Level 2 Upper GI Procedures in Michigan
What 81 hospitals in Michigan charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$8,678
Hospital list price billed
Average allowed
$1,680
Medicare's payment + patient's share
Medicare paid
$1,336
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Michigan billed an average of $8,678 for level 2 upper gi procedures, about 5.2 times the average medicare-allowed amount of $1,680. That payment is 7% 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 $1,680Billed $8,678
About 19¢ was paid for every $1 hospitals in Michigan billed for this service.
Michigan hospitals: level 2 upper gi procedures
Every Michigan hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Spectrum Health - Butterworth CampusGrand Rapids | 657 | $7,003 | $1,614 | $1,277 |
| Univ of Michigan HospitalsAnn Arbor | 487 | $13,650 | $1,730 | $1,376 |
| Henry Ford HospitalDetroit | 389 | $7,079 | $1,627 | $1,297 |
| Trinity Health Ann Arbor HospitalAnn Arbor | 244 | $8,955 | $1,744 | $1,386 |
| St John Hospital and Medical CenterDetroit | 171 | $8,213 | $1,683 | $1,339 |
| William Beaumont HospitalRoyal Oak | 168 | $11,356 | $1,672 | $1,326 |
| Providence Hospital and Medical CentersSouthfield | 149 | $13,173 | $1,690 | $1,347 |
| Oaklawn HospitalMarshall | 149 | $10,810 | $1,651 | $1,325 |
| Bronson Methodist HospitalKalamazoo | 139 | $5,883 | $1,627 | $1,289 |
| Allegiance HealthJackson | 123 | $6,838 | $1,677 | $1,334 |
| Henry Ford West Bloomfield HospitalWest Bloomfield Twp | 104 | $6,044 | $1,691 | $1,351 |
| Trinity Health Muskegon HospitalMuskegon | 97 | $7,054 | $1,779 | $1,417 |
| St Mary Mercy HospitalLivonia | 96 | $8,710 | $1,666 | $1,334 |
| Henry Ford Wyandotte HospitalWyandotte | 92 | $8,285 | $1,671 | $1,329 |
| William Beaumont Hospital-TroyTroy | 90 | $8,599 | $1,686 | $1,347 |
| University of Michigan Health - WestWyoming | 89 | $5,876 | $1,645 | $1,304 |
| McLaren Greater LansingLansing | 82 | $9,472 | $1,699 | $1,358 |
| Northern Michigan Regional HospitalPetoskey | 77 | $4,483 | $1,754 | $1,388 |
| McLaren Regional Medical CenterFlint | 76 | $6,701 | $1,773 | $1,411 |
| Corewell Health Trenton HospitalTrenton | 76 | $7,829 | $1,674 | $1,332 |
| Henry Ford Macomb HospitalClinton Twp | 68 | $6,405 | $1,656 | $1,317 |
| Beaumont Hospital - DearbornDearborn | 65 | $12,301 | $1,678 | $1,333 |
| Genesys Regional Medical Center - Health ParkGrand Blanc | 62 | $10,783 | $1,770 | $1,403 |
| Munson Medical CenterTraverse City | 61 | $7,131 | $1,775 | $1,413 |
| Covenant Medical Center, INCSaginaw | 60 | $8,420 | $1,696 | $1,354 |
| Bay Regional Medical CenterBay City | 57 | $3,500 | $1,649 | $1,298 |
| Saint Mary's Health CareGrand Rapids | 55 | $5,578 | $1,624 | $1,292 |
| St Joseph Mercy OaklandPontiac | 53 | $9,056 | $1,696 | $1,356 |
| Borgess Medical CenterKalamazoo | 50 | $7,445 | $1,634 | $1,299 |
| Lakeland Hospital, St JosephSt Joseph | 49 | $6,949 | $1,631 | $1,310 |
| Henry Ford Health Warren HospitalWarren | 49 | $9,198 | $1,641 | $1,305 |
| Memorial HealthcareOwosso | 47 | $12,484 | $1,666 | $1,331 |
| Edward W Sparrow HospitalLansing | 46 | $8,914 | $1,629 | $1,297 |
| Midmichigan Medical Center-MidlandMidland | 42 | $6,776 | $1,787 | $1,424 |
| Huron Valley-Sinai HospitalCommerce Twp | 41 | $21,023 | $1,696 | $1,360 |
| Mercy Hospital - CadillacCadillac | 38 | $7,858 | $1,738 | $1,375 |
| Beaumont Hospital - Farmington HillsFarmington Hls | 37 | $12,067 | $1,665 | $1,325 |
| Battle Creek Health SystemBattle Creek | 36 | $4,563 | $1,666 | $1,326 |
| Beaumont Hospital, Grosse PointeGrosse Pointe | 36 | $10,303 | $1,674 | $1,335 |
| McLaren OaklandPontiac | 36 | $8,768 | $1,676 | $1,332 |
| Marquette General Hlth SystemMarquette | 34 | $12,779 | $1,777 | $1,407 |
| Otsego Memorial HospitalGaylord | 32 | $5,865 | $1,720 | $1,370 |
| Port Huron HospitalPort Huron | 32 | $5,155 | $1,676 | $1,333 |
| Spectrum Health United Memorial - United CampusGreenville | 30 | $4,688 | $1,658 | $1,318 |
| Holland Community HospitalHolland | 30 | $4,492 | $1,611 | $1,285 |
| Mymichigan Medical Center SaginawSaginaw | 30 | $4,052 | $1,696 | $1,345 |
| Saint Joseph Mercy Livingston HospitalHowell | 26 | $8,086 | $1,738 | $1,398 |
| McLaren MacombMt Clemens | 26 | $5,299 | $1,625 | $1,278 |
| Mymichigan Medical Center AlmaAlma | 24 | $3,607 | $1,666 | $1,327 |
| Harper University HospitalDetroit | 24 | $21,177 | $1,699 | $1,352 |
| Hurley Medical CenterFlint | 24 | $8,738 | $1,774 | $1,414 |
| Karmanos Cancer CenterDetroit | 24 | $8,100 | $1,676 | $1,332 |
| Zeeland Community HospitalZeeland | 22 | $4,809 | $1,658 | $1,320 |
| Garden City HospitalGarden City | 21 | $11,420 | $1,674 | $1,333 |
| Mercy Hospital - GraylingGrayling | 17 | $5,160 | $1,776 | $1,407 |
| Chelsea Community HospitalChelsea | 16 | $7,722 | $1,789 | $1,427 |
| Alpena Regional Medical CenterAlpena | 14 | $6,876 | $1,787 | $1,430 |
| Dickinson County Memorial HospitalIron Mountain | 14 | $8,302 | $1,775 | $1,415 |
| Ascension Providence Rochester HospitalRochester | 14 | $9,902 | $1,696 | $1,351 |
| Promedica Monroe Regional HospitalMonroe | 13 | $12,946 | $1,699 | $1,354 |
| Midmichigan Medical Center-ClareClare | 12 | $3,017 | $1,658 | $1,314 |
| Corewell Health Wayne HospitalWayne | 11 | $14,205 | $1,674 | $1,328 |
| Carson City HospitalCarson City | 11 | $6,515 | $1,666 | $1,327 |
| Promedica Charles and Virginia Hickman HospitalAdrian | – | – | – | – |
| Insight Hospital and Medical Center ColdwaterColdwater | – | – | – | – |
| Sinai-Grace HospitalDetroit | – | – | – | – |
| St Joseph Mercy Port HuronPort Huron | – | – | – | – |
| Central Michigan Community HospitalMt Pleasant | – | – | – | – |
| Corewell Health Big Rapids HospitalBig Rapids | – | – | – | – |
| West Branch Regional Medical CenterWest Branch | – | – | – | – |
| Portage Health HospitalHancock | – | – | – | – |
| Corewell Health Ludington HospitalLudington | – | – | – | – |
| Forest Health Medical CenterYpsilanti | – | – | – | – |
| Trinity Health Grand Haven HospitalGrand Haven | – | – | – | – |
| Lapeer Regional Medical CenterLapeer | – | – | – | – |
| Chippewa County War Memorial HospitalSault Sainte Marie | – | – | – | – |
| Beaumont Hospital - TaylorTaylor | – | – | – | – |
| Detroit Receiving Hospital & Univ Health CenterDetroit | – | – | – | – |
| Munson Healthcare Manistee HospitalManistee | – | – | – | – |
| Sturgis HospitalSturgis | – | – | – | – |
| Children's Hospital of MichiganDetroit | – | – | – | – |
Lowest and highest allowed amounts in Michigan
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
| Holland Community HospitalHolland, MI | $1,611 |
|---|---|
| Spectrum Health - Butterworth CampusGrand Rapids, MI | $1,614 |
| Saint Mary's Health CareGrand Rapids, MI | $1,624 |
| McLaren MacombMt Clemens, MI | $1,625 |
| Bronson Methodist HospitalKalamazoo, MI | $1,627 |
Highest
| Chelsea Community HospitalChelsea, MI | $1,789 |
|---|---|
| Midmichigan Medical Center-MidlandMidland, MI | $1,787 |
| Alpena Regional Medical CenterAlpena, MI | $1,787 |
| Trinity Health Muskegon HospitalMuskegon, MI | $1,779 |
| Marquette General Hlth SystemMarquette, MI | $1,777 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Michigan?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 81 hospitals in Michigan was billed at $8,678 on average, while the average medicare-allowed amount was $1,680, of which Medicare paid $1,336. 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 Michigan, average charges were 5.2 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.