Level 2 Upper GI Procedures in Nevada
What 19 hospitals in Nevada charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$24,290
Hospital list price billed
Average allowed
$2,030
Medicare's payment + patient's share
Medicare paid
$1,611
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in Nevada billed an average of $24,290 for level 2 upper gi procedures, about 12.0 times the average medicare-allowed amount of $2,030. 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 $2,030Billed $24,290
About 8¢ was paid for every $1 hospitals in Nevada billed for this service.
Nevada hospitals: level 2 upper gi procedures
Every Nevada hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Centennial Hills Hospital Medical CenterLas Vegas | 134 | $26,525 | $1,984 | $1,568 |
| Southern Hills Hospital and Medical CenterLas Vegas | 106 | $24,136 | $2,038 | $1,625 |
| Saint Mary's Regional Medical CenterReno | 91 | $18,448 | $2,024 | $1,610 |
| Mountainview HospitalLas Vegas | 62 | $26,206 | $2,012 | $1,598 |
| Henderson HospitalHenderson | 57 | $34,810 | $2,012 | $1,603 |
| Renown South Meadows Medical CenterReno | 50 | $23,122 | $2,038 | $1,619 |
| University Medical CenterLas Vegas | 49 | $11,935 | $2,005 | $1,582 |
| Carson Tahoe HospitalCarson City | 49 | $13,209 | $2,043 | $1,626 |
| Saint Rose Dominican Hospital - Siena CampusHenderson | 47 | $27,501 | $1,969 | $1,550 |
| Northern Nevada Sierra Medical CenterReno | 46 | $29,215 | $1,981 | $1,558 |
| Northern Nevada Medical CenterSparks | 45 | $28,268 | $2,310 | $1,843 |
| Renown Regional Medical CenterReno | 32 | $27,113 | $2,038 | $1,624 |
| Saint Rose Dominican Hospital - San Martin CampusLas Vegas | 22 | $29,102 | $2,038 | $1,628 |
| Summerlin Hospital Medical CenterLas Vegas | 17 | $23,362 | $2,038 | $1,613 |
| Sunrise Hospital and Medical CenterLas Vegas | – | – | – | – |
| North Vista HospitalNorth las Vegas | – | – | – | – |
| Northeastern Nevada Regional HospitalElko | – | – | – | – |
| Valley Hospital Medical CenterLas Vegas | – | – | – | – |
| Spring Valley Hospital Medical CenterLas Vegas | – | – | – | – |
Lowest and highest allowed amounts in Nevada
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
| Saint Rose Dominican Hospital - Siena CampusHenderson, NV | $1,969 |
|---|---|
| Northern Nevada Sierra Medical CenterReno, NV | $1,981 |
| Centennial Hills Hospital Medical CenterLas Vegas, NV | $1,984 |
| University Medical CenterLas Vegas, NV | $2,005 |
| Mountainview HospitalLas Vegas, NV | $2,012 |
Highest
| Northern Nevada Medical CenterSparks, NV | $2,310 |
|---|---|
| Carson Tahoe HospitalCarson City, NV | $2,043 |
| Summerlin Hospital Medical CenterLas Vegas, NV | $2,038 |
| Renown South Meadows Medical CenterReno, NV | $2,038 |
| Renown Regional Medical CenterReno, NV | $2,038 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Nevada?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 19 hospitals in Nevada was billed at $24,290 on average, while the average medicare-allowed amount was $2,030, of which Medicare paid $1,611. 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 Nevada, average charges were 12.0 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.