Level 2 Upper GI Procedures in Virginia
What 66 hospitals in Virginia charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$13,791
Hospital list price billed
Average allowed
$1,691
Medicare's payment + patient's share
Medicare paid
$1,347
Average per service
State rank
#20 of 49
1 = lowest average payment
Hospitals in Virginia billed an average of $13,791 for level 2 upper gi procedures, about 8.2 times the average medicare-allowed amount of $1,691. 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 $1,691Billed $13,791
About 12¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 2 upper gi procedures
Every Virginia 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 of Virginia Medical CenterCharlottesville | 581 | $8,001 | $1,721 | $1,366 |
| Cjw Medical CenterRichmond | 415 | $43,062 | $1,625 | $1,299 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 352 | $18,594 | $1,739 | $1,387 |
| Winchester Medical Center INCWinchester | 293 | $4,983 | $1,856 | $1,480 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 286 | $11,483 | $1,725 | $1,378 |
| Medical College of Virginia HospitalsRichmond | 282 | $13,257 | $1,590 | $1,255 |
| Lewisgale Medical CenterSalem | 281 | $39,697 | $1,619 | $1,302 |
| Inova Fairfax HospitalFalls Church | 278 | $5,761 | $1,759 | $1,395 |
| Riverside Regional Medical CenterNewport News | 265 | $9,443 | $1,624 | $1,291 |
| Inova Alexandria HospitalAlexandria | 242 | $5,858 | $1,749 | $1,389 |
| Sentara Virginia Beach General HospitalVirginia Beach | 236 | $9,288 | $1,639 | $1,305 |
| Sentara Norfolk General HospitalNorfolk | 235 | $9,672 | $1,600 | $1,265 |
| Carilion Medical CenterRoanoke | 222 | $8,183 | $1,615 | $1,285 |
| Inova Fair Oaks HospitalFairfax | 204 | $5,382 | $1,777 | $1,421 |
| Bon Secours - St Francis Medical CenterMidlothian | 199 | $9,863 | $1,655 | $1,323 |
| Mary Washington Hospital, INCFredericksburg | 197 | $11,129 | $1,706 | $1,345 |
| Sentara Williamsburg Regional Medical CenterWilliamsburg | 174 | $10,233 | $1,631 | $1,305 |
| Chesapeake General HospitalChesapeake | 170 | $7,937 | $1,617 | $1,285 |
| Martha Jefferson HospitalCharlottesville | 169 | $9,932 | $1,654 | $1,318 |
| Sentara Leigh HospitalNorfolk | 160 | $8,663 | $1,647 | $1,316 |
| Henrico Doctors' HospitalRichmond | 144 | $36,252 | $1,625 | $1,294 |
| Augusta HealthFishersville | 138 | $7,127 | $1,828 | $1,462 |
| Virginia Hospital Center - ArlingtonArlington | 129 | $10,010 | $1,777 | $1,421 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 128 | $13,055 | $1,743 | $1,386 |
| Sentara Rmh Medical CenterHarrisonburg | 111 | $7,409 | $1,831 | $1,454 |
| Sentara Bayside HospitalVirginia Beach | 104 | $9,770 | $1,630 | $1,304 |
| Reston Hospital CenterReston | 88 | $14,632 | $1,803 | $1,433 |
| Carilion New River Vly Med CtrChristiansburg | 85 | $8,849 | $1,611 | $1,286 |
| Twin County Regional HospitalGalax | 81 | $15,707 | $1,729 | $1,381 |
| Bon Secours - Maryview Medical CenterPortsmouth | 69 | $9,168 | $1,638 | $1,307 |
| Halifax Regional HospitalSouth Boston | 59 | $8,664 | $1,786 | $1,424 |
| Stafford Hospital CenterStafford | 58 | $11,335 | $1,760 | $1,400 |
| Mary Immaculate HospitalNewport News | 56 | $8,017 | $1,638 | $1,302 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg | 56 | $9,540 | $1,592 | $1,259 |
| UVA Health Haymarket Medical CenterHaymarket | 55 | $8,638 | $1,773 | $1,407 |
| Sentara Northern Virginia Medical CenterWoodbridge | 50 | $8,976 | $1,784 | $1,420 |
| Sentara Obici HospitalSuffolk | 41 | $9,975 | $1,575 | $1,244 |
| Inova Loudoun HospitalLeesburg | 39 | $6,235 | $1,784 | $1,433 |
| Southside Regional Medical CenterPetersburg | 38 | $44,218 | $1,656 | $1,319 |
| Bedford Memorial HospitalBedford | 37 | $17,939 | $1,638 | $1,312 |
| Montgomery Regional HospitalBlacksburg | 35 | $33,071 | $1,640 | $1,314 |
| Prince William HospitalManassas | 30 | $8,129 | $1,704 | $1,337 |
| Clinch Valley Medical CenterRichlands | 29 | $23,114 | $1,593 | $1,271 |
| Spotsylvania Regional Medical CenterFredericksburg | 27 | $20,542 | $1,784 | $1,424 |
| Wythe County Community HospitalWytheville | 26 | $19,895 | $1,701 | $1,347 |
| Johnston Memorial HospitalAbingdon | 25 | $14,332 | $1,638 | $1,304 |
| Danville Regional Medical CenterDanville | 24 | $14,505 | $1,635 | $1,291 |
| Southside Community Hospital, INCFarmville | 24 | $11,930 | $1,773 | $1,412 |
| Inova Mount Vernon HospitalAlexandria | 23 | $6,114 | $1,722 | $1,367 |
| Sentara Careplex HospitalHampton | 18 | $12,893 | $1,655 | $1,328 |
| Riverside Tappahannock HospitalTappahannock | 13 | $7,452 | $1,773 | $1,433 |
| Bon Secours Southern Virginia Medical CenterEmporia | 13 | $18,429 | $1,638 | $1,305 |
| Southampton Memorial HospitalFranklin | 11 | $15,079 | $1,754 | $1,406 |
| Culpeper Regional HospitalCulpeper | – | – | – | – |
| John Randolph Medical CenterHopewell | – | – | – | – |
| The Fauquier Hospital, INCWarrenton | – | – | – | – |
| Riverside Shore Memorial HospitalNassawadox | – | – | – | – |
| Smyth County Community HospitalMarion | – | – | – | – |
| Carilion Franklin Memorial HospitalRocky Mount | – | – | – | – |
| Community Memorial Healthcenter, INCSouth Hill | – | – | – | – |
| Wellmont Lonesome Pine HospitalBig Stone Gap | – | – | – | – |
| Pulaski Community HospitalPulaski | – | – | – | – |
| Alleghany Regional HospitalJackson River | – | – | – | – |
| Buchanan General HospitalGrundy | – | – | – | – |
| Riverside Walter Reed HospitalGloucester | – | – | – | – |
| Stonesprings Hospital CenterDulles | – | – | – | – |
Lowest and highest allowed amounts in Virginia
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
| Sentara Obici HospitalSuffolk, VA | $1,575 |
|---|---|
| Medical College of Virginia HospitalsRichmond, VA | $1,590 |
| Riverside Doctors' Hospital of WilliamsburgWilliamsburg, VA | $1,592 |
| Clinch Valley Medical CenterRichlands, VA | $1,593 |
| Sentara Norfolk General HospitalNorfolk, VA | $1,600 |
Highest
| Winchester Medical Center INCWinchester, VA | $1,856 |
|---|---|
| Sentara Rmh Medical CenterHarrisonburg, VA | $1,831 |
| Augusta HealthFishersville, VA | $1,828 |
| Reston Hospital CenterReston, VA | $1,803 |
| Halifax Regional HospitalSouth Boston, VA | $1,786 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Virginia?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 66 hospitals in Virginia was billed at $13,791 on average, while the average medicare-allowed amount was $1,691, of which Medicare paid $1,347. 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 Virginia, average charges were 8.2 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.