facebook tracking Level 3 Lower GI Procedures cost in Texas: 181 hospitals compared (APC 5313)

Level 3 Lower GI Procedures in Texas

What 181 hospitals in Texas charged and were paid for level 3 lower gi procedures (APC 5313), from 2024 Medicare claims.

APC 5313 Outpatient 2024 Medicare data
Average charge $22,955 Hospital list price billed
Average allowed $2,481 Medicare's payment + patient's share
Medicare paid $2,012 Average per service
State rank #20 of 49 1 = lowest average payment

Hospitals in Texas billed an average of $22,955 for level 3 lower gi procedures, about 9.3 times the average medicare-allowed amount of $2,481. That payment is 8% 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 $2,481Billed $22,955

About 11¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 3 lower gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Trinity Mother Frances SystTyler 105 $27,404 $2,417 $2,007
Methodist Hospital,TheHouston 81 $22,934 $2,577 $2,094
East Texas Medical CenterTyler 78 $32,789 $2,413 $1,988
Univ of Tx M D Anderson CtrHouston 73 $21,649 $2,602 $2,133
University of Texas Medical Branch GalGalveston 63 $29,772 $2,520 $2,071
UT Southwestern University HospitalDallas 53 $11,233 $2,488 $2,023
Mem Hermann Southwest HospHouston 53 $23,730 $2,528 $2,052
Houston Methodist Clear Lake HospitalHouston 53 $18,953 $2,527 $2,079
Hill Country Memorial HospitalFredericksburg 45 $19,037 $2,393 $1,980
St Lukes Episcopal HospitalHouston 42 $17,928 $2,602 $2,133
Memorial Hermann Texas Medical CenterHouston 38 $23,809 $2,602 $2,132
Methodist Richardson Medical CenterRichardson 38 $16,128 $2,477 $1,994
Methodist Willowbrook HospitalHouston 37 $23,097 $2,532 $2,056
Baptist Medical CenterSan Antonio 36 $48,197 $2,227 $1,728
Baylor Scott & White Medical Center - Marble FallsMarble Falls 35 $12,673 $2,608 $2,164
East Texas Medical Center JacksonvilleJacksonville 34 $35,102 $2,609 $2,087
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 32 $14,886 $2,538 $2,026
Baylor University Medical CenterDallas 30 $18,236 $2,416 $1,929
Doctors Hospital at RenaissanceEdinburg 30 $29,040 $2,435 $2,000
St Davids HospitalAustin 29 $29,459 $2,403 $1,903
Methodist Sugar Land HospitalSugar Land 27 $18,550 $2,603 $2,118
Scott & White Hospital-Round RockRound Rock 27 $11,166 $2,392 $1,959
Texas Health Harris Methodist Fort WorthFort Worth 26 $13,697 $2,526 $2,033
Resolute Health HospitalNew Braunfels 26 $28,132 $2,441 $1,945
Methodist HospitalSan Antonio 25 $27,332 $2,436 $1,941
Memorial Hermann Sugar Land HospitalSugar Land 25 $25,931 $2,514 $2,052
Baylor Scott and White Surgical Hospital at ShermaSherman 25 $16,216 $2,450 $1,957
Hunt Regional Medical CenterGreenville 24 $7,092 $2,526 $2,068
Houston Methodist West HospitalHouston 24 $19,946 $2,602 $2,150
Texoma Healthcare SystemDenison 23 $18,914 $2,525 $2,077
Scott & White Memorial HospitalTemple 22 $14,823 $2,470 $1,955
Hillcrest Baptist Med CenterWaco 22 $16,654 $2,436 $1,940
Bsa HospitalAmarillo 22 $26,115 $2,436 $1,947
Shannon Medical CenterSan Angelo 22 $16,406 $2,515 $1,984
Mem Hermann Mem City HospHouston 22 $19,656 $2,603 $2,097
University Health SystemSan Antonio 21 $12,064 $2,343 $1,869
Hendrick Health SystemAbilene 21 $32,535 $2,179 $1,743
Houston Methodist the Woodlands HospitalThe Woodlands 21 $25,388 $2,603 $2,115
University Medical CenterLubbock 20 $53,805 $2,144 $1,720
North Austin Medical CenterAustin 19 $48,848 $2,470 $2,021
Methodist Stone Oak HospitalSan Antonio 19 $25,409 $2,436 $1,940
Houston Methodist Baytown HospitalBaytown 17 $24,734 $2,341 $1,859
CHRISTUS St Michael Health SystemTexarkana 16 $19,764 $2,141 $1,643
Baylor Medical Center at WaxahachieWaxahachie 15 $14,259 $2,265 $1,767
Memorial Hermann NortheastHumble 15 $26,208 $2,602 $2,152
Methodist Charlton Medical CenterDallas 15 $17,046 $2,525 $2,105
Texas Health Presbyterian Hospital RockwallRockwall 15 $10,586 $2,526 $2,030
Baylor Scott and White Medical Center McKinneyMc Kinney 15 $14,926 $2,393 $1,879
Citizens Medical CenterVictoria 14 $11,050 $2,449 $1,987
Connally Memorial Medical CenterFloresville 14 $11,715 $2,436 $1,938
Harris County Hospital DistrictHouston 14 $8,228 $2,590 $2,082
Mem Hermann Baptist HospitalBeaumont 14 $20,288 $2,542 $2,026
Methodist Dallas Medical CenterDallas 13 $17,551 $2,372 $1,868
Baylor All Saints Medical Center at FwFort Worth 12 $20,264 $2,534 $2,041
CHRISTUS Santa Rosa HospitalSan Antonio 11 $25,206 $2,436 $1,944
Kingwood Medical CenterKingwood 11 $59,683 $2,603 $2,098
Sid Peterson Memorial HospitalKerrville – – – –
United Regional Hlth Care SystWichita Falls – – – –
St Joseph Regional Health CenterBryan – – – –
Parkland Health and Hospital SystemDallas – – – –
University Medical Center of El PasoEl Paso – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Laredo Medical CenterLaredo – – – –
Good Shepherd Medical Center MarshallMarshall – – – –
CHRISTUS HospitalBeaumont – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Jps Health NetworkFort Worth – – – –
Covenant Medical CenterLubbock – – – –
Providence Health CenterWaco – – – –
Seton Medical Center AustinAustin – – – –
Texas Health Arlington Memorial HospitalArlington – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Baylor Medical Center at IrvingIrving – – – –
Titus Regional Medical CenterMt Pleasant – – – –
CHRISTUS Spohn HospitalBeeville – – – –
North Hills HospitalNorth Richland Hills – – – –
North Texas Medical CenterGainesville – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Guadalupe Regional Medical CenterSeguin – – – –
South Texas Health SystemEdinburg – – – –
University Medical Center at BrackenridgeAustin – – – –
Medical Center HospitalOdessa – – – –
Midland Memorial HospitalMidland – – – –
Ascension Seton SmithvilleSmithville – – – –
Detar Hospital NavarroVictoria – – – –
Adventhealth Central TexasKilleen – – – –
Val Verde Regional Medical CenterDel Rio – – – –
Hereford Regional Medical CenterHereford – – – –
Paris Regional Medical CenterParis – – – –
Wadley Regional Medical CenterTexarkana – – – –
Northwest Texas Hlthcare SystAmarillo – – – –
CHI St Lukes Health Memorial LufkinLufkin – – – –
Conroe Regional Medical CenterConroe – – – –
Bellville General HospitalBellville – – – –
Medical City DecaturDecatur – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Huntsville Memorial HospitalHuntsville – – – –
Texas Health Harris Methodist Hospital StephenvillStephenville – – – –
Columbus Community HospitalColumbus – – – –
Dallas Medical CenterDallas – – – –
Medical Center of McKinneyMcKinney – – – –
Glen Rose Medical CenterGlen Rose – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Etmc HendersonHenderson – – – –
Woodland Heights Medical CenterLufkin – – – –
Covenant Hospital PlainviewPlainview – – – –
Baylor Regional Medical Center at GrapevineGrapevine – – – –
Brownwood Regional Medical CenterBrownwood – – – –
Lake Granbury Medical CenterGranbury – – – –
Clear Lake Regional Medical CenterWebster – – – –
Denton Regional Medical CenterDenton – – – –
Houston Northwest Medical CenterHouston – – – –
Texas Health Harris Methodist Hurst-Euless-BedfordBedford – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Medical City Dallas HospitalDallas – – – –
Medical Center of PlanoPlano – – – –
Nacogdoches Medical CenterNacogdoches – – – –
Freestone Medical CenterFairfield – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Odessa Regional HospitalOdessa – – – –
Valley Regional Medical CenterBrownsville – – – –
Sierra Medical CenterEl Paso – – – –
Tomball Regional HospitalTomball – – – –
Womans Hospital of Texas,TheHouston – – – –
Medical Center of ArlingtonArlington – – – –
Huguley Health SystemFort Worth – – – –
Dallas Regional Medical CenterMesquite – – – –
University of Texas Health Science Center at TylerTyler – – – –
El Campo Memorial HospitalEl Campo – – – –
Longview Regional Medical CenterLongview – – – –
Rio Grande Regional HospitalMcAllen – – – –
St David's South Austin Medical CenterAustin – – – –
Round Rock Medical CenterRound Rock – – – –
Lake Pointe Medical CenterRowlett – – – –
Denton Community HospitalDenton – – – –
Covenant Hospital LevellandLevelland – – – –
Texas Health Presbyterian Hospital PlanoPlano – – – –
Tops Surgical Specialty HospitalHouston – – – –
Texas Health Harris Methodist Hospital Southwest FFort Worth – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
CHRISTUS Spohn Hospital AliceAlice – – – –
Physicians Centre,TheBryan – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Memorial Hermann Katy HospitalKaty – – – –
Baylor Medical Center at FriscoFrisco – – – –
Harlingen Medical CenterHarlingen – – – –
Sugar Land Surgical Hospital LLPSugar Land – – – –
St Luke's the Woodlands HospitalConroe – – – –
Seton Northwest HospitalAustin – – – –
Usmd Hospital at Arlington L PArlington – – – –
Quail Creek Surgical HospitalAmarillo – – – –
Lubbock Heart Hospital LpLubbock – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Centennial Medical CenterFrisco – – – –
Texas Health Harris Methodist Hospital SouthlakeSouthlake – – – –
Baylor Regional Medical Center at PlanoPlano – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
Houston Physicians' HospitalWebster – – – –
Methodist Mansfield Medical CenterMansfield – – – –
Patients Medical Center, LtdPasadena – – – –
Cedar Park Regional Medical CenterCedar Park – – – –
Sierra Providence East Medical CenterEl Paso – – – –
St Luke's Sugar Land HospitalSugar Land – – – –
Texas Regional Medical Center at SunnyvaleSunnyvale – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
St Luke's Hospital at the VintageHouston – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Baylor Scott & White Medical Center- College StatiCollege Station – – – –
Ad Hospital East, LLCHouston – – – –
Medical City AllianceFort Worth – – – –
HCA Houston Healthcare PearlandPearland – – – –
Baylor Scott & White Medical Center - BudaBuda – – – –
Methodist Southlake Medical CenterSouthlake – – – –
Texas Health Hospital FriscoFrisco – – – –
Townsen Memorial HospitalHumble – – – –
North Houston Surgical Hospital LLCSpring – – – –
Methodist Midlothian Medical CenterMidlothian – – – –
Texas Health Hospital MansfieldMansfield – – – –
Level 3 Lower GI Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

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

CHRISTUS St Michael Health SystemTexarkana, TX$2,141
University Medical CenterLubbock, TX$2,144
Hendrick Health SystemAbilene, TX$2,179
Baptist Medical CenterSan Antonio, TX$2,227
Baylor Medical Center at WaxahachieWaxahachie, TX$2,265

Level 3 Lower GI Procedures in other states

Arkansas · $2,455 Florida · $2,502 Georgia · $2,442 Michigan · $2,461 Missouri · $2,443 North Carolina · $2,490 Virginia · $2,501 Wisconsin · $2,488

Questions

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

In 2024 Medicare data, level 3 lower gi procedures (APC 5313) at 181 hospitals in Texas was billed at $22,955 on average, while the average medicare-allowed amount was $2,481, of which Medicare paid $2,012. 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 Texas, average charges were 9.3 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.