Level 2 Upper GI Procedures in Oregon
What 32 hospitals in Oregon charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$9,225
Hospital list price billed
Average allowed
$2,019
Medicare's payment + patient's share
Medicare paid
$1,606
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Oregon billed an average of $9,225 for level 2 upper gi procedures, about 4.6 times the average medicare-allowed amount of $2,019. That payment is 11% 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 $2,019Billed $9,225
About 22¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 2 upper gi procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 302 | $10,216 | $1,986 | $1,580 |
| Sacred Heart Medical Center - RiverbendSpringfield | 196 | $7,242 | $1,971 | $1,572 |
| Providence Portland Medical CenterPortland | 193 | $9,274 | $1,997 | $1,590 |
| Rogue Valley Medical CenterMedford | 159 | $5,473 | $2,299 | $1,829 |
| Legacy Meridian Park Medical CenterTualatin | 122 | $8,484 | $1,983 | $1,580 |
| Providence St Vincent Medical CenterPortland | 113 | $11,354 | $1,997 | $1,592 |
| St Charles Medical Center - BendBend | 108 | $14,168 | $2,011 | $1,603 |
| Salem HospitalSalem | 87 | $9,686 | $1,999 | $1,569 |
| Legacy Good Samaritan Medical CenterPortland | 76 | $9,681 | $1,913 | $1,505 |
| Providence Newberg HospitalNewberg | 57 | $9,482 | $1,997 | $1,593 |
| Adventist Medical CenterPortland | 50 | $12,143 | $1,925 | $1,535 |
| Good Samaritan Regional Medical CenterCorvallis | 34 | $9,607 | $1,929 | $1,528 |
| Three Rivers Community HospitalGrants Pass | 33 | $5,351 | $1,877 | $1,496 |
| Mercy Medical CenterRoseburg | 27 | $9,606 | $2,079 | $1,667 |
| Hillsboro Medical CenterHillsboro | 26 | $9,682 | $1,996 | $1,602 |
| Legacy Mount Hood Medical CenterGresham | 16 | $7,905 | $1,996 | $1,597 |
| Providence Willamette Falls Medical CenterOregon City | 16 | $6,595 | $1,996 | $1,609 |
| Providence Medford Medical CenterMedford | 16 | $7,018 | $2,310 | $1,843 |
| Bay Area HospitalCoos Bay | 16 | $9,831 | $2,079 | $1,656 |
| Silverton Hospital NetworkSilverton | 15 | $8,631 | $1,906 | $1,512 |
| Sky Lakes Medical CenterKlamath Falls | 12 | $4,894 | $2,474 | $1,971 |
| Mid-Columbia Medical CenterThe Dalles | – | – | – | – |
| Ashland Community HospitalAshland | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Samaritan Albany General HospitalAlbany | – | – | – | – |
| St Alphonsus Medical Center - Ontario, INCOntario | – | – | – | – |
| Santiam Memorial HospitalStayton | – | – | – | – |
| Willamette Valley Medical CtrMcMinnville | – | – | – | – |
| Providence Milwaukie HospitalMilwaukie | – | – | – | – |
| Kaiser Sunnyside Medical CenterClackamas | – | – | – | – |
| Kaiser Foundation Hospital WestsideHillsboro | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Three Rivers Community HospitalGrants Pass, OR | $1,877 |
|---|---|
| Silverton Hospital NetworkSilverton, OR | $1,906 |
| Legacy Good Samaritan Medical CenterPortland, OR | $1,913 |
| Adventist Medical CenterPortland, OR | $1,925 |
| Good Samaritan Regional Medical CenterCorvallis, OR | $1,929 |
Highest
| Sky Lakes Medical CenterKlamath Falls, OR | $2,474 |
|---|---|
| Providence Medford Medical CenterMedford, OR | $2,310 |
| Rogue Valley Medical CenterMedford, OR | $2,299 |
| Bay Area HospitalCoos Bay, OR | $2,079 |
| Mercy Medical CenterRoseburg, OR | $2,079 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Oregon?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 32 hospitals in Oregon was billed at $9,225 on average, while the average medicare-allowed amount was $2,019, of which Medicare paid $1,606. 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 Oregon, average charges were 4.6 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.