Level 2 Upper GI Procedures in Wisconsin
What 62 hospitals in Wisconsin charged and were paid for level 2 upper gi procedures (APC 5302), from 2024 Medicare claims.
Average charge
$11,674
Hospital list price billed
Average allowed
$1,748
Medicare's payment + patient's share
Medicare paid
$1,394
Average per service
State rank
#26 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $11,674 for level 2 upper gi procedures, about 6.7 times the average medicare-allowed amount of $1,748. That payment is 4% 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 $1,748Billed $11,674
About 15¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 2 upper gi procedures
Every Wisconsin 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 Wi Hospitals & Clinics AuthorityMadison | 741 | $11,980 | $1,761 | $1,400 |
| Froedtert Mem Lutheran HsptlMilwaukee | 305 | $17,889 | $1,781 | $1,417 |
| Luther Hospital Mayo Health SystemEau Claire | 224 | $9,312 | $1,799 | $1,438 |
| Aurora St Lukes Medical CenterMilwaukee | 212 | $16,110 | $1,748 | $1,386 |
| Gundersen Luth Med CtrLa Crosse | 195 | $8,365 | $1,718 | $1,364 |
| Aurora Baycare Med CtrGreen Bay | 182 | $11,771 | $1,690 | $1,350 |
| Mercy Hlth Sys CorpJanesville | 173 | $9,676 | $1,716 | $1,386 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 154 | $10,487 | $1,783 | $1,421 |
| Beloit Mem HsptlBeloit | 148 | $18,908 | $1,816 | $1,469 |
| St Mary's HospitalMadison | 145 | $9,497 | $1,757 | $1,397 |
| St Agnes HsptlFond du Lac | 131 | $7,789 | $1,844 | $1,474 |
| Meriter HsptlMadison | 127 | $10,526 | $1,776 | $1,416 |
| Aspirus Wausau HospitalWausau | 118 | $9,234 | $1,691 | $1,352 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 113 | $13,114 | $1,790 | $1,437 |
| St Marys Hsptl Med CtrGreen Bay | 107 | $12,553 | $1,678 | $1,335 |
| Waukesha Memorial HospitalWaukesha | 100 | $14,301 | $1,733 | $1,380 |
| Aurora Memorial Hsptl BurlingtonBurlington | 98 | $12,537 | $1,789 | $1,430 |
| Aurora Med Ctr KenoshaKenosha | 95 | $20,647 | $1,759 | $1,402 |
| Aurora Medical CenterGrafton | 90 | $14,985 | $1,717 | $1,371 |
| Ascension SE Wisconsin HospitalMilwaukee | 87 | $9,315 | $1,718 | $1,361 |
| Thedacare Regional Med Ctr - NeenahNeenah | 86 | $8,179 | $1,671 | $1,316 |
| Appleton Med CtrAppleton | 81 | $8,296 | $1,698 | $1,341 |
| Aurora Sheboygan Mem Med CtrSheboygan | 71 | $10,841 | $1,714 | $1,362 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 65 | $6,584 | $1,789 | $1,432 |
| Froedtert SouthKenosha | 62 | $9,959 | $1,722 | $1,354 |
| Oakleaf Surgical HospitalEau Claire | 57 | $5,767 | $1,710 | $1,373 |
| St Elizabeth HsptlAppleton | 56 | $7,045 | $1,666 | $1,322 |
| Marshfield Medical CenterMarshfield | 48 | $8,115 | $1,824 | $1,452 |
| Aurora West Allis Medical CenterWest Allis | 47 | $15,438 | $1,693 | $1,351 |
| Marshfield Medical Center - Eau ClaireEau Claire | 46 | $7,619 | $1,710 | $1,358 |
| Bellin Memorial HsptlGreen Bay | 41 | $9,866 | $1,703 | $1,360 |
| St Clare's Hospital of Weston INCWeston | 40 | $9,418 | $1,703 | $1,359 |
| Community Mem HsptlMenomonee Falls | 38 | $10,689 | $1,661 | $1,308 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 36 | $7,503 | $1,790 | $1,432 |
| Bay Area Med CtrMarinette | 36 | $7,891 | $1,791 | $1,424 |
| St Nicholas HospitalSheboygan | 31 | $11,513 | $1,732 | $1,383 |
| Aurora Med Ctr OshkoshOshkosh | 31 | $9,102 | $1,709 | $1,367 |
| Aurora Lakeland Med CtrElkhorn | 30 | $12,464 | $1,789 | $1,429 |
| Sauk Prairie Mem HsptlPrairie du Sac | 29 | $7,445 | $1,735 | $1,393 |
| Monroe ClinicMonroe | 25 | $9,605 | $1,776 | $1,439 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 25 | $10,510 | $1,648 | $1,316 |
| Aurora Medical CenterSummit | 25 | $9,035 | $1,735 | $1,380 |
| Aspirus Rhinelander HospitalRhinelander | 23 | $9,638 | $1,760 | $1,402 |
| Holy Family Memorial INCManitowoc | 22 | $13,685 | $1,711 | $1,375 |
| Beaver Dam Com HsptlBeaver Dam | 20 | $13,536 | $1,735 | $1,382 |
| Howard Young Med CtrWoodruff | 19 | $8,585 | $1,747 | $1,396 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | 17 | $9,110 | $1,703 | $1,362 |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | 14 | $11,949 | $1,706 | $1,352 |
| Divine Savior HlthcarePortage | 14 | $8,901 | $1,776 | $1,434 |
| St Josephs Com Hsptl West BendWest Bend | 14 | $11,949 | $1,733 | $1,387 |
| Aurora Med Center-Washington CountyHartford | 11 | $11,293 | $1,735 | $1,373 |
| Fort HealthcareFort Atkinson | 11 | $14,197 | $1,733 | $1,389 |
| Marshfield Medical Center - Rice LakeRice Lake | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| St Clare Hsptl Hlth SvcsBaraboo | – | – | – | – |
| Oconomowoc Mem HsptlOconomowoc | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| Mile Bluff Medical Center, INCMauston | – | – | – | – |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | – | – | – | – |
| Marshfield Medical Center - MinocquaMinocqua | – | – | – | – |
| Children's Hosp of WisconsinMilwaukee | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids, WI | $1,648 |
|---|---|
| Community Mem HsptlMenomonee Falls, WI | $1,661 |
| St Elizabeth HsptlAppleton, WI | $1,666 |
| Thedacare Regional Med Ctr - NeenahNeenah, WI | $1,671 |
| St Marys Hsptl Med CtrGreen Bay, WI | $1,678 |
Highest
| St Agnes HsptlFond du Lac, WI | $1,844 |
|---|---|
| Marshfield Medical CenterMarshfield, WI | $1,824 |
| Beloit Mem HsptlBeloit, WI | $1,816 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $1,799 |
| Bay Area Med CtrMarinette, WI | $1,791 |
Level 2 Upper GI Procedures in other states
Questions
How much does level 2 upper gi procedures cost in Wisconsin?
In 2024 Medicare data, level 2 upper gi procedures (APC 5302) at 62 hospitals in Wisconsin was billed at $11,674 on average, while the average medicare-allowed amount was $1,748, of which Medicare paid $1,394. 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 Wisconsin, average charges were 6.7 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.