Level 2 Upper GI Procedures in Ohio
What 112 hospitals in Ohio charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$10,335
Hospital list price billed
Average allowed
$1,607
Medicare's payment + patient's share
Medicare paid
$1,274
Average per service
State rank
#7 of 49
1 = lowest average payment
Hospitals in Ohio billed an average of $10,335 for level 2 upper gi procedures, about 6.4 times the average medicare-allowed amount of $1,607. That payment is 11% 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 $1,607Billed $10,335
About 16¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 2 upper gi procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 1,059 | $8,281 | $1,507 | $1,195 |
| Ohio State University HospitalsColumbus | 506 | $8,263 | $1,687 | $1,341 |
| Riverside Methodist HospitalColumbus | 391 | $15,021 | $1,698 | $1,353 |
| Southwest General Health CenterMiddleburg Heights | 275 | $7,869 | $1,615 | $1,291 |
| Toledo Hospital theToledo | 259 | $12,183 | $1,642 | $1,297 |
| Upper Valley Medical CenterTroy | 243 | $9,159 | $1,600 | $1,275 |
| Mount Carmel HealthColumbus | 219 | $7,234 | $1,683 | $1,336 |
| University Hospital, INCCincinnati | 207 | $10,282 | $1,583 | $1,257 |
| Jewish Hospital, LLCCincinnati | 206 | $12,208 | $1,623 | $1,284 |
| Hillcrest HospitalCleveland | 193 | $7,553 | $1,598 | $1,268 |
| University Hospitals Ahuja Medical CenterBeachwood | 193 | $10,055 | $1,618 | $1,287 |
| Marietta Memorial HospitalMarietta | 188 | $12,000 | $1,082 | $757 |
| Christ HospitalCincinnati | 179 | $7,605 | $1,616 | $1,277 |
| Bethesda North HospitalCincinnati | 171 | $7,790 | $1,639 | $1,303 |
| Genesis Healthcare SystemZanesville | 168 | $9,486 | $1,715 | $1,374 |
| Good Samaritan HospitalCincinnati | 156 | $5,740 | $1,620 | $1,289 |
| Mercy St Vincent Medical CenterToledo | 153 | $19,288 | $1,682 | $1,336 |
| University Hospitals of ClevelandCleveland | 147 | $10,904 | $1,598 | $1,268 |
| Miami Valley HospitalDayton | 129 | $11,120 | $1,645 | $1,308 |
| Mercy Hospital FairfieldFairfield | 124 | $15,134 | $1,603 | $1,266 |
| Fairview HospitalCleveland | 122 | $9,167 | $1,624 | $1,296 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 113 | $17,199 | $1,631 | $1,299 |
| Arthur G James Cancer HospitalColumbus | 106 | $13,668 | $1,694 | $1,349 |
| Community Hospitals and Wellness CentersBryan | 104 | $6,674 | $1,700 | $1,365 |
| University of Toledo Medical CenterToledo | 103 | $14,708 | $1,641 | $1,300 |
| St John Medical CenterWestlake | 103 | $11,700 | $1,601 | $1,271 |
| West Chester Medical CenterWest Chester | 101 | $7,935 | $1,642 | $1,310 |
| Kettering Health DaytonDayton | 95 | $18,459 | $1,624 | $1,289 |
| Mount Carmel St Ann's HospitalWesterville | 93 | $6,566 | $1,693 | $1,350 |
| Firelands Community HospitalSandusky | 93 | $7,108 | $1,619 | $1,289 |
| Dublin Methodist HospitalDublin | 92 | $15,199 | $1,687 | $1,348 |
| Lima Memorial Health SystemLima | 85 | $13,972 | $1,603 | $1,267 |
| Summa Health System - Akron CampusAkron | 85 | $10,449 | $1,619 | $1,290 |
| Kettering Medical CenterKettering | 79 | $16,350 | $1,708 | $1,361 |
| Mercy Hospital ClermontBatavia | 73 | $15,516 | $1,637 | $1,299 |
| Blanchard Valley Health AssnFindlay | 69 | $5,577 | $1,605 | $1,274 |
| Cleveland Clinic Avon HospitalAvon | 69 | $8,195 | $1,606 | $1,278 |
| Springfield Regional Medical CenterSpringfield | 68 | $11,669 | $1,694 | $1,351 |
| Adena Regional Medical CenterChillicothe | 68 | $15,079 | $1,602 | $1,271 |
| Holzer Medical CenterGallipolis | 63 | $9,864 | $1,598 | $1,286 |
| Metrohealth SystemCleveland | 63 | $8,485 | $1,046 | $720 |
| Surgical Hospital at SouthwoodsYoungstown | 63 | $10,413 | $1,578 | $1,250 |
| Cleveland Clinic - Akron GeneralAkron | 61 | $9,761 | $1,619 | $1,291 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 61 | $5,490 | $1,619 | $1,295 |
| St Rita's Medical CenterLima | 58 | $11,251 | $1,627 | $1,290 |
| Fisher Titus Memorial HospitalNorwalk | 57 | $7,777 | $1,588 | $1,260 |
| St Elizabeth Health CenterYoungstown | 56 | $12,604 | $1,604 | $1,270 |
| South Pointe HospitalWarrensville Heights | 56 | $7,719 | $1,601 | $1,274 |
| Ohiohealth Mansfield HospitalMansfield | 53 | $13,537 | $1,666 | $1,325 |
| Fairfield Medical CenterLancaster | 50 | $6,336 | $1,615 | $1,272 |
| Mercy Health Kings Mills Hospital LLCMason | 49 | $15,731 | $1,547 | $1,218 |
| Wooster Community HospitalWooster | 48 | $4,418 | $1,628 | $1,302 |
| Grand Lake Health SystemSt Marys | 47 | $8,042 | $1,627 | $1,300 |
| Southern Ohio Medical CenterPortsmouth | 41 | $3,817 | $1,700 | $1,346 |
| Licking Memorial HospitalNewark | 41 | $9,192 | $1,702 | $1,357 |
| Mercy Regional Medical CenterLorain | 39 | $12,479 | $1,558 | $1,228 |
| St Joseph Health CenterWarren | 38 | $10,713 | $1,619 | $1,290 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 36 | $18,824 | $1,618 | $1,282 |
| Summa Western Reserve HospitalCuyahoga Falls | 36 | $15,306 | $1,597 | $1,272 |
| St Elizabeth Boardman Health CenterYoungstown | 35 | $11,673 | $1,619 | $1,292 |
| Marion General HospitalMarion | 34 | $13,482 | $1,665 | $1,333 |
| Mercer County Joint Township Community HospitalColdwater | 32 | $6,959 | $1,619 | $1,303 |
| Memorial Hospital of Union CountyMarysville | 32 | $8,188 | $1,702 | $1,355 |
| Mercy Hospital AndersonCincinnati | 30 | $16,661 | $1,611 | $1,275 |
| Wilson Memorial HospitalSidney | 30 | $15,573 | $1,708 | $1,364 |
| Parma Community General HospitalParma | 30 | $11,946 | $1,581 | $1,259 |
| Ashtabula County Medical CenterAshtabula | 30 | $9,596 | $1,734 | $1,384 |
| Trihealth Clinton Regional HospitalWilmington | 28 | $6,710 | $1,619 | $1,313 |
| Mary Rutan HospitalBellefontaine | 26 | $4,630 | $1,829 | $1,461 |
| Union HospitalDover | 24 | $6,571 | $1,619 | $1,294 |
| Aultman HospitalCanton | 24 | $10,688 | $1,585 | $1,261 |
| Medina HospitalMedina | 24 | $8,306 | $1,570 | $1,240 |
| Joel Pomerene Memorial HospitalMillersburg | 23 | $4,221 | $1,564 | $1,210 |
| Doctors HospitalColumbus | 23 | $15,467 | $1,618 | $1,288 |
| Southeastern Ohio Regional Medical CenterCambridge | 23 | $6,551 | $1,734 | $1,389 |
| Salem Community HospitalSalem | 22 | $5,968 | $1,619 | $1,299 |
| University Hospitals - Elyria Medical CenterElyria | 21 | $10,165 | $1,624 | $1,298 |
| Grant Medical CenterColumbus | 19 | $17,811 | $1,701 | $1,365 |
| UH Regional HospitalsRichmond Heights | 18 | $9,654 | $1,624 | $1,294 |
| Avita OntarioOntario | 18 | $12,088 | $1,655 | $1,328 |
| Samaritan Hospital - Peoples HospitalAshland | 15 | $9,110 | $1,619 | $1,285 |
| Trumbull Memorial HospitalWarren | 15 | $18,463 | $1,619 | $1,290 |
| Marymount HospitalGarfield Heights | 15 | $9,045 | $1,624 | $1,310 |
| Kings Daughters Medical Center OhioPortsmouth | 15 | $7,501 | $1,619 | $1,306 |
| Lake Hospital SystemPainesville | 14 | $13,405 | $1,624 | $1,294 |
| Wood County HospitalBowling Green | 13 | $7,655 | $1,553 | $1,223 |
| Madison County Hospital INCLondon | 11 | $12,128 | $1,578 | $1,240 |
| Ohio Valley Medical Center, LLCSpringfield | 11 | $5,476 | $1,708 | $1,365 |
| O'bleness Memorial HospitalAthens | – | – | – | – |
| Knox Community HospitalMt Vernon | – | – | – | – |
| Wayne HospitalGreenville | – | – | – | – |
| McCullough-Hyde Memorial HospitalOxford | – | – | – | – |
| Mercy Medical CenterCanton | – | – | – | – |
| Van Wert County HospitalVan Wert | – | – | – | – |
| Atrium Medical CenterMiddletown | – | – | – | – |
| University Hospitals Portage Medical CenterRavenna | – | – | – | – |
| Euclid HospitalEuclid | – | – | – | – |
| Lutheran HospitalCleveland | – | – | – | – |
| Mercy Hospital of TiffinTiffin | – | – | – | – |
| Coshocton County Memorial HospitalCoshocton | – | – | – | – |
| Alliance Community HospitalAlliance | – | – | – | – |
| Memorial HospitalFremont | – | – | – | – |
| Berger HospitalCircleville | – | – | – | – |
| Grady Memorial HospitalDelaware | – | – | – | – |
| Kettering Medical Center - SycamoreMiamisburg | – | – | – | – |
| Bay Park Community HospitalOregon | – | – | – | – |
| Mercy Hospital of DefianceDefiance | – | – | – | – |
| Soin Medical CenterBeaver Creek | – | – | – | – |
| Kettering Health TroyTroy | – | – | – | – |
| Children's Hosp Medical CenterCincinnati | – | – | – | – |
| Children's Hosp Medical CenterAkron | – | – | – | – |
| Nationwide Children's HospitalColumbus | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $1,046 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $1,082 |
| Cleveland Clinic - Main CampusCleveland, OH | $1,507 |
| Mercy Health Kings Mills Hospital LLCMason, OH | $1,547 |
| Wood County HospitalBowling Green, OH | $1,553 |
Highest
| Mary Rutan HospitalBellefontaine, OH | $1,829 |
|---|---|
| Ashtabula County Medical CenterAshtabula, OH | $1,734 |
| Southeastern Ohio Regional Medical CenterCambridge, OH | $1,734 |
| Genesis Healthcare SystemZanesville, OH | $1,715 |
| Kettering Medical CenterKettering, OH | $1,708 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Ohio?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 112 hospitals in Ohio was billed at $10,335 on average, while the average medicare-allowed amount was $1,607, of which Medicare paid $1,274. 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 Ohio, average charges were 6.4 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.