facebook tracking Level 2 Upper GI Procedures cost in Minnesota: 47 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Minnesota

What 47 hospitals in Minnesota charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $10,690 Hospital list price billed
Average allowed $1,861 Medicare's payment + patient's share
Medicare paid $1,481 Average per service
State rank #37 of 49 1 = lowest average payment

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.

Paid $1,861Billed $10,690

About 17¢ was paid for every $1 hospitals in Minnesota billed for this service.

Minnesota hospitals: level 2 upper gi procedures

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 – – – –
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Lowest and highest allowed amounts in Minnesota

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

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

Level 2 Upper GI Procedures in other states

Questions

How much does level 2 upper gi procedures cost in Minnesota?

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.

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 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.