facebook tracking Level 2 Upper GI Procedures cost in Texas: 223 hospitals compared (APC 5302)

Level 2 Upper GI Procedures in Texas

What 223 hospitals in Texas charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.

APC 5302 Outpatient 2024 Medicare data
Average charge $16,207 Hospital list price billed
Average allowed $1,687 Medicare's payment + patient's share
Medicare paid $1,344 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $16,207 for level 2 upper gi procedures, about 9.6 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 $16,207

About 10¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 2 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Univ of Tx M D Anderson CtrHouston 969 $14,657 $1,753 $1,398
Baylor University Medical CenterDallas 600 $11,923 $1,649 $1,308
Trinity Mother Frances SystTyler 527 $20,460 $1,638 $1,309
Mem Hermann Southwest HospHouston 359 $18,500 $1,738 $1,384
Methodist Hospital,TheHouston 342 $15,328 $1,732 $1,377
UT Southwestern University HospitalDallas 334 $11,425 $1,692 $1,346
Shannon Medical CenterSan Angelo 299 $10,440 $1,748 $1,407
Baylor All Saints Medical Center at FwFort Worth 291 $12,177 $1,667 $1,315
Hendrick Health SystemAbilene 271 $19,042 $1,649 $1,305
St Lukes Episcopal HospitalHouston 250 $14,272 $1,742 $1,382
Methodist HospitalSan Antonio 247 $13,207 $1,630 $1,293
Houston Methodist the Woodlands HospitalThe Woodlands 229 $12,146 $1,748 $1,394
University Health SystemSan Antonio 202 $6,474 $1,615 $1,280
Memorial Hermann Texas Medical CenterHouston 201 $19,306 $1,745 $1,391
Texas Health Harris Methodist Fort WorthFort Worth 190 $9,960 $1,691 $1,348
Scott & White Memorial HospitalTemple 181 $9,114 $1,652 $1,302
East Texas Medical CenterTyler 178 $18,619 $1,608 $1,278
Texoma Healthcare SystemDenison 177 $17,493 $1,697 $1,354
Covenant Medical CenterLubbock 176 $34,448 $1,622 $1,289
Scott & White Hospital-Round RockRound Rock 172 $9,647 $1,667 $1,337
Hill Country Memorial HospitalFredericksburg 165 $18,732 $1,643 $1,324
Texas Health Presbyterian Hospital DallasDallas 156 $12,296 $1,712 $1,366
Sid Peterson Memorial HospitalKerrville 153 $7,075 $1,634 $1,309
St Davids HospitalAustin 146 $20,924 $1,666 $1,328
Baptist Medical CenterSan Antonio 145 $32,533 $1,642 $1,301
Baylor Regional Medical Center at PlanoPlano 144 $11,364 $1,703 $1,357
Texas Health Presbyterian Hospital Flower MoundFlower Mound 144 $9,781 $1,670 $1,329
Methodist Dallas Medical CenterDallas 143 $14,370 $1,684 $1,336
Baylor Scott and White Medical Center McKinneyMc Kinney 139 $9,823 $1,676 $1,328
Good Shepherd Medical Center MarshallMarshall 137 $16,615 $1,669 $1,328
Methodist Richardson Medical CenterRichardson 136 $15,285 $1,641 $1,301
Methodist Sugar Land HospitalSugar Land 136 $14,307 $1,754 $1,398
Medical Center of PlanoPlano 134 $31,793 $1,712 $1,365
Mem Hermann Mem City HospHouston 127 $14,249 $1,764 $1,410
Methodist Willowbrook HospitalHouston 127 $12,304 $1,744 $1,391
North Austin Medical CenterAustin 125 $29,287 $1,626 $1,290
University Medical CenterLubbock 122 $23,300 $1,513 $1,205
Texas Health Presbyterian Hospital PlanoPlano 115 $11,752 $1,700 $1,358
Baylor Scott and White Surgical Hospital at ShermaSherman 110 $8,999 $1,612 $1,279
Weatherford Regional Medical CenterWeatherford 104 $15,679 $1,718 $1,371
Bsa HospitalAmarillo 103 $15,906 $1,638 $1,304
Cedar Park Regional Medical CenterCedar Park 91 $17,365 $1,634 $1,297
Doctors Hospital at RenaissanceEdinburg 89 $21,721 $1,651 $1,317
Baylor Scott & White Medical Center - Marble FallsMarble Falls 88 $11,413 $1,768 $1,428
University Medical Center of El PasoEl Paso 87 $12,134 $1,478 $1,171
Providence Health CenterWaco 86 $7,979 $1,697 $1,351
Huntsville Memorial HospitalHuntsville 86 $8,737 $1,732 $1,364
St David's South Austin Medical CenterAustin 86 $28,597 $1,675 $1,334
Methodist Charlton Medical CenterDallas 76 $15,758 $1,696 $1,354
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 75 $9,334 $1,707 $1,353
United Regional Hlth Care SystWichita Falls 72 $10,202 $1,699 $1,334
Hunt Regional Medical CenterGreenville 70 $6,750 $1,712 $1,366
Memorial Hermann Sugar Land HospitalSugar Land 70 $21,379 $1,744 $1,392
University of Texas Medical Branch GalGalveston 67 $20,433 $1,764 $1,411
Methodist Mansfield Medical CenterMansfield 66 $17,085 $1,697 $1,356
University Medical Center at BrackenridgeAustin 65 $15,132 $1,675 $1,337
The Hospitals of Providence Transmountain CampusEl Paso 65 $32,489 $1,612 $1,281
Plaza Medical Center of Fort WorthFort Worth 64 $42,768 $1,654 $1,302
Texas Health Harris Methodist Hospital Southwest FFort Worth 64 $11,336 $1,718 $1,370
Citizens Medical CenterVictoria 63 $5,726 $1,640 $1,299
Tomball Regional HospitalTomball 62 $21,558 $1,742 $1,389
Houston Methodist West HospitalHouston 60 $13,100 $1,741 $1,388
Baylor Scott & White Medical Center- College StatiCollege Station 60 $8,610 $1,741 $1,387
Baylor Regional Medical Center at GrapevineGrapevine 53 $11,196 $1,718 $1,369
Denton Regional Medical CenterDenton 53 $35,171 $1,718 $1,368
Kingwood Medical CenterKingwood 52 $46,173 $1,764 $1,418
CHRISTUS St Michael Health SystemTexarkana 50 $18,972 $1,651 $1,310
Texas Health Presbyterian Hospital RockwallRockwall 50 $11,641 $1,657 $1,325
Medical Center of McKinneyMcKinney 49 $23,530 $1,712 $1,373
Texas Health Hospital FriscoFrisco 49 $11,432 $1,684 $1,360
Memorial Hermann NortheastHumble 48 $16,700 $1,738 $1,387
Connally Memorial Medical CenterFloresville 47 $13,563 $1,651 $1,313
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos 47 $39,426 $1,675 $1,334
East Texas Medical Center AthensAthens 47 $12,876 $1,676 $1,337
Houston Methodist Clear Lake HospitalHouston 47 $16,280 $1,734 $1,389
Lake Pointe Medical CenterRowlett 47 $11,861 $1,712 $1,371
Texas Health Arlington Memorial HospitalArlington 45 $12,027 $1,718 $1,369
Mem Hermann Baptist HospitalBeaumont 45 $15,917 $1,699 $1,352
Denton Community HospitalDenton 45 $9,614 $1,718 $1,369
Lubbock Heart Hospital LpLubbock 43 $9,758 $1,651 $1,329
Centennial Medical CenterFrisco 43 $11,310 $1,680 $1,345
St Luke's Sugar Land HospitalSugar Land 43 $14,365 $1,764 $1,408
Medical City Dallas HospitalDallas 42 $21,968 $1,680 $1,331
Parkland Health and Hospital SystemDallas 41 $14,655 $1,712 $1,364
CHRISTUS Santa Rosa HospitalSan Antonio 40 $14,726 $1,651 $1,315
Memorial Hermann Katy HospitalKaty 39 $21,879 $1,734 $1,385
Grace Medical CenterLubbock 38 $10,801 $1,599 $1,277
Nacogdoches Medical CenterNacogdoches 38 $20,414 $1,616 $1,279
Baylor Medical Center at FriscoFrisco 38 $9,785 $1,712 $1,382
Baylor Medical Center at IrvingIrving 37 $11,030 $1,675 $1,330
Seton Medical Center Harker HeightsHarker Heights 37 $15,726 $1,644 $1,317
Texas Health Harris Methodist Hurst-Euless-BedfordBedford 36 $13,057 $1,718 $1,371
St Luke's the Woodlands HospitalConroe 36 $12,795 $1,764 $1,420
Methodist Stone Oak HospitalSan Antonio 36 $18,300 $1,651 $1,320
Houston Methodist Baytown HospitalBaytown 35 $11,112 $1,764 $1,415
Huguley Health SystemFort Worth 35 $21,557 $1,679 $1,332
Longview Regional Medical CenterLongview 34 $23,505 $1,693 $1,350
Seton Medical Center AustinAustin 33 $23,657 $1,508 $1,188
Harlingen Medical CenterHarlingen 33 $19,994 $1,651 $1,323
CHRISTUS HospitalBeaumont 32 $16,718 $1,764 $1,405
Jps Health NetworkFort Worth 32 $11,758 $1,718 $1,367
Medical Center HospitalOdessa 32 $8,952 $1,651 $1,320
Patients Medical Center, LtdPasadena 32 $21,698 $1,674 $1,323
Laredo Medical CenterLaredo 31 $17,195 $1,660 $1,323
Brownwood Regional Medical CenterBrownwood 29 $16,472 $1,768 $1,412
St Joseph Regional Health CenterBryan 28 $25,837 $1,657 $1,322
North Hills HospitalNorth Richland Hills 28 $30,462 $1,717 $1,396
Hillcrest Baptist Med CenterWaco 28 $9,815 $1,567 $1,219
Baylor Medical Center at WaxahachieWaxahachie 28 $10,871 $1,669 $1,326
University of Texas Health Science Center at TylerTyler 26 $12,343 $1,651 $1,319
Corpus Christi Medical Center,TheCorpus Christi 26 $16,955 $1,720 $1,370
The Medical Center of Southeast TexasPort Arthur 25 $25,656 $1,656 $1,338
North Texas Medical CenterGainesville 24 $7,224 $1,834 $1,463
Midland Memorial HospitalMidland 24 $14,597 $1,596 $1,264
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs 24 $20,620 $1,834 $1,476
Valley Baptist Medical CenterHarlingen 23 $30,554 $1,594 $1,254
Guadalupe Regional Medical CenterSeguin 23 $10,999 $1,651 $1,326
Harris County Hospital DistrictHouston 23 $15,232 $1,759 $1,393
Clear Lake Regional Medical CenterWebster 23 $37,144 $1,732 $1,373
Rio Grande Regional HospitalMcAllen 23 $73,960 $1,651 $1,318
Ad Hospital East, LLCHouston 23 $17,777 $1,730 $1,379
Lake Granbury Medical CenterGranbury 21 $23,040 $1,718 $1,372
Oakbend Medical CenterRichmond 19 $10,474 $1,764 $1,406
Houston Northwest Medical CenterHouston 19 $41,843 $1,764 $1,407
Sierra Medical CenterEl Paso 19 $23,469 $1,651 $1,315
Dallas Regional Medical CenterMesquite 18 $18,858 $1,637 $1,283
Texas Health Harris Methodist Hospital AllianceFort Worth 18 $15,682 $1,642 $1,293
HCA Houston Healthcare SoutheastPasadena 17 $26,962 $1,764 $1,406
Las Palmas Medical CenterEl Paso 17 $38,524 $1,651 $1,320
Adventhealth Central TexasKilleen 17 $13,423 $1,737 $1,380
St Luke's Hospital at the VintageHouston 16 $14,196 $1,764 $1,411
Medical City AllianceFort Worth 16 $34,415 $1,718 $1,379
South Texas Health SystemEdinburg 15 $32,611 $1,650 $1,343
Round Rock Medical CenterRound Rock 15 $22,205 $1,675 $1,334
Paris Regional Medical CenterParis 14 $15,128 $1,834 $1,461
Medical City DecaturDecatur 14 $25,822 $1,718 $1,381
Sugar Land Surgical Hospital LLPSugar Land 14 $7,701 $1,764 $1,418
Detar Hospital NavarroVictoria 13 $43,329 $1,559 $1,200
Northwest Texas Hlthcare SystAmarillo 13 $19,659 $1,550 $1,210
HCA Houston Healthcare Medical CenterHouston 13 $43,331 $1,764 $1,420
Valley Regional Medical CenterBrownsville 13 $31,046 $1,651 $1,328
Las Colinas Medical CenterIrving 13 $46,299 $1,713 $1,354
Seton Medical Center WilliamsonRound Rock 13 $10,737 $1,713 $1,362
Seton Medical Center HaysKyle 13 $12,054 $1,675 $1,334
Wadley Regional Medical CenterTexarkana 11 $14,088 $1,651 $1,302
Palo Pinto General HospitalMineral Wells 11 $7,823 $1,544 $1,201
Sierra Providence East Medical CenterEl Paso 11 $25,156 $1,651 $1,338
Providence Memorial HospitalEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Rolling Plains Memorial HospitalSweetwater – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Titus Regional Medical CenterMt Pleasant – – – –
CHRISTUS Spohn HospitalBeeville – – – –
Fort Duncan Medical CenterEagle Pass – – – –
Knapp Medical CenterWeslaco – – – –
Ascension Seton SmithvilleSmithville – – – –
Texas Health Harris Methodist Hospital CleburneCleburne – – – –
Val Verde Regional Medical CenterDel Rio – – – –
CHRISTUS Spohn Hospital KlebergKingsville – – – –
Methodist Hospital AtascosaJourdanton – – – –
Mission Regional Medical CenterMission – – – –
East Texas Medical Center JacksonvilleJacksonville – – – –
CHI St Lukes Health Memorial LufkinLufkin – – – –
Conroe Regional Medical CenterConroe – – – –
Memorial HospitalGonzales – – – –
Faith Community HospitalJacksboro – – – –
Texas Health Presbyterian Hospital KaufmanKaufman – – – –
Texas Health Harris Methodist Hospital StephenvillStephenville – – – –
Childress Regional Medical CenterChildress – – – –
Columbus Community HospitalColumbus – – – –
CHI St Lukes Health Memorial LivingstonLivingston – – – –
Parkview Regional HospitalMexia – – – –
Texas Health Harris Methodist Hospital AzleAzle – – – –
Navarro Regional HospitalCorsicana – – – –
Glen Rose Medical CenterGlen Rose – – – –
Matagorda General HospitalBay City – – – –
Wilson N Jones Regional Medical CenterSherman – – – –
Woodland Heights Medical CenterLufkin – – – –
Nacogdoches Memorial HospitalNacogdoches – – – –
Covenant Hospital PlainviewPlainview – – – –
Cuero Community HospitalCuero – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Starr County Memorial HospitalRio Grande City – – – –
Freestone Medical CenterFairfield – – – –
Medical Center of LewisvilleLewisville – – – –
Medical Center of ArlingtonArlington – – – –
White Rock Medical CenterDallas – – – –
El Campo Memorial HospitalEl Campo – – – –
Baylor Medical Center at CarrolltonCarrollton – – – –
Palestine Regional Medical CenterPalestine – – – –
Tops Surgical Specialty HospitalHouston – – – –
Healthsouth Surgical HospitalAustin – – – –
CHRISTUS Spohn Hospital AliceAlice – – – –
Ennis Regional Medical CenterEnnis – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Baylor Heart and Vascular HospitalDallas – – – –
Seton Southwest HospitalAustin – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Horizon Medical Center of DentonDenton – – – –
Texas Childrens HospitalHouston – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
Houston Physicians' HospitalWebster – – – –
The Heart Hospital Baylor PlanoPlano – – – –
North Central Surgical Center LLPDallas – – – –
Foundation Surgical Hospital of San AntonioSan Antonio – – – –
Texas Regional Medical Center at SunnyvaleSunnyvale – – – –
Methodist McKinney HospitalMcKinney – – – –
Crescent Medical Center LancasterLancaster – – – –
Resolute Health HospitalNew Braunfels – – – –
HCA Houston Healthcare PearlandPearland – – – –
Baytown Medical Center LpBaytown – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Baylor Scott & White Medical Center - BudaBuda – – – –
Baylor Scott & White Medical Center- AustinAustin – – – –
Legent Orthopedic HospitalGrapevine – – – –
Townsen Memorial HospitalHumble – – – –
Methodist Midlothian Medical CenterMidlothian – – – –
Texas Health Hospital MansfieldMansfield – – – –
East Houston Medical CenterHouston – – – –
Advanced Dallas Hospitals and ClinicsDallas – – – –
Level 2 Upper GI Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

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

University Medical Center of El PasoEl Paso, TX$1,478
Seton Medical Center AustinAustin, TX$1,508
University Medical CenterLubbock, TX$1,513
Palo Pinto General HospitalMineral Wells, TX$1,544
Northwest Texas Hlthcare SystAmarillo, TX$1,550

Level 2 Upper GI Procedures in other states

Florida · $1,708 Georgia · $1,689 Indiana · $1,712 Michigan · $1,680 Nebraska · $1,699 North Carolina · $1,687 Utah · $1,674 Virginia · $1,691

Questions

How much does level 2 upper gi procedures cost in Texas?

In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 223 hospitals in Texas was billed at $16,207 on average, while the average medicare-allowed amount was $1,687, of which Medicare paid $1,344. 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 Texas, average charges were 9.6 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.