Level 2 Upper GI Procedures in Pennsylvania
What 120 hospitals in Pennsylvania charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$15,417
Hospital list price billed
Average allowed
$1,762
Medicare's payment + patient's share
Medicare paid
$1,403
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $15,417 for level 2 upper gi procedures, about 8.8 times the average medicare-allowed amount of $1,762. That payment is 3% 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 $1,762Billed $15,417
About 11¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 upper gi procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 692 | $19,242 | $1,894 | $1,511 |
| St Luke's Hospital BethlehemBethlehem | 470 | $18,570 | $1,843 | $1,472 |
| Thomas Jefferson University HospitalPhiladelphia | 433 | $13,491 | $1,805 | $1,438 |
| UPMC Presbyterian ShadysidePittsburgh | 420 | $26,411 | $1,673 | $1,332 |
| Lehigh Valley HospitalAllentown | 394 | $20,492 | $1,815 | $1,438 |
| Milton S Hershey Medical CenterHershey | 394 | $16,523 | $1,763 | $1,403 |
| Fox Chase Cancer CenterPhiladelphia | 329 | $20,847 | $1,835 | $1,463 |
| Main Line Hospital LankenauWynnewood | 306 | $11,403 | $1,826 | $1,454 |
| Robert Packer HospitalSayre | 299 | $12,153 | $1,715 | $1,361 |
| Lancaster General HospitalLancaster | 270 | $11,045 | $1,749 | $1,389 |
| Reading Hospital and Med CtrWest Reading | 253 | $9,179 | $1,738 | $1,385 |
| Geisinger Medical CenterDanville | 251 | $25,625 | $1,682 | $1,336 |
| West Penn HospitalPittsburgh | 228 | $10,512 | $1,654 | $1,308 |
| York HospitalYork | 207 | $10,971 | $1,784 | $1,423 |
| Doylestown HospitalDoylestown | 195 | $10,069 | $1,835 | $1,472 |
| Hanover HospitalHanover | 189 | $7,461 | $1,775 | $1,422 |
| Lewistown HospitalLewistown | 184 | $14,857 | $1,281 | $1,025 |
| Wilkes-Barre General HospitalWilkes-Barre | 173 | $20,436 | $1,692 | $1,344 |
| Abington Memorial HospitalAbington | 162 | $11,591 | $1,767 | $1,406 |
| Allegheny General HospitalPittsburgh | 142 | $12,590 | $1,659 | $1,313 |
| UPMC Pinnacle HospitalsHarrisburg | 138 | $11,231 | $1,695 | $1,347 |
| Williamsport Hospital & Medical CenterWilliamsport | 124 | $16,920 | $1,689 | $1,346 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 124 | $24,790 | $1,641 | $1,302 |
| Temple University HospitalPhiladelphia | 119 | $29,716 | $1,786 | $1,416 |
| UPMC PassavantPittsburgh | 115 | $17,722 | $1,688 | $1,344 |
| St Luke's Hospital - Anderson CampusEaston | 113 | $15,061 | $1,734 | $1,390 |
| Meadville Medical CenterMeadville | 110 | $12,701 | $1,820 | $1,456 |
| St Clair Memorial HospitalPittsburgh | 107 | $9,723 | $1,700 | $1,352 |
| Easton HospitalEaston | 103 | $13,566 | $1,799 | $1,432 |
| Conemaugh Valley Memorial HospitalJohnstown | 97 | $6,734 | $1,820 | $1,448 |
| Geisinger-Community Medical CenterScranton | 87 | $23,150 | $1,700 | $1,352 |
| Penn Presbyterian Medical CenterPhiladelphia | 83 | $20,212 | $1,901 | $1,512 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 79 | $14,629 | $1,917 | $1,531 |
| St Luke's Hospital - Monroe CampusStroudsburg | 77 | $15,577 | $1,784 | $1,423 |
| Jefferson Health- NortheastPhiladelphia | 76 | $13,060 | $1,845 | $1,474 |
| Albert Einstein Medical CenterPhiladelphia | 69 | $12,342 | $1,849 | $1,474 |
| Pocono Medical CenterEast Stroudsburg | 67 | $17,523 | $1,856 | $1,480 |
| Jefferson Regional Medical CenterClairton | 67 | $9,177 | $1,700 | $1,343 |
| Chester County HospitalWest Chester | 66 | $15,627 | $1,836 | $1,470 |
| Good Samaritan HospitalLebanon | 64 | $8,995 | $1,804 | $1,444 |
| Altoona Regional Health SystemAltoona | 63 | $13,725 | $1,820 | $1,459 |
| UPMC MercyPittsburgh | 58 | $20,112 | $1,700 | $1,354 |
| Gettysburg HospitalGettysburg | 56 | $6,273 | $1,232 | $987 |
| Hamot Medical CenterErie | 54 | $13,199 | $2,005 | $1,599 |
| Saint Vincent Health CenterErie | 50 | $9,251 | $2,006 | $1,594 |
| St Luke's Quakertown HospitalQuakertown | 48 | $13,772 | $1,836 | $1,465 |
| Canonsburg General HospitalCanonsburg | 48 | $7,789 | $1,671 | $1,319 |
| Dubois Regional Medical CenterDubois | 45 | $7,083 | $1,788 | $1,420 |
| Crozer Chester Medical CenterChester | 40 | $14,237 | $1,821 | $1,443 |
| Latrobe Area HospitalLatrobe | 40 | $6,646 | $1,667 | $1,318 |
| Riddle Memorial HospitalMedia | 39 | $10,565 | $1,849 | $1,473 |
| Phoenixville HospitalPhoenixville | 35 | $8,561 | $1,794 | $1,421 |
| Main Line Hospital PaoliPaoli | 35 | $10,498 | $1,836 | $1,459 |
| Washington Hospital, theWashington | 34 | $6,777 | $1,700 | $1,353 |
| Pottstown Memorial Med CenterPottstown | 32 | $7,859 | $1,785 | $1,416 |
| St Luke's Hospital - Carbon CampusLehighton | 32 | $16,969 | $1,734 | $1,387 |
| UPMC MemorialYork | 31 | $8,738 | $1,713 | $1,353 |
| Mercy Hospital ScrantonScranton | 31 | $13,217 | $1,653 | $1,312 |
| Grand View HospitalSellersville | 30 | $10,409 | $1,836 | $1,458 |
| ACMH HospitalKittanning | 29 | $7,680 | $1,700 | $1,336 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 29 | $10,348 | $1,785 | $1,434 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 28 | $10,964 | $1,783 | $1,410 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 28 | $10,624 | $1,603 | $1,257 |
| Mount Nittany Medical CenterState College | 28 | $7,145 | $1,865 | $1,482 |
| Heritage Valley BeaverBeaver | 27 | $5,602 | $1,668 | $1,322 |
| UPMC St MargaretPittsburgh | 27 | $22,230 | $1,699 | $1,367 |
| Butler Health SystemButler | 26 | $7,484 | $1,615 | $1,273 |
| St Luke's Miners Memorial HospitalCoaldale | 26 | $18,133 | $1,685 | $1,357 |
| UPMC EastMonroeville | 26 | $11,752 | $1,656 | $1,314 |
| Heritage Valley SewickleySewickley | 23 | $5,755 | $1,699 | $1,365 |
| Excela Health Westmoreland Regional HospitalGreensburg | 21 | $6,671 | $1,700 | $1,354 |
| Penn State Health Lancaster Medical CenterLancaster | 21 | $22,204 | $1,677 | $1,336 |
| UPMC HorizonGreenville | 20 | $14,081 | $1,699 | $1,367 |
| Holy Spirit HospitalCamp Hill | 18 | $16,969 | $1,723 | $1,373 |
| Ephrata Community HospitalEphrata | 16 | $9,130 | $1,735 | $1,382 |
| St Mary Medical CenterLanghorne | 16 | $8,473 | $1,797 | $1,408 |
| Geisinger St. Luke's HospitalOrwigsburg | 16 | $20,406 | $1,753 | $1,402 |
| Allegheny Valley HospitalNatrona Heights | 15 | $10,027 | $1,699 | $1,365 |
| Uniontown HospitalUniontown | 15 | $4,396 | $1,699 | $1,360 |
| Hazleton General HospitalHazleton | 15 | $19,688 | $1,700 | $1,354 |
| Evangelical Community HospitalLewisburg | 14 | $16,912 | $1,699 | $1,360 |
| Chambersburg HospitalChambersburg | 14 | $13,187 | $1,898 | $1,519 |
| St Joseph Medical CenterReading | 13 | $17,576 | $1,735 | $1,382 |
| Waynesboro HospitalWaynesboro | 13 | $8,331 | $1,898 | $1,530 |
| Excela Health Frick HospitalMt Pleasant | 13 | $5,557 | $1,700 | $1,347 |
| Carlisle Regional Medical CtrCarlisle | 12 | $8,905 | $1,723 | $1,371 |
| Jameson Memorial HospitalNew Castle | 11 | $8,964 | $1,700 | $1,353 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Lansdale HospitalLansdale | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Penn Highlands HuntingdonHuntingdon | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| UPMC KaneKane | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Wayne Memorial HospitalHonesdale | – | – | – | – |
| Warren General HospitalWarren | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Millcreek Community HospitalErie | – | – | – | – |
| Punxsutawney Area HospitalPunxsutawney | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
| Roxborough Memorial HospitalPhiladelphia | – | – | – | – |
| Physicians Care Surgical HospitalRoyersford | – | – | – | – |
| AHN Wexford HospitalWexford | – | – | – | – |
| Penn State Health Hampden Medical CenterEnola | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
| Lehigh Valley Hospital - Dickson CityDickson City | – | – | – | – |
| Children's Hosp of PittsburghPittsburgh | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Gettysburg HospitalGettysburg, PA | $1,232 |
|---|---|
| Lewistown HospitalLewistown, PA | $1,281 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville, PA | $1,603 |
| Butler Health SystemButler, PA | $1,615 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $1,641 |
Highest
| Saint Vincent Health CenterErie, PA | $2,006 |
|---|---|
| Hamot Medical CenterErie, PA | $2,005 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $1,917 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $1,901 |
| Chambersburg HospitalChambersburg, PA | $1,898 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Pennsylvania?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 120 hospitals in Pennsylvania was billed at $15,417 on average, while the average medicare-allowed amount was $1,762, of which Medicare paid $1,403. 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 Pennsylvania, average charges were 8.8 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.