facebook tracking Level 3 Upper GI Procedures cost in California: 171 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in California

What 171 hospitals in California charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $33,051 Hospital list price billed
Average allowed $4,794 Medicare's payment + patient's share
Medicare paid $3,820 Average per service
State rank #48 of 48 1 = lowest average payment

Hospitals in California billed an average of $33,051 for level 3 upper gi procedures, about 6.9 times the average medicare-allowed amount of $4,794. That payment is 32% above 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 $4,794Billed $33,051

About 15¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 195 $59,974 $5,343 $4,251
California Pacific Medical Ctr-Pacific Campus HospSan Francisco 192 $20,122 $5,434 $4,337
Cedars-Sinai Medical CenterLos Angeles 144 $55,185 $4,414 $3,517
Enloe Medical CenterChico 135 $12,537 $2,686 $2,140
UCI Health-OrangeOrange 107 $23,065 $4,708 $3,754
UCSF Medical CenterSan Francisco 104 $31,063 $5,289 $4,214
Hoag Memorial Hospital PresbyterianNewport Beach 84 $19,125 $4,680 $3,732
Scripps Green HospitalLa Jolla 75 $34,734 $4,708 $3,761
University of California San Diego Medical CenterSan Diego 71 $27,399 $4,543 $3,626
UCLA Medical CenterLos Angeles 68 $18,978 $4,708 $3,758
Community Regional Medical CenterFresno 49 $21,876 $4,660 $3,712
Sutter General HospitalSacramento 44 $24,492 $5,364 $4,273
Eisenhower Memorial HospitalRancho Mirage 42 $28,819 $4,708 $3,757
John Muir Medical Center - Walnut Creek CampusWalnut Creek 41 $48,286 $5,332 $4,249
Adventist Health BakersfieldBakersfield 35 $15,406 $4,708 $3,751
Loma Linda University Medical CenterLoma Linda 34 $35,069 $4,708 $3,751
USC University HospitalLos Angeles 33 $28,124 $4,708 $3,751
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 32 $18,941 $4,708 $3,751
City of Hope Natl Medical CtrDuarte 32 $49,625 $4,708 $3,751
University of California Davis Medical CenterSacramento 32 $39,423 $4,774 $3,803
Sequoia HospitalRedwood City 31 $20,756 $5,393 $4,297
El Camino HospitalMountain View 31 $27,266 $5,393 $4,297
Santa Barbara Cottage HospitalSanta Barbara 29 $28,732 $4,695 $3,741
Memorial Medical CenterModesto 29 $23,748 $4,708 $3,751
St Jude Medical CenterFullerton 27 $25,103 $4,708 $3,751
Scripps Memorial Hospital la JollaLa Jolla 27 $35,912 $4,708 $3,760
Santa Clara Valley Medical CenterSan Jose 23 $36,481 $5,393 $4,297
Saint Agnes Medical CenterFresno 22 $17,866 $4,708 $3,751
Clovis Community Medical CenterClovis 22 $28,381 $4,708 $3,751
Community Hospital of the Monterey PeninsulaMonterey 20 $28,321 $5,123 $4,082
Los Robles Hospital & Medical CenterThousand Oaks 20 $75,509 $4,708 $3,751
Alta Bates Summit Medical Center - Alta Bates CampBerkeley 18 $24,664 $5,318 $4,237
Sutter Roseville Medical CenterRoseville 18 $24,965 $4,891 $3,897
John Muir Medical Center - Concord CampusConcord 17 $53,137 $5,332 $4,249
Grossmont HospitalLa Mesa 16 $26,438 $4,708 $3,751
Santa Rosa Memorial HospitalSanta Rosa 16 $50,029 $5,363 $4,290
Peninsula Medical CenterBurlingame 15 $26,354 $5,474 $4,362
Orange Coast Memorial Medical CenterFountain Valley 15 $26,510 $4,458 $3,501
Marian Medical CenterSanta Maria 14 $44,366 $4,441 $3,453
Scripps Mercy HospitalSan Diego 13 $29,836 $4,709 $3,749
Good Samaritan HospitalSan Jose 13 $154,831 $5,393 $4,297
St Josephs Med Center of StocktonStockton 12 $27,475 $5,254 $4,208
Sutter Medical Center of Santa RosaSanta Rosa 12 $25,550 $5,112 $4,073
Lodi Memorial HospitalLodi 12 $82,893 $4,810 $3,832
Antelope Valley Hospital Med CenterLancaster 11 $31,637 $4,708 $3,751
Northridge Hospital Medical CenterNorthridge 11 $29,085 $4,709 $3,749
St Joseph HospitalEureka – – – –
Queen of the Valley Medical CenterNapa – – – –
Mercy General HospitalSacramento – – – –
Riverside Community HospitalRiverside – – – –
Paradise Valley HospitalNational City – – – –
Oroville HospitalOroville – – – –
Bakersfield Memorial HospitalBakersfield – – – –
Lac/Olive View-UCLA Medical CenterSylmar – – – –
El Centro Regional Medical CenterEl Centro – – – –
Kaweah Delta Medical CenterVisalia – – – –
Hollywood Presbyterian Medical CenterLos Angeles – – – –
St Joseph HospitalOrange – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
Kaiser Foundation Hospital - San FranciscoSan Francisco – – – –
Providence Little Co of Mary Med Ctr San PedroLos Angeles – – – –
St Johns Regional Medical CenterOxnard – – – –
Community Hospital of San BernardinoSan Bernardino – – – –
San Antonio Community HospitalUpland – – – –
Sharp Memorial HospitalSan Diego – – – –
Sutter Solano Medical CenterVallejo – – – –
White Memorial Medical CenterLos Angeles – – – –
Palomar Medical CenterEscondido – – – –
Hanford Community Medical CenterHanford – – – –
Dameron HospitalStockton – – – –
Verdugo Hills HospitalGlendale – – – –
Valley Presbyterian HospitalVan Nuys – – – –
Tri-City Medical CenterOceanside – – – –
Rideout Memorial HospitalMarysville – – – –
Hollywood Community Hospital of HollywoodLos Angeles – – – –
Kaiser Foundation Hospital - Panorama CityPanorama City – – – –
Kaiser Foundation Hospital - los AngelesLos Angeles – – – –
Kaiser Foundation HospitalBellflower – – – –
Kaiser Foundation Hospital FontanaFontana – – – –
California Hospital Medical Center laLos Angeles – – – –
Sierra Nevada Memorial HospitalGrass Valley – – – –
Saint Francis Memorial HospitalSan Francisco – – – –
Ventura County Medical CenterVentura – – – –
San Joaquin General HospitalFrench Camp – – – –
PIH Health Hospital-WhittierWhittier – – – –
Emanuel Medical Center INCTurlock – – – –
St Mary Medical CenterLong Beach – – – –
Watsonville Community HospitalWatsonville – – – –
Washington HospitalFremont – – – –
Palmdale Regional Medical CenterLancaster – – – –
Sharp Chula Vista Medical CenterChula Vista – – – –
Ahmc Anaheim Regional Medical CenterAnaheim – – – –
San Francisco General HospitalSan Francisco – – – –
Pomona Valley Hospital Medical CenterPomona – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Simi Valley Hospital & Health Care ServicesSimi Valley – – – –
USC Arcadia HospitalArcadia – – – –
Glendale Adventist Medical CtrGlendale – – – –
Dominican HospitalSanta Cruz – – – –
Desert Regional Medical CenterPalm Springs – – – –
Arrowhead Regional Medical CenterColton – – – –
Marshall Medical Center (1-Rh)Placerville – – – –
Redlands Community HospitalRedlands – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Mercy Medical Center ReddingRedding – – – –
Alhambra Hospital Medical CenterAlhambra – – – –
Stanford Health Care Tri-ValleyPleasanton – – – –
Seton Medical CenterDaly City – – – –
Saint John's Health CenterSanta Monica – – – –
Riverside County Regional Medical CenterMoreno Valley – – – –
Mercy HospitalBakersfield – – – –
St Mary Medical CenterApple Valley – – – –
Ukiah Valley Medical Center/Hospital DUkiah – – – –
Sutter Tracy Community HospitalTracy – – – –
Kern Medical CenterBakersfield – – – –
Corona Regional Medical CenterCorona – – – –
Salinas Valley Memorial HospitalSalinas – – – –
Sonora Community HospitalSonora – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
Torrance Memorial Medical CenterTorrance – – – –
Providence Little Company of Mary Med Ctr TorranceTorrance – – – –
Marinhealth Medical CenterGreenbrae – – – –
Northbay Medical CenterFairfield – – – –
Los Angeles General Medical CenterLos Angeles – – – –
Lac/Harbor-UCLA Med CenterTorrance – – – –
Emanate Health Inter-Community HospitalCovina – – – –
Downey Regional Medical CenterDowney – – – –
Community Memorial Hospital - VenturaVentura – – – –
Kaiser Foundation Hospital - Harbor CityHarbor City – – – –
Mercy Hospital of FolsomFolsom – – – –
Sutter Coast HospitalCrescent City – – – –
Kaiser Foundation Hospital - Sacramento/RosevilleSacramento – – – –
Huntington Memorial HospitalPasadena – – – –
Mercy Medical Ctr MercedMerced – – – –
St Mary's Medical CenterSan Francisco – – – –
Doctors Medical CenterModesto – – – –
Good Samaritan HospitalLos Angeles – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Eden Medical CenterCastro Valley – – – –
Scripps Memorial Hospital - EncinitasEncinitas – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Kaiser Foundation HospitalSan Rafael – – – –
Kaiser Foundation Hospital - San DiegoSan Diego – – – –
Mercy San Juan Medical CenterCarmichael – – – –
Sutter Delta Medical CenterAntioch – – – –
Kaiser Foundation Hospital - West laLos Angeles – – – –
Mission Hospital Regional Med CenterMission Viejo – – – –
San Dimas Community HospitalSan Dimas – – – –
UCI Health-Placentia LindaPlacentia – – – –
Methodist Hospital of SacramentoSacramento – – – –
Foothill Presbyterian HospitalGlendora – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Delano Regional Medical CenterDelano – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
Los Angeles Community HospitalLos Angeles – – – –
Kaiser Foundation Hosp So SacramentoSacramento – – – –
Kaiser Foundation Hospital, RiversideRiverside – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
Southwest Healthcare SystemMurrieta – – – –
Mission Community Hospital - PanoramaPanorama City – – – –
Marina del Rey HospitalMarina del Rey – – – –
Montclair Hospital Medical CenterMontclair – – – –
Providence Tarzana Medical CenterTarzana – – – –
Shasta Regional Medical CenterRedding – – – –
Loma Linda University Medical Center-MurrietaMurrieta – – – –
Coast Plaza HospitalNorwalk – – – –
Temecula Valley HospitalTemecula – – – –
College Medical CenterLong Beach – – – –
Kaiser Foundation Hospital - San LeandroSan Leandro – – – –
Level 3 Upper GI Procedures: all states All California hospitals California hospital finances
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Lowest and highest allowed amounts in California

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

Enloe Medical CenterChico, CA$2,686
Cedars-Sinai Medical CenterLos Angeles, CA$4,414
Marian Medical CenterSanta Maria, CA$4,441
Orange Coast Memorial Medical CenterFountain Valley, CA$4,458
University of California San Diego Medical CenterSan Diego, CA$4,543

Highest

Peninsula Medical CenterBurlingame, CA$5,474
California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA$5,434
Santa Clara Valley Medical CenterSan Jose, CA$5,393
Sequoia HospitalRedwood City, CA$5,393
El Camino HospitalMountain View, CA$5,393

Level 3 Upper GI Procedures in other states

Alaska · $4,088 Connecticut · $4,061 Hawaii · $4,405 Massachusetts · $4,090 Nevada · $4,144 New Jersey · $4,080 New York · $4,191 Oregon · $3,966

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 171 hospitals in California was billed at $33,051 on average, while the average medicare-allowed amount was $4,794, of which Medicare paid $3,820. 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 California, average charges were 6.9 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.