Level 3 Upper GI Procedures in Hawaii
What 9 hospitals in Hawaii charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$17,744
Hospital list price billed
Average allowed
$4,405
Medicare's payment + patient's share
Medicare paid
$3,507
Average per service
State rank
#47 of 48
1 = lowest average payment
Hospitals in Hawaii billed an average of $17,744 for level 3 upper gi procedures, about 4.0 times the average medicare-allowed amount of $4,405. That payment is 21% 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 $4,405Billed $17,744
About 25¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 3 upper gi procedures
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 39 | $18,218 | $4,405 | $3,509 |
| Pali Momi Medical CenterAiea | 26 | $19,717 | $4,405 | $3,502 |
| Straub Clinic and HospitalHonolulu | 13 | $12,376 | $4,405 | $3,509 |
| Maui Memorial Medical CenterWailuku | – | – | – | – |
| Hilo Medical CenterHilo | – | – | – | – |
| Castle Medical CenterKailua | – | – | – | – |
| Kuakini Medical CenterHonolulu | – | – | – | – |
| Kaiser Foundation HospitalHonolulu | – | – | – | – |
| Wilcox Memorial HospitalLihue | – | – | – | – |
Lowest and highest allowed amounts in Hawaii
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
| The Queens Medical CenterHonolulu, HI | $4,405 |
|---|---|
| Straub Clinic and HospitalHonolulu, HI | $4,405 |
| Pali Momi Medical CenterAiea, HI | $4,405 |
Highest
| Pali Momi Medical CenterAiea, HI | $4,405 |
|---|---|
| The Queens Medical CenterHonolulu, HI | $4,405 |
| Straub Clinic and HospitalHonolulu, HI | $4,405 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Hawaii?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 9 hospitals in Hawaii was billed at $17,744 on average, while the average medicare-allowed amount was $4,405, of which Medicare paid $3,507. 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 Hawaii, average charges were 4.0 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.