Level 2 Upper GI Procedures in North Carolina
What 79 hospitals in North Carolina charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$11,316
Hospital list price billed
Average allowed
$1,687
Medicare's payment + patient's share
Medicare paid
$1,342
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in North Carolina billed an average of $11,316 for level 2 upper gi procedures, about 6.7 times the average medicare-allowed amount of $1,687. That payment is 7% 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 $1,687Billed $11,316
About 15¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 2 upper gi procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New Hanover Regional Medical CenterWilmington | 626 | $8,290 | $1,762 | $1,402 |
| Duke University Medical CenterDurham | 603 | $12,818 | $1,683 | $1,335 |
| Carolinas Medical Center/Behav HealthCharlotte | 465 | $14,963 | $1,675 | $1,329 |
| UNC HospitalsChapel Hill | 397 | $7,694 | $1,703 | $1,351 |
| North Carolina Baptist HospitalWinston-Salem | 396 | $15,932 | $1,696 | $1,343 |
| ECU Health Medical CenterGreenville | 273 | $8,088 | $1,646 | $1,308 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | 216 | $16,049 | $1,650 | $1,314 |
| Margaret R Pardee Mem HospitalHendersonville | 205 | $7,760 | $1,649 | $1,318 |
| Rex HospitalRaleigh | 193 | $7,317 | $1,685 | $1,340 |
| Carolina East Medical CenterNew Bern | 192 | $8,230 | $1,773 | $1,415 |
| Forsyth Memorial HospitalWinston-Salem | 187 | $10,026 | $1,690 | $1,339 |
| Wakemed, Cary HospitalCary | 178 | $15,402 | $1,691 | $1,340 |
| Presbyterian HospitalCharlotte | 169 | $11,479 | $1,686 | $1,341 |
| Firsthealth Moore Regional HospitalPinehurst | 160 | $9,582 | $1,606 | $1,273 |
| Moses H Cone Memorial Hospital, theGreensboro | 143 | $7,936 | $1,650 | $1,309 |
| Grace Hospital INCMorganton | 111 | $17,038 | $1,632 | $1,299 |
| Carolinas Medical Center-NortheastConcord | 110 | $13,861 | $1,685 | $1,344 |
| Cape Fear Valley Medical CenterFayetteville | 107 | $8,999 | $1,683 | $1,342 |
| Hugh Chatham Memorial HospitalElkin | 107 | $7,008 | $1,656 | $1,322 |
| Presbyterian Hospital HuntersvilleHuntersville | 101 | $7,854 | $1,672 | $1,336 |
| Carolinas Medical Center-UnionMonroe | 98 | $12,503 | $1,631 | $1,291 |
| Watauga Medical CenterBoone | 89 | $10,902 | $1,726 | $1,376 |
| Atrium Health PinevilleCharlotte | 89 | $13,563 | $1,694 | $1,352 |
| C J Harris Community HospitalSylva | 75 | $19,735 | $1,624 | $1,282 |
| Caromont Regional Medical CenterGastonia | 75 | $11,227 | $1,692 | $1,346 |
| Catawba Valley Medical CenterHickory | 71 | $9,606 | $1,682 | $1,351 |
| Brunswick Community HospitalSupply | 71 | $6,748 | $1,656 | $1,323 |
| Duke Health Raleigh HospitalRaleigh | 69 | $11,598 | $1,693 | $1,345 |
| Johnston Memorial HospitalSmithfield | 69 | $7,148 | $1,673 | $1,339 |
| Rutherford Hospital INCRutherfordton | 66 | $9,287 | $1,720 | $1,366 |
| Columbus Regional Healthcare SystemWhiteville | 62 | $12,576 | $1,634 | $1,303 |
| Presbyterian Hospital-MatthewsMatthews | 62 | $9,685 | $1,688 | $1,351 |
| Iredell Memorial Hospital INCStatesville | 61 | $14,600 | $1,710 | $1,371 |
| Alamance Regional Medical CenterBurlington | 58 | $8,015 | $1,737 | $1,390 |
| Adventhealth HendersonvilleFletcher | 49 | $12,600 | $1,656 | $1,324 |
| Wakemed, Raleigh CampusRaleigh | 49 | $15,344 | $1,713 | $1,365 |
| Haywood Regional Medical CenterClyde | 46 | $12,918 | $1,656 | $1,319 |
| Maria Parham HospitalHenderson | 42 | $18,100 | $1,630 | $1,309 |
| Cleveland Regional Medical CenterShelby | 40 | $13,727 | $1,692 | $1,350 |
| Wilson Medical CenterWilson | 38 | $16,137 | $1,638 | $1,316 |
| Frye Regional Medical CenterHickory | 36 | $18,728 | $1,654 | $1,320 |
| Carolinas Medical Center-LincolnLincolnton | 35 | $12,642 | $1,671 | $1,331 |
| Granville Medical CenterOxford | 30 | $12,251 | $1,671 | $1,330 |
| Lake Norman Regional Medical CenterMooresville | 30 | $16,178 | $1,664 | $1,320 |
| Person Memorial HospitalRoxboro | 29 | $21,120 | $1,625 | $1,279 |
| Carolinas Med Ctr-UniversityCharlotte | 29 | $11,129 | $1,710 | $1,362 |
| Wayne Memorial HospitalGoldsboro | 28 | $6,212 | $1,849 | $1,465 |
| Duke Regional HospitalDurham | 27 | $13,141 | $1,615 | $1,273 |
| Novant Health Ballantyne Medical CenterCharlotte | 26 | $11,267 | $1,703 | $1,377 |
| Albemarle Hospital AuthorityElizabeth City | 25 | $17,395 | $1,773 | $1,419 |
| Southeastern Regional Medical CenterLumberton | 24 | $6,530 | $1,773 | $1,412 |
| High Point Regional Hlth SystHigh Point | 21 | $12,461 | $1,691 | $1,344 |
| Northern Hospital of Surry CountyMt Airy | 20 | $3,351 | $1,656 | $1,328 |
| Wilkes Regional Medical CenterNorth Wilkesboro | 20 | $14,773 | $1,596 | $1,262 |
| Carteret General HospitalMorehead City | 20 | $4,541 | $1,776 | $1,411 |
| Rowan Regional Medical CenterSalisbury | 19 | $6,488 | $1,710 | $1,362 |
| Sampson Regional Medical CenterClinton | 18 | $5,348 | $1,656 | $1,319 |
| Lexington Memorial Hospital INCLexington | 17 | $14,062 | $1,734 | $1,382 |
| Stanly Regional Medical CenterAlbemarle | 17 | $13,937 | $1,710 | $1,372 |
| Caldwell Memorial HospitalLenoir | 13 | $13,293 | $1,656 | $1,319 |
| Thomasville Medical CenterThomasville | 11 | $6,322 | $1,734 | $1,390 |
| Nash General HospitalRocky Mount | 11 | $5,425 | $1,682 | $1,348 |
| Scotland Memorial HospitalLaurinburg | – | – | – | – |
| Central Carolina HospitalSanford | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Onslow Memorial HospitalJacksonville | – | – | – | – |
| UNC RockinghamEden | – | – | – | – |
| Betsy Johnson Regional HospitalDunn | – | – | – | – |
| Anson Community HospitalWadesboro | – | – | – | – |
| McDowell HospitalMarion | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Duplin General HospitalKenansville | – | – | – | – |
| Randolph HospitalAsheboro | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
| Davie Medical CenterBermuda Run | – | – | – | – |
| Cape Fear Valley Hoke HospitalRaeford | – | – | – | – |
| Novant Health Mint Hill Medical CenterCharlotte | – | – | – | – |
| Kindred Hospital-GreensboroGreensboro | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| Wilkes Regional Medical CenterNorth Wilkesboro, NC | $1,596 |
|---|---|
| Firsthealth Moore Regional HospitalPinehurst, NC | $1,606 |
| Duke Regional HospitalDurham, NC | $1,615 |
| C J Harris Community HospitalSylva, NC | $1,624 |
| Person Memorial HospitalRoxboro, NC | $1,625 |
Highest
| Wayne Memorial HospitalGoldsboro, NC | $1,849 |
|---|---|
| Carteret General HospitalMorehead City, NC | $1,776 |
| Southeastern Regional Medical CenterLumberton, NC | $1,773 |
| Carolina East Medical CenterNew Bern, NC | $1,773 |
| Albemarle Hospital AuthorityElizabeth City, NC | $1,773 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in North Carolina?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 79 hospitals in North Carolina was billed at $11,316 on average, while the average medicare-allowed amount was $1,687, of which Medicare paid $1,342. 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 North Carolina, average charges were 6.7 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.