facebook tracking Level 3 Upper GI Procedures cost in Alabama: 28 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Alabama

What 28 hospitals in Alabama charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $38,218 Hospital list price billed
Average allowed $3,113 Medicare's payment + patient's share
Medicare paid $2,453 Average per service
State rank #2 of 48 1 = lowest average payment

Hospitals in Alabama billed an average of $38,218 for level 3 upper gi procedures, about 12.3 times the average medicare-allowed amount of $3,113. That payment is 14% below the U.S. average of $3,633.

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 $3,113Billed $38,218

About 8¢ was paid for every $1 hospitals in Alabama billed for this service.

Alabama hospitals: level 3 upper gi procedures

Every Alabama 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 Alabama HospitalBirmingham 45 $28,164 $3,161 $2,519
Grandview Medical CenterBirmingham 40 $71,026 $2,941 $2,288
Southeast Alabama Medical CenterDothan 29 $28,088 $3,134 $2,478
Thomas HospitalFairhope 20 $16,275 $3,177 $2,529
Huntsville HospitalHuntsville 18 $10,686 $3,235 $2,567
Northeast Alabama Regional Med CenterAnniston 17 $18,358 $3,328 $2,618
Crestwood Medical CenterHuntsville 17 $42,784 $2,776 $2,117
Flowers HospitalDothan 15 $80,103 $3,289 $2,608
Marshall Medical Center SouthBoaz – – – –
North Alabama Medical CenterFlorence – – – –
St Vincent's EastBirmingham – – – –
Baptist Medical Center SouthMontgomery – – – –
Jackson Hospital & Clinic INCMontgomery – – – –
East Alabama Medical Center and SnfOpelika – – – –
Cullman Regional Medical CenterCullman – – – –
Gadsden Regional Medical CenterGadsden – – – –
Riverview Regional Medical CenterGadsden – – – –
St Vincent's BirminghamBirmingham – – – –
South Baldwin Regional Medical CenterFoley – – – –
Decatur General HospitalDecatur – – – –
USA Health University HospitalMobile – – – –
Providence HospitalMobile – – – –
D C H Regional Medical CenterTuscaloosa – – – –
Princeton Baptist Medical CenterBirmingham – – – –
Mobile InfirmaryMobile – – – –
North Baldwin InfirmaryBay Minette – – – –
Brookwood Medical CenterBirmingham – – – –
Springhill Medical CenterMobile – – – –
Advertisement

Lowest and highest allowed amounts in Alabama

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

Crestwood Medical CenterHuntsville, AL$2,776
Grandview Medical CenterBirmingham, AL$2,941
Southeast Alabama Medical CenterDothan, AL$3,134
University of Alabama HospitalBirmingham, AL$3,161
Thomas HospitalFairhope, AL$3,177

Highest

Northeast Alabama Regional Med CenterAnniston, AL$3,328
Flowers HospitalDothan, AL$3,289
Huntsville HospitalHuntsville, AL$3,235
Thomas HospitalFairhope, AL$3,177
University of Alabama HospitalBirmingham, AL$3,161

Level 3 Upper GI Procedures in other states

Questions

How much does level 3 upper gi procedures cost in Alabama?

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 28 hospitals in Alabama was billed at $38,218 on average, while the average medicare-allowed amount was $3,113, of which Medicare paid $2,453. 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 Alabama, average charges were 12.3 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.