Level 2 Upper GI Procedures in Utah
What 31 hospitals in Utah charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$7,943
Hospital list price billed
Average allowed
$1,674
Medicare's payment + patient's share
Medicare paid
$1,331
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Utah billed an average of $7,943 for level 2 upper gi procedures, about 4.7 times the average medicare-allowed amount of $1,674. That payment is 8% 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 $1,674Billed $7,943
About 21¢ was paid for every $1 hospitals in Utah billed for this service.
Utah hospitals: level 2 upper gi procedures
Every Utah hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City | 600 | $7,343 | $1,614 | $1,282 |
| McKay-Dee Hospital CenterOgden | 286 | $6,121 | $1,673 | $1,331 |
| Lds HospitalSalt Lake City | 254 | $7,441 | $1,670 | $1,325 |
| Cottonwood Hospital Med CntrMurray | 196 | $6,913 | $1,660 | $1,314 |
| St. George Regional HospitalSt George | 193 | $6,226 | $1,795 | $1,426 |
| Utah Valley Regional Medical CenterProvo | 189 | $5,969 | $1,691 | $1,345 |
| Logan Regional HospitalLogan | 169 | $6,288 | $1,657 | $1,320 |
| Davis Hospital and Medical CenterLayton | 123 | $13,571 | $1,694 | $1,348 |
| Riverton HospitalRiverton | 106 | $5,647 | $1,691 | $1,360 |
| Intermountain Health Layton HospitalLayton | 95 | $4,981 | $1,690 | $1,349 |
| St Marks HospitalSalt Lake City | 84 | $22,593 | $1,688 | $1,343 |
| Mountain View HospitalPayson | 69 | $11,687 | $1,705 | $1,356 |
| American Fork HospitalAmerican Fork | 60 | $4,772 | $1,667 | $1,317 |
| Jordan Valley Medical CenterWest Jordan | 41 | $14,312 | $1,705 | $1,360 |
| Park City Medical CenterPark City | 41 | $5,914 | $1,704 | $1,372 |
| Intermountain Health Spanish Fork HospitalSpanish Fork | 39 | $3,518 | $1,670 | $1,332 |
| Timpanogos Regional HospitalOrem | 36 | $16,930 | $1,627 | $1,285 |
| Brigham City Community HospitalBrigham City | 34 | $14,835 | $1,622 | $1,277 |
| Castleview HospitalPrice | 32 | $8,502 | $1,826 | $1,455 |
| Sevier Valley HospitalRichfield | 32 | $4,312 | $1,826 | $1,458 |
| Intermountain Health Cedar City HospitalCedar City | 29 | $4,695 | $1,776 | $1,399 |
| Lakeview HospitalBountiful | 27 | $22,658 | $1,661 | $1,317 |
| Bear River Valley HospitalTremonton | 22 | $6,238 | $1,643 | $1,312 |
| Mountain West Medical CenterTooele | 17 | $7,859 | $1,466 | $1,123 |
| Salt Lake Regional Medical CenterSalt Lake City | – | – | – | – |
| Ogden Regional Medical CenterOgden | – | – | – | – |
| Uintah Basin Medical CenterRoosevelt | – | – | – | – |
| Ashley Valley Medical CenterVernal | – | – | – | – |
| Alta View HospitalSandy | – | – | – | – |
| Cache Valley Speciality HospitalNorth Logan | – | – | – | – |
| Lone Peak HospitalDraper | – | – | – | – |
Lowest and highest allowed amounts in Utah
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
| Mountain West Medical CenterTooele, UT | $1,466 |
|---|---|
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $1,614 |
| Brigham City Community HospitalBrigham City, UT | $1,622 |
| Timpanogos Regional HospitalOrem, UT | $1,627 |
| Bear River Valley HospitalTremonton, UT | $1,643 |
Highest
| Castleview HospitalPrice, UT | $1,826 |
|---|---|
| Sevier Valley HospitalRichfield, UT | $1,826 |
| St. George Regional HospitalSt George, UT | $1,795 |
| Intermountain Health Cedar City HospitalCedar City, UT | $1,776 |
| Mountain View HospitalPayson, UT | $1,705 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Utah?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 31 hospitals in Utah was billed at $7,943 on average, while the average medicare-allowed amount was $1,674, of which Medicare paid $1,331. 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 Utah, average charges were 4.7 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.