What 47 hospitals in Minnesota charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Hospitals in Minnesota billed an average of $10,690 for level 2 upper gi procedures, about 5.7 times the average medicare-allowed amount of $1,861. That payment is 3% 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.
About 17¢ was paid for every $1 hospitals in Minnesota billed for this service.
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 1,680 | $14,105 | $1,940 | $1,543 |
| Essentia Health St Mary's Medical CenterDuluth | 330 | $8,732 | $1,788 | $1,422 |
| Abbott Northwestern Hospital INCMinneapolis | 246 | $7,974 | $1,816 | $1,446 |
| University of Minnesota Medical Center, FairviewMinneapolis | 240 | $13,666 | $1,754 | $1,391 |
| Regions HospitalSt Paul | 235 | $8,699 | $1,795 | $1,427 |
| Park Nicollet Methodist HospitalSaint Louis Park | 217 | $10,046 | $1,792 | $1,425 |
| St Cloud HospitalSt Cloud | 213 | $6,653 | $1,913 | $1,520 |
| St Lukes HospitalDuluth | 189 | $7,302 | $1,800 | $1,438 |
| Fairview Southdale HospitalEdina | 120 | $9,424 | $1,819 | $1,447 |
| Ridgeview Medical CenterWaconia | 107 | $8,377 | $1,819 | $1,450 |
| Mayo Clinic Health System - MankatoMankato | 107 | $8,102 | $1,936 | $1,545 |
| Mercy HospitalCoon Rapids | 99 | $6,957 | $1,804 | $1,434 |
| North Memorial Medical CenterRobbinsdale | 91 | $6,515 | $1,804 | $1,433 |
| Fairview Red Wing HospitalRed Wing | 85 | $6,865 | $1,790 | $1,428 |
| United HospitalSt Paul | 80 | $7,307 | $1,819 | $1,452 |
| St John's HospitalSt Paul | 69 | $8,655 | $1,819 | $1,449 |
| Virginia Regional Medical CenterVirginia | 54 | $10,572 | $1,771 | $1,418 |
| Hennepin County Medical CenterMinneapolis | 42 | $8,066 | $1,819 | $1,449 |
| Fairview Ridges HospitalBurnsville | 39 | $9,275 | $1,819 | $1,445 |
| Lakeview Memorial HospitalStillwater | 34 | $8,725 | $1,776 | $1,412 |
| Sanford Bemidji Medical CenterBemidji | 31 | $6,591 | $1,897 | $1,521 |
| Essentia Health St Joseph's Medical CenterBrainerd | 30 | $6,439 | $1,847 | $1,462 |
| Healtheast Woodwinds HospitalWoodbury | 29 | $7,588 | $1,769 | $1,399 |
| Range Regional Health ServicesHibbing | 21 | $7,282 | $1,771 | $1,410 |
| Rice Memorial HospitalWillmar | 20 | $11,181 | $1,897 | $1,511 |
| St Francis Regional Medical CenterShakopee | 18 | $7,054 | $1,819 | $1,449 |
| Maple Grove HospitalMaple Grove | 15 | $5,300 | $1,819 | $1,451 |
| Winona Health ServicesWinona | 13 | $4,660 | $1,897 | $1,519 |
| Olmsted Medical CenterRochester | – | – | – | – |
| Northfield HospitalNorthfield | – | – | – | – |
| Essentia Health DuluthDuluth | – | – | – | – |
| Cambridge Medical CenterCambridge | – | – | – | – |
| Sanford Worthington Medical CenterWorthington | – | – | – | – |
| Alomere HealthAlexandria | – | – | – | – |
| Mayo Clinic Health System - Albert Lea and AustinAlbert Lea | – | – | – | – |
| Fairview Lakes Health ServicesWyoming | – | – | – | – |
| Lake Region Healthcare CorporationFergus Falls | – | – | – | – |
| Itasca Medical CenterGrand Rapids | – | – | – | – |
| Owatonna HospitalOwatonna | – | – | – | – |
| Allina Health Faribault Medical CenterFaribault | – | – | – | – |
| Buffalo HospitalBuffalo | – | – | – | – |
| St Marys Regional Health CenterDetroit Lakes | – | – | – | – |
| Fairview Northland Regional HospitalPrinceton | – | – | – | – |
| Fairmont Medical CenterFairmont | – | – | – | – |
| Hutchinson Area Health CareHutchinson | – | – | – | – |
| Gillette Children's HealthcareSt Paul | – | – | – | – |
| Children's Hospitals & Clinics/MplsMinneapolis | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $1,754 |
|---|---|
| Healtheast Woodwinds HospitalWoodbury, MN | $1,769 |
| Virginia Regional Medical CenterVirginia, MN | $1,771 |
| Range Regional Health ServicesHibbing, MN | $1,771 |
| Lakeview Memorial HospitalStillwater, MN | $1,776 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $1,940 |
|---|---|
| Mayo Clinic Health System - MankatoMankato, MN | $1,936 |
| St Cloud HospitalSt Cloud, MN | $1,913 |
| Rice Memorial HospitalWillmar, MN | $1,897 |
| Winona Health ServicesWinona, MN | $1,897 |
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 47 hospitals in Minnesota was billed at $10,690 on average, while the average medicare-allowed amount was $1,861, of which Medicare paid $1,481. Your own cost depends on your insurance, deductible and the hospital.
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 Minnesota, average charges were 5.7 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.