facebook tracking Level 3 Lower GI Procedures cost in Arkansas: 31 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Arkansas

What 31 hospitals in Arkansas charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $15,246 Hospital list price billed
Average allowed $2,455 Medicare's payment + patient's share
Medicare paid $1,964 Average per service
State rank #18 of 49 1 = lowest average payment

Hospitals in Arkansas billed an average of $15,246 for level 3 lower gi procedures, about 6.2 times the average medicare-allowed amount of $2,455. That payment is 9% below the U.S. average of $2,703.

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 $2,455Billed $15,246

About 16¢ was paid for every $1 hospitals in Arkansas billed for this service.

Arkansas hospitals: level 3 lower gi procedures

Every Arkansas 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 Arkansas Medical SciencesLittle Rock 72 $7,377 $2,406 $1,931
St Vincent Infirmary Medical CenterLittle Rock 59 $20,459 $2,579 $2,043
Baxter Regional Medical CenterMountain Home 36 $11,255 $2,479 $2,030
Baptist Health Medical Center-Little RockLittle Rock 36 $16,860 $2,406 $1,934
Washington Regional Med CenterFayetteville 25 $21,471 $2,319 $1,837
CHI St. Vincent Hospital Hot SpringsHot Springs 17 $12,536 $2,579 $2,062
St Bernards Medical CenterJonesboro 16 $7,167 $2,368 $1,887
National Park Medical CenterHot Springs 14 $44,502 $2,467 $1,943
Conway Regional Medical CenterConway 11 $11,136 $2,407 $1,918
Siloam Springs Memorial HospitalSiloam Springs – – – –
Mercy Hospital Northwest ArkansasRogers – – – –
White County Medical CenterSearcy – – – –
Mena Regional Health SystemMena – – – –
North Arkansas Reg Med CtrHarrison – – – –
Forrest City Medical CenterForrest City – – – –
Northwest Medical Center-SpringdaleSpringdale – – – –
Baptist Health Medical Center North Little RockNorth Little Rock – – – –
Arkansas Methodist Medical CenterParagould – – – –
St Marys Regional Medical CenterRussellville – – – –
Ouachita County Medical CenterCamden – – – –
Drew Memorial HospitalMonticello – – – –
Baptist Health - Fort SmithFort Smith – – – –
Mercy Hospital Fort SmithFort Smith – – – –
Magnolia Regional Medical CenterMagnolia – – – –
Great River Medical CenterBlytheville – – – –
Jefferson Regional Medical CtrPine Bluff – – – –
Saline Memorial HospitalBenton – – – –
Medical Center South ArkansasEl Dorado – – – –
Nea Baptist Memorial HospitalJonesboro – – – –
White River Medical CenterBatesville – – – –
St Vincent Medical Center/NorthSherwood – – – –
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Lowest and highest allowed amounts in Arkansas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Level 3 Lower GI Procedures in other states

Questions

How much does level 3 lower gi procedures cost in Arkansas?

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 31 hospitals in Arkansas was billed at $15,246 on average, while the average medicare-allowed amount was $2,455, of which Medicare paid $1,964. 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 Arkansas, average charges were 6.2 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.