facebook tracking Level 3 Upper GI Procedures cost in Arizona: 35 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Arizona

What 35 hospitals in Arizona charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $21,487 Hospital list price billed
Average allowed $3,616 Medicare's payment + patient's share
Medicare paid $2,872 Average per service
State rank #32 of 48 1 = lowest average payment

Hospitals in Arizona billed an average of $21,487 for level 3 upper gi procedures, about 5.9 times the average medicare-allowed amount of $3,616. That payment is about the same as 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 $3,616Billed $21,487

About 17¢ was paid for every $1 hospitals in Arizona billed for this service.

Arizona hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mayo Clinic HospitalPhoenix 135 $27,028 $3,336 $2,643
Scottsdale Healthcare-Shea Medical CenterScottsdale 110 $22,010 $3,707 $2,950
Banner del E Webb Medical CenterSun City West 67 $11,658 $3,646 $2,888
John C Lincoln Deer Valley HospitalPhoenix 42 $23,146 $3,734 $2,975
Banner - University Medical Center PhoenixPhoenix 37 $16,358 $3,654 $2,900
Banner Gateway Medical CenterGilbert 31 $16,378 $3,734 $2,981
University Medical CenterTucson 30 $12,858 $3,734 $2,975
St Joseph's Hospital and Medical CenterPhoenix 24 $24,658 $3,611 $2,851
Banner Boswell Medical CenterSun City 24 $16,319 $3,734 $2,975
Chandler Regional Medical CenterChandler 23 $26,792 $3,735 $2,967
Northwest Medical CenterTucson 18 $39,482 $3,569 $2,810
Mercy Gilbert Medical CenterGilbert 18 $26,256 $3,735 $2,969
Flagstaff Medical CenterFlagstaff 14 $14,807 $4,000 $3,187
Tucson Medical CenterTucson – – – –
Verde Valley Medical CenterCottonwood – – – –
Carondelet St Marys HospitalTucson – – – –
Carondelet St Josephs HospitalTucson – – – –
Yavapai Regional Medical CenterPrescott – – – –
Yuma Regional Medical CenterYuma – – – –
Valleywise Health Medical CenterPhoenix – – – –
Abrazo Central CampusPhoenix – – – –
St Lukes Medical CenterPhoenix – – – –
Scottsdale Healthcare-Osborn Medical CenterScottsdale – – – –
Kingman Regional Medical CenterKingman – – – –
Banner Desert Medical CenterMesa – – – –
Havasu Regional Medical CenterLake Havasu City – – – –
Abrazo Scottsdale CampusPhoenix – – – –
Banner Baywood Medical CenterMesa – – – –
Banner Thunderbird Medical CenterGlendale – – – –
Arrowhead HospitalGlendale – – – –
West Valley HospitalGoodyear – – – –
Banner Estrella Medical CenterPhoenix – – – –
Honorhealth Four Peaks Medical CenterMesa – – – –
Scottsdale Healthcare-Thompson Peak HospitalScottsdale – – – –
City of Hope Cancer Center PhoenixGoodyear – – – –
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Lowest and highest allowed amounts in Arizona

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 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 35 hospitals in Arizona was billed at $21,487 on average, while the average medicare-allowed amount was $3,616, of which Medicare paid $2,872. 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 Arizona, average charges were 5.9 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.