Level 3 Lower GI Procedures in Pennsylvania
What 104 hospitals in Pennsylvania charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.
Average charge
$21,656
Hospital list price billed
Average allowed
$2,595
Medicare's payment + patient's share
Medicare paid
$2,082
Average per service
State rank
#28 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $21,656 for level 3 lower gi procedures, about 8.3 times the average medicare-allowed amount of $2,595. That payment is 4% 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 $2,595Billed $21,656
About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 lower gi procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 151 | $23,318 | $2,711 | $2,198 |
| Lehigh Valley HospitalAllentown | 135 | $22,934 | $2,738 | $2,194 |
| Milton S Hershey Medical CenterHershey | 90 | $26,101 | $2,596 | $2,074 |
| Doylestown HospitalDoylestown | 84 | $16,409 | $2,709 | $2,160 |
| Thomas Jefferson University HospitalPhiladelphia | 66 | $17,424 | $2,578 | $2,065 |
| Fox Chase Cancer CenterPhiladelphia | 55 | $24,352 | $2,640 | $2,101 |
| St Luke's Hospital BethlehemBethlehem | 53 | $31,207 | $2,656 | $2,132 |
| Lancaster General HospitalLancaster | 49 | $15,598 | $2,527 | $2,004 |
| York HospitalYork | 48 | $14,249 | $2,555 | $2,033 |
| Wilkes-Barre General HospitalWilkes-Barre | 45 | $28,021 | $2,422 | $1,915 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 45 | $18,887 | $2,829 | $2,263 |
| St Clair Memorial HospitalPittsburgh | 44 | $13,232 | $2,508 | $2,001 |
| Temple University HospitalPhiladelphia | 43 | $42,424 | $2,829 | $2,260 |
| Geisinger Medical CenterDanville | 39 | $34,521 | $2,477 | $1,982 |
| Robert Packer HospitalSayre | 38 | $17,499 | $2,579 | $2,089 |
| Hanover HospitalHanover | 38 | $11,159 | $2,641 | $2,185 |
| UPMC PassavantPittsburgh | 37 | $21,987 | $2,507 | $2,021 |
| Meadville Medical CenterMeadville | 33 | $19,478 | $2,619 | $2,176 |
| Main Line Hospital LankenauWynnewood | 32 | $17,638 | $2,709 | $2,152 |
| UPMC Pinnacle HospitalsHarrisburg | 31 | $14,823 | $2,467 | $1,966 |
| Reading Hospital and Med CtrWest Reading | 30 | $15,263 | $2,565 | $2,044 |
| West Penn HospitalPittsburgh | 30 | $11,353 | $2,508 | $2,002 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 28 | $41,742 | $2,346 | $1,900 |
| UPMC MemorialYork | 27 | $8,176 | $1,498 | $1,201 |
| Abington Memorial HospitalAbington | 27 | $16,435 | $2,634 | $2,123 |
| Geisinger-Community Medical CenterScranton | 26 | $45,243 | $2,508 | $2,008 |
| Allegheny General HospitalPittsburgh | 25 | $12,397 | $2,507 | $2,021 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 24 | $18,137 | $2,709 | $2,158 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $15,630 | $2,650 | $2,106 |
| Bloomsburg HospitalBloomsburg | 20 | $19,771 | $2,445 | $1,947 |
| UPMC St MargaretPittsburgh | 20 | $26,802 | $2,506 | $2,063 |
| Penn Presbyterian Medical CenterPhiladelphia | 19 | $30,845 | $2,828 | $2,283 |
| Pocono Medical CenterEast Stroudsburg | 18 | $23,063 | $2,738 | $2,189 |
| St Luke's Hospital - Anderson CampusEaston | 18 | $29,585 | $2,445 | $1,954 |
| Saint Vincent Health CenterErie | 17 | $17,850 | $2,959 | $2,366 |
| UPMC Presbyterian ShadysidePittsburgh | 17 | $28,722 | $2,406 | $1,911 |
| St Luke's Hospital - Monroe CampusStroudsburg | 17 | $23,243 | $2,660 | $2,119 |
| Mercy Hospital ScrantonScranton | 16 | $26,670 | $2,508 | $1,998 |
| UPMC EastMonroeville | 16 | $23,084 | $2,507 | $2,061 |
| Lewistown HospitalLewistown | 15 | $16,579 | $1,464 | $1,167 |
| Main Line Hospital PaoliPaoli | 15 | $14,632 | $2,709 | $2,158 |
| Crozer Chester Medical CenterChester | 14 | $19,193 | $2,727 | $2,191 |
| Jefferson Regional Medical CenterClairton | 14 | $11,990 | $2,507 | $2,014 |
| Grand View HospitalSellersville | 13 | $13,166 | $2,709 | $2,158 |
| Hamot Medical CenterErie | 12 | $30,993 | $2,959 | $2,358 |
| St Joseph Medical CenterReading | 12 | $26,903 | $2,391 | $1,854 |
| Conemaugh Valley Memorial HospitalJohnstown | 12 | $11,035 | $2,685 | $2,161 |
| Dubois Regional Medical CenterDubois | 11 | $9,351 | $2,564 | $2,035 |
| Jefferson Health- NortheastPhiladelphia | 11 | $12,646 | $2,715 | $2,176 |
| UPMC McKeesportMcKeesport | – | – | – | – |
| Holy Spirit HospitalCamp Hill | – | – | – | – |
| Lansdale HospitalLansdale | – | – | – | – |
| Evangelical Community HospitalLewisburg | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Schuylkill Medical Center - South Jackson StreetPottsville | – | – | – | – |
| Allegheny Valley HospitalNatrona Heights | – | – | – | – |
| St Luke's Quakertown HospitalQuakertown | – | – | – | – |
| Heritage Valley BeaverBeaver | – | – | – | – |
| Heritage Valley SewickleySewickley | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Uniontown HospitalUniontown | – | – | – | – |
| Williamsport Hospital & Medical CenterWilliamsport | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| Gettysburg HospitalGettysburg | – | – | – | – |
| Good Samaritan HospitalLebanon | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Altoona Regional Health SystemAltoona | – | – | – | – |
| Northwest Medical CenterOil City | – | – | – | – |
| Clarion HospitalClarion | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| UPMC KaneKane | – | – | – | – |
| Windber HospitalWindber | – | – | – | – |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | – | – | – | – |
| UPMC BedfordEverett | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Phoenixville HospitalPhoenixville | – | – | – | – |
| Excela Health Westmoreland Regional HospitalGreensburg | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Chambersburg HospitalChambersburg | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Easton HospitalEaston | – | – | – | – |
| Butler Health SystemButler | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| UPMC HorizonGreenville | – | – | – | – |
| Chester County HospitalWest Chester | – | – | – | – |
| St Luke's Miners Memorial HospitalCoaldale | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Excela Health Frick HospitalMt Pleasant | – | – | – | – |
| Latrobe Area HospitalLatrobe | – | – | – | – |
| Riddle Memorial HospitalMedia | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
| St Mary Medical CenterLanghorne | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | – | – | – | – |
| Mount Nittany Medical CenterState College | – | – | – | – |
| Surgical Institute of ReadingWyomissing | – | – | – | – |
| Jefferson Einstein Montgomery HospitalEast Norriton | – | – | – | – |
| Geisinger St. Luke's HospitalOrwigsburg | – | – | – | – |
| AHN Wexford HospitalWexford | – | – | – | – |
| St Luke's Hospital - Carbon CampusLehighton | – | – | – | – |
| Penn State Health Hampden Medical CenterEnola | – | – | – | – |
| Lehigh Valley Hospital - Dickson CityDickson City | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| Lewistown HospitalLewistown, PA | $1,464 |
|---|---|
| UPMC MemorialYork, PA | $1,498 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $2,346 |
| St Joseph Medical CenterReading, PA | $2,391 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $2,406 |
Highest
| Hamot Medical CenterErie, PA | $2,959 |
|---|---|
| Saint Vincent Health CenterErie, PA | $2,959 |
| Temple University HospitalPhiladelphia, PA | $2,829 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $2,829 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $2,828 |
Level 3 Lower GI Procedures in other states
Questions
How much does level 3 lower gi procedures cost in Pennsylvania?
In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 104 hospitals in Pennsylvania was billed at $21,656 on average, while the average medicare-allowed amount was $2,595, of which Medicare paid $2,082. 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 Pennsylvania, average charges were 8.3 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.