facebook tracking Level 3 Lower GI Procedures cost in California: 208 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in California

What 208 hospitals in California charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $23,122 Hospital list price billed
Average allowed $3,550 Medicare's payment + patient's share
Medicare paid $2,869 Average per service
State rank #49 of 49 1 = lowest average payment

Hospitals in California billed an average of $23,122 for level 3 lower gi procedures, about 6.5 times the average medicare-allowed amount of $3,550. That payment is 31% above 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 $3,550Billed $23,122

About 15¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 3 lower gi procedures

Every California 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 California San Diego Medical CenterSan Diego 219 $18,709 $3,450 $2,828
UCSF Medical CenterSan Francisco 201 $27,043 $3,954 $3,147
UCLA Medical CenterLos Angeles 168 $12,604 $3,419 $2,783
Stanford HospitalPalo Alto 164 $46,114 $3,857 $3,104
Eisenhower Memorial HospitalRancho Mirage 159 $16,799 $2,991 $2,424
UCI Health-OrangeOrange 138 $15,021 $3,439 $2,774
City of Hope Natl Medical CtrDuarte 106 $31,990 $3,450 $2,849
University of California Davis Medical CenterSacramento 93 $24,700 $3,499 $2,815
Cedars-Sinai Medical CenterLos Angeles 89 $42,016 $3,390 $2,715
Mission Hospital Regional Med CenterMission Viejo 73 $8,631 $3,449 $2,882
Hoag Memorial Hospital PresbyterianNewport Beach 70 $15,962 $3,403 $2,720
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 69 $10,519 $3,411 $2,775
Santa Rosa Memorial HospitalSanta Rosa 68 $27,680 $3,930 $3,271
USC University HospitalLos Angeles 62 $20,541 $3,424 $2,758
Memorial Medical CenterModesto 60 $19,600 $3,450 $2,845
Scripps Green HospitalLa Jolla 54 $24,775 $3,451 $2,795
Sutter General HospitalSacramento 51 $18,481 $3,931 $3,183
Sutter Roseville Medical CenterRoseville 51 $17,709 $3,533 $2,818
Sonora Community HospitalSonora 50 $17,991 $3,695 $3,057
Scripps Memorial Hospital la JollaLa Jolla 47 $22,964 $3,451 $2,794
Sequoia HospitalRedwood City 46 $25,790 $3,885 $3,090
St Jude Medical CenterFullerton 45 $15,919 $3,451 $2,801
Oroville HospitalOroville 42 $11,737 $3,451 $2,808
Community Regional Medical CenterFresno 41 $22,262 $3,452 $2,758
Sutter Davis HospitalDavis 34 $15,587 $3,583 $3,009
Peninsula Medical CenterBurlingame 33 $19,553 $4,013 $3,204
Enloe Medical CenterChico 33 $30,800 $3,369 $2,672
Marian Medical CenterSanta Maria 33 $24,446 $3,452 $2,755
Ukiah Valley Medical Center/Hospital DUkiah 33 $15,650 $3,695 $3,036
Sharp Memorial HospitalSan Diego 32 $24,640 $3,452 $2,751
Marshall Medical Center (1-Rh)Placerville 32 $15,693 $3,528 $2,896
Mercy Medical Center ReddingRedding 31 $32,741 $3,452 $2,750
Loma Linda University Medical CenterLoma Linda 30 $28,707 $3,452 $2,744
St Joseph HospitalEureka 29 $28,880 $3,452 $2,768
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz 29 $16,093 $3,750 $3,066
Glendale Adventist Medical CtrGlendale 28 $30,259 $3,452 $2,757
El Camino HospitalMountain View 28 $30,092 $3,954 $3,158
Saint Agnes Medical CenterFresno 27 $16,823 $3,452 $2,759
Community Hospital of the Monterey PeninsulaMonterey 27 $19,693 $3,952 $3,223
John Muir Medical Center - Walnut Creek CampusWalnut Creek 27 $38,044 $3,836 $3,107
Sutter Medical Center of Santa RosaSanta Rosa 27 $15,975 $3,746 $3,055
Santa Clara Valley Medical CenterSan Jose 26 $23,108 $3,953 $3,171
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 26 $14,991 $3,881 $3,136
Torrance Memorial Medical CenterTorrance 26 $26,193 $3,452 $2,742
Community Memorial Hospital - VenturaVentura 24 $19,670 $3,380 $2,698
Sutter Surgical Hospital - North ValleyYuba City 22 $18,099 $3,473 $2,762
Glendale Mem Hospital & Hlth CenterGlendale 21 $18,886 $3,452 $2,741
San Francisco General HospitalSan Francisco 20 $21,713 $4,013 $3,222
Saint John's Health CenterSanta Monica 20 $12,010 $3,451 $2,793
Huntington Memorial HospitalPasadena 20 $31,173 $3,451 $2,776
USC Arcadia HospitalArcadia 19 $13,798 $3,452 $2,745
Riverside County Regional Medical CenterMoreno Valley 19 $20,986 $3,216 $2,570
Adventist Health BakersfieldBakersfield 19 $9,842 $3,307 $2,639
Salinas Valley Memorial HospitalSalinas 18 $37,267 $3,844 $3,063
Marinhealth Medical CenterGreenbrae 18 $48,179 $3,921 $3,122
Mercy General HospitalSacramento 17 $18,690 $3,586 $2,879
St Johns Regional Medical CenterOxnard 17 $19,651 $3,451 $2,781
Long Beach Memorial Medical CenterLong Beach 17 $24,646 $3,452 $2,750
John Muir Medical Center - Concord CampusConcord 17 $60,708 $3,771 $3,016
Los Robles Hospital & Medical CenterThousand Oaks 17 $60,981 $3,451 $2,800
Fresno Surgical HospitalFresno 17 $15,899 $3,452 $2,750
Grossmont HospitalLa Mesa 16 $23,099 $3,451 $2,803
Hanford Community Medical CenterHanford 15 $15,908 $3,451 $2,796
Good Samaritan HospitalSan Jose 15 $100,283 $3,743 $2,997
Alta Bates Summit Medical CenterOakland 14 $22,066 $3,899 $3,101
Kaweah Delta Medical CenterVisalia 14 $10,277 $3,452 $2,747
French Hospital Medical CenterSan Luis Obispo 14 $13,086 $3,451 $2,812
Stanford Health Care Tri-ValleyPleasanton 14 $26,681 $3,954 $3,151
Los Angeles General Medical CenterLos Angeles 14 $14,800 $3,452 $2,737
Sutter Coast HospitalCrescent City 14 $18,542 $3,697 $2,932
USC Kenneth Norris Jr Cancer HospitalLos Angeles 14 $13,168 $3,453 $2,716
Clovis Community Medical CenterClovis 13 $20,945 $3,318 $2,724
Mad River Community HospitalArcata 12 $22,218 $3,452 $2,750
Highland HospitalOakland 12 $22,066 $3,899 $3,101
Orange Coast Memorial Medical CenterFountain Valley 12 $29,006 $3,452 $2,750
Ventura County Medical CenterVentura 11 $10,645 $3,452 $2,750
Pomona Valley Hospital Medical CenterPomona 11 $39,149 $3,452 $2,750
Barton Memorial HospitalSouth Lake Tahoe 11 $24,162 $3,421 $2,841
Providence Little Company of Mary Med Ctr TorranceTorrance 11 $14,525 $3,450 $2,829
Lac/Harbor-UCLA Med CenterTorrance 11 $24,410 $3,452 $2,750
Henry Mayo Newhall Memorial HospitalValencia 11 $24,668 $3,452 $2,765
Casa Colina HospitalPomona 11 $16,839 $3,452 $2,750
St Rose HospitalHayward – – – –
California Pacific Medical Ctr-Davies Campus HospSan Francisco – – – –
Queen of the Valley Medical CenterNapa – – – –
St Helena HospitalDeer Park – – – –
Sutter Amador HospitalJackson – – – –
Riverside Community HospitalRiverside – – – –
Bakersfield Memorial HospitalBakersfield – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
St Elizabeth Community HospitalRed Bluff – – – –
El Centro Regional Medical CenterEl Centro – – – –
San Gorgonio Memorial HospitalBanning – – – –
California Pacific Medical Ctr - St. Luke's CampusSan Francisco – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
St Joseph HospitalOrange – – – –
John Muir/Mt Diablo Hlth SystWalnut Creek – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital Oakland/RichmondOakland – – – –
Scripps Mercy HospitalSan Diego – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
St Josephs Med Center of StocktonStockton – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
San Antonio Community HospitalUpland – – – –
Sutter Solano Medical CenterVallejo – – – –
White Memorial Medical CenterLos Angeles – – – –
Lompoc Healthcare DistrictLompoc – – – –
San Mateo Medical CenterSan Mateo – – – –
Palomar Medical CenterEscondido – – – –
Doctors Hospital of MantecaManteca – – – –
Dameron HospitalStockton – – – –
Verdugo Hills HospitalGlendale – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Woodland Memorial HospitalWoodland – – – –
Tri-City Medical CenterOceanside – – – –
St Bernardine Medical CenterSan Bernardino – – – –
Novato Community HospitalNovato – – – –
Rideout Memorial HospitalMarysville – – – –
Petaluma Valley HospitalPetaluma – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
Sierra Nevada Memorial HospitalGrass Valley – – – –
Encino Hospital Medical CenterEncino – – – –
San Joaquin General HospitalFrench Camp – – – –
PIH Health Hospital-WhittierWhittier – – – –
Emanuel Medical Center INCTurlock – – – –
St Mary Medical CenterLong Beach – – – –
Watsonville Community HospitalWatsonville – – – –
Washington HospitalFremont – – – –
Palmdale Regional Medical CenterLancaster – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Sharp Coronado Hospital and Hlthcr CtrCoronado – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Dominican HospitalSanta Cruz – – – –
Desert Regional Medical CenterPalm Springs – – – –
Arrowhead Regional Medical CenterColton – – – –
Natividad Medical CenterSalinas – – – –
Sierra View District HospitalPorterville – – – –
Redlands Community HospitalRedlands – – – –
Contra Costa Regional Medical CenterMartinez – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Seton Medical CenterDaly City – – – –
Mercy HospitalBakersfield – – – –
St Mary Medical CenterApple Valley – – – –
Alta Bates Summit Medical Center - Alta Bates CampBerkeley – – – –
Sutter Tracy Community HospitalTracy – – – –
Kern Medical CenterBakersfield – – – –
Corona Regional Medical CenterCorona – – – –
Lodi Memorial HospitalLodi – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Northbay Medical CenterFairfield – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
Santa Barbara Cottage HospitalSanta Barbara – – – –
Chinese HospitalSan Francisco – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Mercy Hospital of FolsomFolsom – – – –
Palo Verde HospitalBlythe – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
West Anaheim Medical CenterAnaheim – – – –
Mercy Medical Ctr MercedMerced – – – –
St Mary's Medical CenterSan Francisco – – – –
Doctors Medical CenterModesto – – – –
Memorial Hospital of GardenaGardena – – – –
Good Samaritan HospitalLos Angeles – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Eden Medical CenterCastro Valley – – – –
Sutter Auburn Faith HospitalAuburn – – – –
Scripps Memorial Hospital - EncinitasEncinitas – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Kaiser Foundation Hospital Fremont/HaywardHayward – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Mercy San Juan Medical CenterCarmichael – – – –
Victor Valley Community HospitalVictorville – – – –
Sutter Delta Medical CenterAntioch – – – –
Memorial Hospital los BanosLos Banos – – – –
Fountain Valley Regional Hospital & Medical CenterFountain Valley – – – –
Chino Valley Medical CenterChino – – – –
UCI Health-Placentia LindaPlacentia – – – –
Methodist Hospital of SacramentoSacramento – – – –
Foothill Presbyterian HospitalGlendora – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Kaiser Foundation Hospital-San JoseSan Jose – – – –
Delano Regional Medical CenterDelano – – – –
Twin Cities Community HospitalTempleton – – – –
Palomar Medical Center PowayPoway – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital - Woodland HillsWoodland Hills – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Southwest Healthcare SystemMurrieta – – – –
Monterey Park HospitalMonterey Park – – – –
Garfield Medical CenterMonterey Park – – – –
Centinela Hospital Medical CenterInglewood – – – –
Marina del Rey HospitalMarina del Rey – – – –
Coastal Communities HospitalSanta Ana – – – –
Providence Tarzana Medical CenterTarzana – – – –
Shasta Regional Medical CenterRedding – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Coast Plaza HospitalNorwalk – – – –
Kaiser Foundation Hospital - RosevilleRoseville – – – –
College Medical CenterLong Beach – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Adventist Health TulareTulare – – – –
Kaiser Foundation Hospital - San MarcosSan Marcos – – – –
Childrens Hosp of los AngelesLos Angeles – – – –
Level 3 Lower GI Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Eisenhower Memorial HospitalRancho Mirage, CA$2,991
Riverside County Regional Medical CenterMoreno Valley, CA$3,216
Adventist Health BakersfieldBakersfield, CA$3,307
Clovis Community Medical CenterClovis, CA$3,318
Enloe Medical CenterChico, CA$3,369

Highest

Peninsula Medical CenterBurlingame, CA$4,013
San Francisco General HospitalSan Francisco, CA$4,013
UCSF Medical CenterSan Francisco, CA$3,954
Stanford Health Care Tri-ValleyPleasanton, CA$3,954
El Camino HospitalMountain View, CA$3,954

Level 3 Lower GI Procedures in other states

Alaska · $2,898 Connecticut · $3,097 Hawaii · $3,137 Massachusetts · $2,977 Nevada · $2,984 New Jersey · $2,980 New York · $3,067 Washington · $2,859

Questions

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

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 208 hospitals in California was billed at $23,122 on average, while the average medicare-allowed amount was $3,550, of which Medicare paid $2,869. 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 California, average charges were 6.5 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.