Level 2 Upper GI Procedures in Missouri
What 65 hospitals in Missouri charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$9,688
Hospital list price billed
Average allowed
$1,657
Medicare's payment + patient's share
Medicare paid
$1,319
Average per service
State rank
#14 of 49
1 = lowest average payment
Hospitals in Missouri billed an average of $9,688 for level 2 upper gi procedures, about 5.8 times the average medicare-allowed amount of $1,657. That payment is 9% 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 $1,657Billed $9,688
About 17¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 2 upper gi procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Barnes Jewish HospitalSt Louis | 606 | $9,289 | $1,663 | $1,321 |
| Missouri Baptist Medical CenterTown and Country | 516 | $5,530 | $1,644 | $1,307 |
| Boone Hospital CenterColumbia | 481 | $8,638 | $1,608 | $1,274 |
| Barnes-Jewish West County HospitalSt Louis | 393 | $7,661 | $1,663 | $1,324 |
| St Lukes Hospital of Kansas CityKansas City | 300 | $13,887 | $1,653 | $1,316 |
| Mercy Hospital SpringfieldSpringfield | 293 | $6,214 | $1,592 | $1,267 |
| St John's Mercy Medical CenterSt Louis | 292 | $7,720 | $1,679 | $1,338 |
| Mosaic Life Care at St JosephSt Joseph | 275 | $8,085 | $1,785 | $1,424 |
| Lester E Cox Medical CentersSpringfield | 271 | $10,154 | $1,586 | $1,258 |
| Mercy Hospital JoplinJoplin | 269 | $6,518 | $1,588 | $1,271 |
| Mercy Hospital SouthSt Louis | 255 | $6,066 | $1,680 | $1,340 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 239 | $30,450 | $1,708 | $1,370 |
| University Hospitals & ClinicsColumbia | 204 | $9,540 | $1,589 | $1,262 |
| St Louis University HospitalSt Louis | 202 | $11,623 | $1,658 | $1,319 |
| St Lukes HospitalChesterfield | 157 | $5,296 | $1,686 | $1,336 |
| Freeman Health System - Freeman WestJoplin | 102 | $11,167 | $1,592 | $1,267 |
| SSM St Joseph Hospital WestLake St Louis | 81 | $7,342 | $1,693 | $1,354 |
| Nkc HealthNorth Kansas City | 78 | $8,613 | $1,646 | $1,309 |
| Research Medical CenterKansas City | 77 | $28,552 | $1,662 | $1,331 |
| Saint Luke's Northland HospSmithville | 72 | $14,861 | $1,662 | $1,330 |
| SSM St Joseph Health CenterSt Charles | 71 | $5,911 | $1,663 | $1,336 |
| SSM St Mary's Health CenterSt Louis | 71 | $4,876 | $1,644 | $1,311 |
| Southeast Missouri HospitalCape Girardeau | 62 | $8,028 | $1,741 | $1,400 |
| SSM Depaul Health CenterBridgeton | 57 | $4,631 | $1,593 | $1,256 |
| Centerpoint Medical CenterIndependence | 54 | $21,144 | $1,613 | $1,274 |
| St Marys Health CenterJefferson City | 53 | $9,271 | $1,610 | $1,287 |
| St Johns Mercy HospitalWashington | 52 | $6,683 | $1,693 | $1,352 |
| Golden Valley Memorial HospitalClinton | 52 | $7,614 | $1,780 | $1,422 |
| St Francis Medical CenterCape Girardeau | 52 | $17,171 | $1,741 | $1,388 |
| SSM St Joseph Hosp of KirkwoodSt Louis | 51 | $5,489 | $1,663 | $1,332 |
| Barnes-Jewish St Peters HospitalSt Peters | 51 | $7,030 | $1,644 | $1,317 |
| Lake Regional Health SystemOsage Beach | 46 | $9,069 | $1,684 | $1,339 |
| Progress West Healthcare CenterO'fallon | 44 | $6,775 | $1,693 | $1,362 |
| Phelps County Regional Medical CenterRolla | 42 | $10,311 | $1,813 | $1,455 |
| Liberty HospitalLiberty | 37 | $10,014 | $1,662 | $1,324 |
| Parkland Health CenterFarmington | 34 | $8,655 | $1,787 | $1,419 |
| Jefferson Memorial HospitalCrystal City | 30 | $6,865 | $1,648 | $1,304 |
| Christian Hospital NortheastSt Louis | 27 | $5,455 | $1,663 | $1,328 |
| Hannibal Regional HospitalHannibal | 26 | $16,992 | $1,813 | $1,459 |
| Ozarks Medical CenterWest Plains | 25 | $12,686 | $1,714 | $1,369 |
| Saint Luke's East Lee's Summit HospitalLee's Summit | 24 | $16,332 | $1,607 | $1,269 |
| Truman Medical Center Hospital HillKansas City | 18 | $6,625 | $1,652 | $1,310 |
| St Joseph Medical CenterKansas City | 18 | $16,310 | $1,661 | $1,338 |
| Lee's Summit HospitalLee's Summit | 16 | $18,703 | $1,662 | $1,324 |
| St Johns Hospital-LebanonLebanon | 15 | $6,730 | $1,713 | $1,371 |
| Citizens Memorial HospitalBolivar | 14 | $11,065 | $1,713 | $1,390 |
| Bothwell Regional Health CenterSedalia | 12 | $9,603 | $1,780 | $1,418 |
| Moberly Regional Medical CenterMoberly | 11 | $28,153 | $1,724 | $1,374 |
| Western Missouri Medical CenterWarrensburg | 11 | $5,817 | $1,713 | $1,373 |
| Missouri Delta Medical CenterSikeston | 11 | $8,945 | $1,864 | $1,494 |
| Northeast Regional Medical CenterKirksville | – | – | – | – |
| Texas County Memorial HospitalHouston | – | – | – | – |
| Bates County Memorial HospitalButler | – | – | – | – |
| Mosaic Medical Center - MaryvilleMaryville | – | – | – | – |
| Cameron Community HospitalCameron | – | – | – | – |
| Nevada Regional Medical CenterNevada | – | – | – | – |
| Pemiscot Memorial HospitalHayti | – | – | – | – |
| Cox Medical Center BransonBranson | – | – | – | – |
| Truman Medical Center LakewoodKansas City | – | – | – | – |
| Fitzgibbon Memorial HospitalMarshall | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Research Belton HospitalBelton | – | – | – | – |
| St Louis Children's HospitalSt Louis | – | – | – | – |
| Childrens Mercy HospitalKansas City | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Lester E Cox Medical CentersSpringfield, MO | $1,586 |
|---|---|
| Mercy Hospital JoplinJoplin, MO | $1,588 |
| University Hospitals & ClinicsColumbia, MO | $1,589 |
| Mercy Hospital SpringfieldSpringfield, MO | $1,592 |
| Freeman Health System - Freeman WestJoplin, MO | $1,592 |
Highest
| Missouri Delta Medical CenterSikeston, MO | $1,864 |
|---|---|
| Phelps County Regional Medical CenterRolla, MO | $1,813 |
| Hannibal Regional HospitalHannibal, MO | $1,813 |
| Parkland Health CenterFarmington, MO | $1,787 |
| Mosaic Life Care at St JosephSt Joseph, MO | $1,785 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Missouri?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 65 hospitals in Missouri was billed at $9,688 on average, while the average medicare-allowed amount was $1,657, of which Medicare paid $1,319. 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 Missouri, average charges were 5.8 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.