facebook tracking Level 2 Upper GI Procedures cost in New York: 124 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in New York

What 124 hospitals in New York charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $15,167 Hospital list price billed
Average allowed $2,088 Medicare's payment + patient's share
Medicare paid $1,662 Average per service
State rank #46 of 49 1 = lowest average payment

Hospitals in New York billed an average of $15,167 for level 2 upper gi procedures, about 7.3 times the average medicare-allowed amount of $2,088. That payment is 15% 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 $2,088Billed $15,167

About 14¢ was paid for every $1 hospitals in New York billed for this service.

New York hospitals: level 2 upper gi procedures

Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
NYU Hospitals CenterNew York 1,238 $32,122 $2,134 $1,708
New York-Presbyterian HospitalNew York 973 $16,537 $2,143 $1,707
Mem Sloan-Kettering Cancer CtrNew York 959 $13,306 $2,150 $1,709
White Plains Hospital CtrWhite Plains 396 $19,313 $2,141 $1,703
University HospitalStony Brook 376 $17,099 $2,096 $1,666
St Francis Hospital, RoslynRoslyn 366 $11,757 $2,135 $1,698
North Shore University HospitalManhasset 273 $14,082 $2,091 $1,656
St Peter's HospitalAlbany 270 $11,556 $2,014 $1,600
Wynn HospitalUtica 263 $10,965 $2,006 $1,596
Mount Sinai HospitalNew York 258 $11,774 $2,145 $1,706
Roswell Park Cancer InstituteBuffalo 251 $4,965 $2,005 $1,591
Long Island Jewish Medical CenterNew Hyde Park 246 $14,070 $2,099 $1,666
Strong Memorial HospitalRochester 245 $12,465 $2,003 $1,595
St Joseph's Hospital Health CenterSyracuse 218 $9,276 $1,989 $1,582
Garnet Health Medical CenterGoshen 204 $9,500 $2,102 $1,667
South Nassau Communities HospitalOceanside 178 $26,593 $2,122 $1,690
Northern Westchester HospitalMt Kisco 173 $14,511 $1,962 $1,527
Westchester Medical CenterValhalla 164 $20,431 $2,129 $1,691
Staten Island University HospitalStaten Island 158 $14,338 $2,121 $1,687
Albany Medical Center HospitalAlbany 148 $8,902 $1,985 $1,578
Buffalo General HospitalBuffalo 142 $4,523 $2,006 $1,598
Montefiore Medical CenterBronx 128 $16,274 $2,142 $1,709
Champlain Valley Physicians Hospital Medical CtrPlattsburgh 119 $9,536 $2,129 $1,713
United Health Services HospsBinghamton 119 $10,455 $2,017 $1,617
Southside HospitalBay Shore 115 $11,908 $1,876 $1,445
Vassar Brothers Medical CenterPoughkeepsie 113 $6,219 $2,093 $1,657
Mount Sinai WestNew York 113 $12,890 $2,128 $1,696
Phelps Memorial Hospital AssnSleepy Hollow 109 $24,937 $2,132 $1,704
Saratoga HospitalSaratoga Springs 108 $9,399 $1,988 $1,575
Oneida Healthcare CenterOneida 101 $7,986 $2,017 $1,617
University Hospital S U N Y Health Science CenterSyracuse 99 $13,371 $2,001 $1,591
Mary Imogene Bassett HospitalCooperstown 98 $4,449 $2,110 $1,684
Good Samaritan Hospital Medical CenterWest Islip 97 $10,609 $2,087 $1,657
Maimonides Medical CenterBrooklyn 90 $15,483 $2,165 $1,726
Unity Hospital of RochesterRochester 88 $4,306 $1,998 $1,592
Lenox Hill HospitalNew York 87 $13,047 $2,143 $1,710
Good Samaritan Hospital of SuffernSuffern 85 $32,883 $2,145 $1,705
Huntington HospitalHuntington 84 $8,488 $2,020 $1,590
New York Hospital Medical Center of QueensNew York 78 $12,082 $2,143 $1,707
Samaritan Medical CenterWatertown 74 $5,671 $2,160 $1,741
Glens Falls HospitalGlens Falls 72 $5,428 $1,990 $1,587
Corning HospitalCorning 68 $6,727 $1,970 $1,568
Nyack HospitalNyack 66 $13,426 $2,162 $1,724
Clifton Springs Hospital and ClinicClifton Springs 62 $3,254 $1,991 $1,585
Rochester General HospitalRochester 45 $6,433 $2,017 $1,605
Samaritan HospitalTroy 45 $8,342 $2,017 $1,617
Plainview HospitalPlainview 44 $10,330 $2,136 $1,705
Cayuga Medical Center at IthacaIthaca 43 $6,393 $2,160 $1,731
Newark-Wayne Community HospitalNewark 40 $6,720 $2,017 $1,621
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 40 $19,569 $1,626 $1,194
Long Island Community HospitalPatchogue 37 $31,786 $2,125 $1,702
Canton-Potsdam HospitalPotsdam 37 $4,950 $2,114 $1,698
Hudson Valley Hospital CenterCortlandt Manor 36 $12,677 $2,165 $1,740
Bon Secours Community HospitalPort Jervis 35 $37,685 $2,110 $1,672
Geneva General HospitalGeneva 34 $3,417 $1,832 $1,430
Beth Israel Medical CenterNew York 33 $12,528 $2,143 $1,705
Our Lady of Lourdes Memorial Hospital, INCBinghamton 31 $10,425 $1,917 $1,502
Olean General HospitalOlean 31 $3,223 $2,047 $1,604
Cortland Regional Medical Center, INCCortland 31 $5,223 $2,105 $1,667
Adirondack Medical CenterSaranac Lake 30 $9,815 $2,160 $1,739
Rome Memorial Hospital, INCRome 29 $7,838 $2,017 $1,621
Highland HospitalRochester 28 $8,186 $2,017 $1,607
Peconic Bay Medical CenterRiverhead 27 $10,425 $2,086 $1,666
Cornwall HospitalCornwall 27 $13,932 $2,122 $1,691
St Catherine of Siena HospitalSmithtown 27 $10,106 $2,086 $1,670
Richmond University Medical CenterStaten Island 26 $19,937 $2,165 $1,718
St Anthony Community HospitalWarwick 26 $35,108 $2,141 $1,705
Columbia Memorial HospitalHudson 25 $5,044 $2,017 $1,607
Ellis HospitalSchenectady 25 $9,347 $2,017 $1,607
United Memorial Medical CenterBatavia 24 $4,939 $2,017 $1,616
Sisters of Charity HospitalBuffalo 24 $5,841 $2,017 $1,624
Niagara Falls Memorial Medical CenterNiagara Falls 21 $2,622 $2,017 $1,612
Oswego HospitalOswego 21 $7,399 $2,018 $1,598
Auburn Memorial HospitalAuburn 21 $7,090 $2,160 $1,732
Nicholas H Noyes Memorial HospitalDansville 21 $5,995 $1,941 $1,527
Crouse HospitalSyracuse 20 $10,086 $2,017 $1,612
St Joseph HospitalBethpage 18 $12,105 $2,143 $1,738
UPMC Chautauqua at WcaJamestown 17 $4,426 $2,017 $1,613
Bellevue Hospital CenterNew York 16 $10,277 $2,165 $1,713
Putnam Hospital CenterCarmel 15 $5,420 $2,070 $1,645
Garnet Health Medical Center CatskillsHarris 15 $15,207 $2,203 $1,763
Mercy Medical CenterRockville Centre 14 $15,327 $2,144 $1,708
Arnot Ogden Medical CenterElmira 12 $6,199 $2,017 $1,616
Mount St Mary's Hospital and Health CenterLewiston 11 $3,826 $807 $658
Erie County Medical CenterBuffalo 11 $5,678 $2,017 $1,617
Nathan Littauer HospitalGloversville 11 $9,036 $1,871 $1,470
University Hospital of Brooklyn ( Downstate )Brooklyn 11 $7,349 $2,165 $1,725
St Joseph's Medical CenterYonkers – – – –
Wyoming County Community HospitalWarsaw – – – –
Bronxcare Hospital CenterBronx – – – –
Jamaica Hospital Med CenterJamaica – – – –
New York Community Hospital of Brooklyn, INC.Brooklyn – – – –
Nassau University Medical CenterEast Meadow – – – –
St Mary's Hospital at AmsterdamAmsterdam – – – –
Northern Dutchess HospitalRhinebeck – – – –
Brooklyn Hospital Center at Downtown CampusBrooklyn – – – –
F F Thompson HospitalCanandaigua – – – –
Lincoln Medical & Mental Health CenterBronx – – – –
Aurelia Osborn Fox Memorial HospitalOneonta – – – –
Jones Memorial HospitalWellsville – – – –
Kenmore Mercy HospitalBuffalo – – – –
Bertrand Chaffee HospitalSpringville – – – –
Jacobi Medical CenterBronx – – – –
Elmhurst Hospital CenterNew York – – – –
St James Mercy HospitalHornell – – – –
Westfield Memorial Hospital, INCWestfield – – – –
Glen Cove HospitalGlen Cove – – – –
Montefiore New Rochelle HospitalNew Rochelle – – – –
Flushing Hospital Medical CenterNew York – – – –
South Brooklyn HealthBrooklyn – – – –
Metropolitan Hospital CenterNew York – – – –
Kings County Hospital CenterBrooklyn – – – –
St John's Riverside HospitalYonkers – – – –
Claxton-Hepburn Medical CenterOgdensburg – – – –
Wyckoff Heights Medical CenterBrooklyn – – – –
Brooks Memorial HospitalDunkirk – – – –
Queens Hospital CenterJamaica – – – –
Brookdale Hospital Medical CenterBrooklyn – – – –
Harlem Hospital CenterNew York – – – –
St Charles HospitalPort Jefferson – – – –
Mercy HospitalBuffalo – – – –
St John's Episcopal Hospital at South ShoreFar Rockaway – – – –
Woodhull Medical and Mental Health CenterBrooklyn – – – –
St Barnabas HospitalBronx – – – –
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Lowest and highest allowed amounts in New York

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

Level 2 Upper GI Procedures in other states

Questions

How much does level 2 upper gi procedures cost in New York?

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 124 hospitals in New York was billed at $15,167 on average, while the average medicare-allowed amount was $2,088, of which Medicare paid $1,662. 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 New York, average charges were 7.3 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.