Level 2 Upper GI Procedures in Washington
What 44 hospitals in Washington charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$10,810
Hospital list price billed
Average allowed
$1,935
Medicare's payment + patient's share
Medicare paid
$1,542
Average per service
State rank
#40 of 49
1 = lowest average payment
Hospitals in Washington billed an average of $10,810 for level 2 upper gi procedures, about 5.6 times the average medicare-allowed amount of $1,935. That payment is 7% 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 $1,935Billed $10,810
About 18¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 2 upper gi procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Virginia Mason Medical CenterSeattle | 475 | $12,204 | $1,896 | $1,513 |
| Providence Sacred Heart Medical CenterSpokane | 367 | $8,614 | $1,894 | $1,507 |
| University of Washington Medical CtrSeattle | 353 | $11,157 | $1,899 | $1,515 |
| Confluence Health HospitalWenatchee | 222 | $5,273 | $2,038 | $1,623 |
| Skagit Valley HospitalMt Vernon | 207 | $11,975 | $1,902 | $1,519 |
| Swedish Medical CenterSeattle | 182 | $11,446 | $2,030 | $1,617 |
| Kadlec Regional Medical CenterRichland | 176 | $9,027 | $1,896 | $1,514 |
| Valley Medical CenterRenton | 149 | $8,918 | $1,933 | $1,546 |
| St Francis Community HospitalFederal Way | 148 | $14,896 | $1,933 | $1,545 |
| Deaconess Medical CenterSpokane | 145 | $10,776 | $1,889 | $1,503 |
| Olympic Medical CenterPort Angeles | 140 | $4,150 | $2,034 | $1,619 |
| St Joseph Medical CenterTacoma | 127 | $16,338 | $1,925 | $1,527 |
| Peacehealth St Joseph Medical CenterBellingham | 96 | $10,066 | $2,028 | $1,611 |
| Swedish IssaquahIssaquah | 96 | $9,660 | $1,927 | $1,540 |
| Providence Holy Family HospitalSpokane | 87 | $11,983 | $1,909 | $1,535 |
| Tacoma General HospitalTacoma | 86 | $17,730 | $1,925 | $1,529 |
| Valley Hospital & Medical CenterSpokane | 78 | $8,200 | $1,850 | $1,475 |
| St Michael Medical CenterBremerton | 74 | $17,844 | $2,052 | $1,634 |
| Providence Regional Medical Center EverettEverett | 73 | $9,209 | $1,943 | $1,544 |
| Yakima Valley Memorial HospitalYakima | 70 | $6,826 | $2,022 | $1,610 |
| Evergreenhealth Medical CenterKirkland | 64 | $11,018 | $1,919 | $1,527 |
| Fred Hutchinson Cancer CenterSeattle | 64 | $10,144 | $1,871 | $1,473 |
| Overlake Hospital Medical CenterBellevue | 60 | $11,477 | $1,921 | $1,521 |
| Good Samaritan Hospital & Rehab CenterPuyallup | 58 | $9,303 | $1,960 | $1,564 |
| Peachealth St John Medical CenterLongview | 45 | $10,347 | $2,116 | $1,691 |
| Providence St Mary Medical CenterWalla Walla | 42 | $10,410 | $2,006 | $1,593 |
| Harborview Medical CenterSeattle | 41 | $14,438 | $1,873 | $1,489 |
| St Anthony HospitalGig Harbor | 38 | $14,543 | $1,960 | $1,564 |
| S W Washington Medical CenterVancouver | 36 | $12,420 | $1,864 | $1,475 |
| Highline Medical CenterBurien | 34 | $16,477 | $1,943 | $1,558 |
| Toppenish Community HospitalToppenish | 29 | $12,965 | $1,909 | $1,538 |
| Trios HealthKennewick | 29 | $8,565 | $1,910 | $1,531 |
| Providence St Peter HospitalOlympia | 26 | $10,369 | $1,924 | $1,526 |
| Swedish Edmonds HospitalEdmonds | 26 | $9,307 | $1,816 | $1,437 |
| Legacy Salmon Creek Medical CenterVancouver | 23 | $12,103 | $1,997 | $1,584 |
| Auburn Regional Medical CenterAuburn | 22 | $11,402 | $1,873 | $1,496 |
| St Clare HospitalLakewood | 20 | $15,920 | $1,882 | $1,499 |
| Providence Centralia HospitalCentralia | 17 | $10,464 | $2,001 | $1,571 |
| Capital Medical CenterOlympia | 17 | $17,807 | $1,960 | $1,562 |
| Island HospitalAnacortes | 14 | $7,106 | $1,924 | $1,533 |
| Grays Harbor Community HospitalAberdeen | 14 | $21,901 | $2,051 | $1,649 |
| Samaritan HospitalMoses Lake | 13 | $6,769 | $2,045 | $1,630 |
| Group Health Central HospitalSeattle | – | – | – | – |
| Cascade Valley HospitalArlington | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Swedish Edmonds HospitalEdmonds, WA | $1,816 |
|---|---|
| Valley Hospital & Medical CenterSpokane, WA | $1,850 |
| S W Washington Medical CenterVancouver, WA | $1,864 |
| Fred Hutchinson Cancer CenterSeattle, WA | $1,871 |
| Auburn Regional Medical CenterAuburn, WA | $1,873 |
Highest
| Peachealth St John Medical CenterLongview, WA | $2,116 |
|---|---|
| St Michael Medical CenterBremerton, WA | $2,052 |
| Grays Harbor Community HospitalAberdeen, WA | $2,051 |
| Samaritan HospitalMoses Lake, WA | $2,045 |
| Confluence Health HospitalWenatchee, WA | $2,038 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Washington?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 44 hospitals in Washington was billed at $10,810 on average, while the average medicare-allowed amount was $1,935, of which Medicare paid $1,542. 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 Washington, average charges were 5.6 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.