facebook tracking Level 3 Lower GI Procedures cost in Kansas: 33 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Kansas

What 33 hospitals in Kansas charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $18,148 Hospital list price billed
Average allowed $2,402 Medicare's payment + patient's share
Medicare paid $1,940 Average per service
State rank #12 of 49 1 = lowest average payment

Hospitals in Kansas billed an average of $18,148 for level 3 lower gi procedures, about 7.6 times the average medicare-allowed amount of $2,402. That payment is 11% 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 $2,402Billed $18,148

About 13¢ was paid for every $1 hospitals in Kansas billed for this service.

Kansas hospitals: level 3 lower gi procedures

Every Kansas 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 Kansas HospitalKansas City 101 $20,558 $2,378 $1,904
Kansas Medical Center LLCAndover 51 $6,004 $2,325 $1,849
Saint Luke's South HospitalOverland Park 40 $16,972 $2,450 $2,039
Menorah Medical CenterShawnee Mission 31 $31,860 $2,451 $1,985
Lawrence Memorial HospitalLawrence 25 $13,705 $2,571 $2,168
Salina Regional Health CenterSalina 21 $13,773 $2,567 $2,038
Stormont-Vail HealthcareTopeka 17 $11,459 $2,451 $2,004
Shawnee Mission Medical CenterOverland Park 15 $25,845 $2,451 $1,994
Via Christi Hospitals Wichita INCWichita 15 $17,555 $2,306 $1,818
Wesley Medical CenterWichita 15 $39,811 $2,202 $1,727
St Francis Health CenterTopeka 11 $14,684 $2,341 $1,865
Manhattan Surgical Hospital LLCManhattan 11 $10,994 $2,287 $1,866
Mercy Hospital PittsburgPittsburg – – – –
Hays Medical CenterHays – – – –
Susan B Allen Memorial HospitalEl Dorado – – – –
Promise Regional Medical Center Hutchinson INCHutchinson – – – –
St Catherine HospitalGarden City – – – –
Pratt Regional Medical CenterPratt – – – –
Olathe Medical CenterOlathe – – – –
Southwest Medical CenterLiberal – – – –
Stormont Vail Health Flint HillsJunction City – – – –
NMC HealthNewton – – – –
McPherson HospitalMcPherson – – – –
Miami County Medical CenterPaola – – – –
Labette County Medical CenterParsons – – – –
Ascension Via Christi Hospital ManhattanManhattan – – – –
Providence Medical CenterKansas City – – – –
Centura St. Catherine-Dodge CityDodge City – – – –
Overland Park Regional CenterShawnee Mission – – – –
Salina Surgical HospitalSalina – – – –
Via Christi Hospital Wichita St Teresa INCWichita – – – –
Mercy Specialty Hospital Southeast KansasGalena – – – –
Rock Regional Hospital, LLCDerby – – – –
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Lowest and highest allowed amounts in Kansas

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

Highest

Lawrence Memorial HospitalLawrence, KS$2,571
Salina Regional Health CenterSalina, KS$2,567
Menorah Medical CenterShawnee Mission, KS$2,451
Shawnee Mission Medical CenterOverland Park, KS$2,451
Stormont-Vail HealthcareTopeka, KS$2,451

Level 3 Lower GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 33 hospitals in Kansas was billed at $18,148 on average, while the average medicare-allowed amount was $2,402, of which Medicare paid $1,940. 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 Kansas, average charges were 7.6 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.