Level 3 Upper GI Procedures in Iowa
What 15 hospitals in Iowa charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$21,531
Hospital list price billed
Average allowed
$3,319
Medicare's payment + patient's share
Medicare paid
$2,635
Average per service
State rank
#13 of 48
1 = lowest average payment
Hospitals in Iowa billed an average of $21,531 for level 3 upper gi procedures, about 6.5 times the average medicare-allowed amount of $3,319. That payment is 9% 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 $3,319Billed $21,531
About 15¢ was paid for every $1 hospitals in Iowa billed for this service.
Iowa hospitals: level 3 upper gi procedures
Every Iowa 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 Iowa Hospital & ClinicsIowa City | 110 | $21,076 | $3,344 | $2,648 |
| Iowa Methodist Medical CenterDes Moines | 44 | $27,338 | $3,289 | $2,620 |
| Mercy Medical Center-Des MoinesDes Moines | 24 | $25,783 | $3,276 | $2,602 |
| Mercy Medical Center-DubuqueDubuque | 20 | $20,355 | $3,492 | $2,773 |
| Mercy Medical Center - Cedar RapidsCedar Rapids | 15 | $12,275 | $3,082 | $2,456 |
| Genesis Medical Center-DavenportDavenport | 13 | $10,360 | $3,303 | $2,630 |
| Trinity Regional Medical CenterFort Dodge | – | – | – | – |
| Mercy HospitalIowa City | – | – | – | – |
| Mary Greeley Medical CenterAmes | – | – | – | – |
| St Lukes HospitalCedar Rapids | – | – | – | – |
| Mercy Medical Center-ClintonClinton | – | – | – | – |
| Allen Memorial HospitalWaterloo | – | – | – | – |
| The Finley HospitalDubuque | – | – | – | – |
| St Lukes Regional Medical CenterSioux City | – | – | – | – |
| Grinnell Regional Medical CenterGrinnell | – | – | – | – |
Lowest and highest allowed amounts in Iowa
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
| Mercy Medical Center - Cedar RapidsCedar Rapids, IA | $3,082 |
|---|---|
| Mercy Medical Center-Des MoinesDes Moines, IA | $3,276 |
| Iowa Methodist Medical CenterDes Moines, IA | $3,289 |
| Genesis Medical Center-DavenportDavenport, IA | $3,303 |
| University of Iowa Hospital & ClinicsIowa City, IA | $3,344 |
Highest
| Mercy Medical Center-DubuqueDubuque, IA | $3,492 |
|---|---|
| University of Iowa Hospital & ClinicsIowa City, IA | $3,344 |
| Genesis Medical Center-DavenportDavenport, IA | $3,303 |
| Iowa Methodist Medical CenterDes Moines, IA | $3,289 |
| Mercy Medical Center-Des MoinesDes Moines, IA | $3,276 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Iowa?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 15 hospitals in Iowa was billed at $21,531 on average, while the average medicare-allowed amount was $3,319, of which Medicare paid $2,635. 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 Iowa, average charges were 6.5 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.