CenterTaunton | 58 | $4,141 | $2,019 | $1,600 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 54 | $7,639 | $2,043 | $1,632 |
| Lawrence General HospitalLawrence | 52 | $5,514 | $2,044 | $1,631 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 52 | $4,875 | $2,012 | $1,603 |
| Boston Medical Center CorporationBoston | 49 | $6,896 | $2,043 | $1,632 |
| Nashoba Valley Medical CenterAyer | 48 | $4,084 | $2,044 | $1,626 |
| Sturdy Memorial HospitalAttleboro | 46 | $6,216 | $2,043 | $1,633 |
| Brockton HospitalBrockton | 46 | $8,932 | $2,044 | $1,626 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 39 | $4,584 | $2,043 | $1,639 |
| Harrington Memorial HospitalSouthbridge | 30 | $7,866 | $1,989 | $1,579 |
| St Vincent HospitalWorcester | 30 | $18,541 | $1,995 | $1,573 |
| Wing Memorial Hospital and Medical CenterPalmer | 28 | $9,179 | $2,043 | $1,635 |
| Healthalliance Hospitals, INCLeominster | 25 | $12,425 | $2,044 | $1,621 |
| Cambridge Health AllianceCambridge | 25 | $6,130 | $2,003 | $1,604 |
| Marlborough HospitalMarlborough | 24 | $14,879 | $2,043 | $1,641 |
| Noble HospitalWestfield | 22 | $6,975 | $2,043 | $1,651 |
| Carney HospitalDorchester | – | – | – | – |
| Massachusetts Eye and Ear InfirmaryBoston | – | – | – | – |
| Nantucket Cottage HospitalNantucket | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
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
| Boston Medical Center-BrightonBrighton, MA | $1,978 |
|---|---|
| Harrington Memorial HospitalSouthbridge, MA | $1,989 |
| St Vincent HospitalWorcester, MA | $1,995 |
| Cambridge Health AllianceCambridge, MA | $2,003 |
| Melrosewakefield HealthcareMelrose, MA | $2,005 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $2,130 |
|---|---|
| Healthalliance Hospitals, INCLeominster, MA | $2,044 |
| Metrowest Medical CenterFramingham, MA | $2,044 |
| Brockton HospitalBrockton, MA | $2,044 |
| Nashoba Valley Medical CenterAyer, MA | $2,044 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Massachusetts?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 53 hospitals in Massachusetts was billed at $8,334 on average, while the average medicare-allowed amount was $2,031, of which Medicare paid $1,620. 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 Massachusetts, average charges were 4.1 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.