facebook tracking Level 3 Upper GI Procedures cost in Florida: 120 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Florida

What 120 hospitals in Florida charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $31,940 Hospital list price billed
Average allowed $3,418 Medicare's payment + patient's share
Medicare paid $2,715 Average per service
State rank #21 of 48 1 = lowest average payment

Hospitals in Florida billed an average of $31,940 for level 3 upper gi procedures, about 9.3 times the average medicare-allowed amount of $3,418. That payment is 6% 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 $3,418Billed $31,940

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

Florida hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Boca Raton Regional HospitalBoca Raton 141 $35,169 $3,437 $2,736
Sarasota Memorial HospitalSarasota 126 $25,971 $3,469 $2,764
Adventhealth OrlandoOrlando 118 $38,532 $3,399 $2,695
Mayo ClinicJacksonville 99 $22,198 $3,255 $2,570
Orlando Regional HealthcareOrlando 60 $57,035 $3,423 $2,715
Lee Memorial HospitalFort Myers 56 $24,083 $3,469 $2,764
St Vincent's Medical CenterJacksonville 53 $24,585 $3,469 $2,763
Baptist Medical CenterJacksonville 52 $19,425 $3,469 $2,764
Doctors Hospital of SarasotaSarasota 44 $54,109 $3,469 $2,764
Univ of Miami Hosp & ClinicsMiami 43 $52,430 $3,248 $2,575
Adventhealth Daytona BeachDaytona Beach 36 $25,190 $3,469 $2,764
Shands Hospital at the University of FloridaGainesville 36 $19,266 $3,334 $2,641
Cleveland Clinic HospitalWeston 36 $13,808 $3,392 $2,684
Adventhealth Port CharlottePort Charlotte 32 $46,330 $3,383 $2,678
H Lee Moffitt Cancer CenterTampa 30 $15,261 $3,377 $2,666
Martin Memorial Health SystemsStuart 27 $22,311 $3,469 $2,754
Gulf Coast Medical Center Lee HealthFort Myers 27 $24,152 $3,469 $2,757
Sacred Heart HospitalPensacola 26 $17,910 $3,469 $2,762
Mount Sinai Medical CenterMiami Beach 24 $18,133 $3,469 $2,764
Orange Park Medical CenterOrange Park 22 $45,167 $3,469 $2,764
St Anthony's HospitalSt Petersburg 21 $18,661 $3,469 $2,764
Naples Community HospitalNaples 18 $24,417 $3,469 $2,764
North Florida Regional Medical CenterGainesville 18 $65,732 $3,162 $2,457
Baptist HospitalPensacola 16 $38,555 $3,469 $2,764
Adventhealth Wesley ChapelWesley Chapel 16 $35,600 $3,469 $2,759
Gulf Coast Medical CenterPanama City 15 $49,396 $3,469 $2,764
Indian River Medical CenterVero Beach 14 $20,252 $3,469 $2,764
Morton Plant HospitalClearwater 14 $21,806 $3,469 $2,764
Tampa General HospitalTampa 14 $42,370 $3,469 $2,751
Lakeland Regional Medical CenterLakeland 14 $31,253 $3,469 $2,751
Viera HospitalMelbourne 14 $29,742 $3,469 $2,764
Largo Medical CenterLargo 13 $81,074 $3,469 $2,764
Manatee Memorial HospitalBradenton 12 $35,758 $3,469 $2,764
St Joseph's HospitalTampa 12 $23,980 $3,469 $2,756
Memorial Regional HospitalHollywood 11 $27,656 $3,218 $2,513
Holy Cross Hospital INCFort Lauderdale 11 $23,443 $3,469 $2,764
Shands Jacksonville Medical CenterJacksonville – – – –
Bethesda Memorial HospitalBoynton Beach – – – –
Baptist Hospital of Miami INCMiami – – – –
Halifax Health Medical CenterDaytona Beach – – – –
Holmes Regional Medical CenterMelbourne – – – –
Jackson Health SystemMiami – – – –
Citrus Memorial HospitalInverness – – – –
Bay Medical CenterPanama City – – – –
Bayfront Medical Center INCSt Petersburg – – – –
Broward General Medical CenterFort Lauderdale – – – –
Florida Hospital ZephyrhillsZephyrhills – – – –
Shorepoint Health Punta GordaPunta Gorda – – – –
Highlands Regional Medical CenterSebring – – – –
South Lake HospitalClermont – – – –
Winter Haven HospitalWinter Haven – – – –
Florida Hospital WatermanEustis – – – –
Adventhealth OcalaOcala – – – –
Morton Plant North Bay HospitalNew Port Richey – – – –
University Community Hospital at CarrollwoodTampa – – – –
Brooksville Regional HospitalBrooksville – – – –
Florida Hospital Fish MemorialOrange City – – – –
Jfk Medical CenterAtlantis – – – –
Leesburg Regional Medical CenterLeesburg – – – –
North Broward Medical CenterPompano Beach – – – –
Flagler HospitalSt Augustine – – – –
Orlando Health Rockledge HospitalRockledge – – – –
Lehigh Regional Medical CenterLehigh Acres – – – –
Adventhealth SebringSebring – – – –
Osceola Regional Medical CenterKissimmee – – – –
Baptist Medical Center BeachesJacksonville Beach – – – –
Adventhealth Palm CoastPalm Coast – – – –
North Okaloosa Medical CenterCrestview – – – –
Santa Rosa Medical CenterMilton – – – –
Homestead HospitalHomestead – – – –
Palms of Pasadena HospitalSt Petersburg – – – –
South Florida Baptist HospitalPlant City – – – –
Tallahassee Memorial HealthcareTallahassee – – – –
Heart of Florida Reg Med CtrDavenport – – – –
Lower Keys Medical CenterKey West – – – –
South Miami HospitalMiami – – – –
Central Florida Regional HospitalSanford – – – –
Adventhealth TampaTampa – – – –
Palm Beach Gardens Medical CenterPalm Beach Gardens – – – –
Cape Canaveral HospitalCocoa Beach – – – –
HCA Florida Memorial HospitalJacksonville – – – –
HCA Florida Trinity HospitalNew Port Richey – – – –
Memorial Hospital of TampaTampa – – – –
Kendall Regional Medical CenterMiami – – – –
Adventhealth Dade CityDade City – – – –
Ocala Regional Medical CenterOcala – – – –
Fort Walton Beach Medical CenterFort Walton Beach – – – –
University Hospital & Medical CenterTamarac – – – –
Westside Regional Medical CenterPlantation – – – –
West Florida HospitalPensacola – – – –
Fawcett Memorial HospitalPort Charlotte – – – –
Northside HospitalSt Petersburg – – – –
Brandon Regional HospitalBrandon – – – –
HCA Florida Lawnwood HospitalFort Pierce – – – –
Tampa General Hospital Crystal RiverCrystal River – – – –
Raulerson HospitalOkeechobee – – – –
Jupiter Medical CenterJupiter – – – –
Capital Regional Medical CenterTallahassee – – – –
Regional Medical Center Bayonet PointHudson – – – –
Delray Medical CenterDelray Beach – – – –
South Bay HospitalGreater Sun Center – – – –
Oak Hill HospitalBrooksville – – – –
Mease Countryside HospitalSafety Harbor – – – –
Gulf Breeze HospitalGulf Breeze – – – –
West Boca Medical CenterBoca Raton – – – –
Palms West HospitalLoxahatchee – – – –
Wellington Regional Medical CenterWellington – – – –
Coral Springs Medical CenterPompano Beach – – – –
Memorial Hospital WestHollywood – – – –
Physicians Regional Medical Center - Pine RidgeNaples – – – –
Good Samaritan Medical CenterWest Palm Beach – – – –
Villages Regional Hospital theLady Lake – – – –
Sacred Heart Hospital on the Emerald CoastMiramar Beach – – – –
Doctors Hospital INCCoral Gables – – – –
Lakewood Ranch Medical CenterBradenton – – – –
St Luke's HospitalJacksonville – – – –
HCA Florida Poinciana HospitalKissimmee – – – –
Ascension St Vincent's Clay CountyMiddleburg – – – –
Baycare Hospital Wesley ChapelWesley Chapel – – – –
Adventhealth RiverviewRiverview – – – –
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Lowest and highest allowed amounts in Florida

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

North Florida Regional Medical CenterGainesville, FL$3,162
Memorial Regional HospitalHollywood, FL$3,218
Univ of Miami Hosp & ClinicsMiami, FL$3,248
Mayo ClinicJacksonville, FL$3,255
Shands Hospital at the University of FloridaGainesville, FL$3,334

Highest

Level 3 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 120 hospitals in Florida was billed at $31,940 on average, while the average medicare-allowed amount was $3,418, of which Medicare paid $2,715. 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 Florida, 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.