facebook tracking Level 3 Lower GI Procedures cost in Mississippi: 36 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Mississippi

What 36 hospitals in Mississippi charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $19,051 Hospital list price billed
Average allowed $2,262 Medicare's payment + patient's share
Medicare paid $1,812 Average per service
State rank #3 of 49 1 = lowest average payment

Hospitals in Mississippi billed an average of $19,051 for level 3 lower gi procedures, about 8.4 times the average medicare-allowed amount of $2,262. That payment is 16% 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 $2,262Billed $19,051

About 12¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 3 lower gi procedures

Every Mississippi hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Mississippi Baptist Medical CenterJackson 39 $16,942 $2,254 $1,794
North Mississippi Medical CenterTupelo 26 $14,793 $2,518 $2,006
Singing River HospitalPascagoula 22 $28,617 $2,258 $1,807
Memorial Hospital at GulfportGulfport 21 $19,885 $1,752 $1,405
Anderson Regional Medical CenterMeridian 21 $7,420 $2,323 $1,868
University of Mississippi Med CenterJackson 17 $12,944 $2,349 $1,931
Madison County Medical CtrCanton 15 $45,660 $2,351 $1,868
River Oaks HospitalFlowood 14 $41,404 $2,350 $1,915
Magnolia Regional Health CenterCorinth 13 $8,889 $2,128 $1,696
Baptist Mem Hosp/Golden Triangle INCColumbus 12 $14,292 $2,323 $1,851
St Dominic-Jackson Memorial HospitalJackson 11 $11,625 $2,350 $1,883
Highland Community HospitalPicayune 11 $7,415 $2,192 $1,734
Baptist Memorial Hospital Union CountyNew Albany – – – –
Biloxi Regional Medical CenterBiloxi – – – –
Gilmore Memorial HospitalAmory – – – –
Merit Health River RegionVicksburg – – – –
Baptist Memorial Hospital North MsOxford – – – –
George County HospitalLucedale – – – –
Neshoba County General HospitalPhiladelphia – – – –
Baptist Memorial Hospital BoonevilleBooneville – – – –
Baptist Memorial Hospital-Oktibbeha CountyStarkville – – – –
King's Daughters Medical Center-BrookhavenBrookhaven – – – –
South Central Regional Med CtrLaurel – – – –
Clay County Medical CenterWest Point – – – –
Rush Foundation HospitalMeridian – – – –
Forrest General HospitalHattiesburg – – – –
Delta Regional Medical CenterGreenville – – – –
Natchez Regional Medical CtrNatchez – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Greenwood Leflore HospitalGreenwood – – – –
Singing River GulfportGulfport – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
Hancock Medical CenterBay St Louis – – – –
Methodist Healthcare - Olive Branch HospitalOlive Branch – – – –
University of Mississippi Medical Center- GrenadaGrenada – – – –
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Lowest and highest allowed amounts in Mississippi

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

Level 3 Lower GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 36 hospitals in Mississippi was billed at $19,051 on average, while the average medicare-allowed amount was $2,262, of which Medicare paid $1,812. 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 Mississippi, average charges were 8.4 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.