What 18 hospitals in Kansas charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Hospitals in Kansas billed an average of $20,934 for level 3 upper gi procedures, about 6.4 times the average medicare-allowed amount of $3,287. That payment is 10% 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.
About 16¢ was paid for every $1 hospitals in Kansas billed for this service.
Every Kansas 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 Kansas HospitalKansas City | 111 | $23,663 | $3,224 | $2,554 |
| Kansas Medical Center LLCAndover | 44 | $6,909 | $3,270 | $2,605 |
| Salina Regional Health CenterSalina | 31 | $18,367 | $3,502 | $2,790 |
| Menorah Medical CenterShawnee Mission | 31 | $31,681 | $3,258 | $2,584 |
| Ascentist HospitalLeawood | 22 | $26,041 | $3,345 | $2,665 |
| Stormont-Vail HealthcareTopeka | 12 | $16,623 | $3,345 | $2,665 |
| Hays Medical CenterHays | – | – | – | – |
| St Francis Health CenterTopeka | – | – | – | – |
| Olathe Medical CenterOlathe | – | – | – | – |
| Shawnee Mission Medical CenterOverland Park | – | – | – | – |
| Via Christi Hospitals Wichita INCWichita | – | – | – | – |
| Wesley Medical CenterWichita | – | – | – | – |
| Lawrence Memorial HospitalLawrence | – | – | – | – |
| Ascension Via Christi Hospital ManhattanManhattan | – | – | – | – |
| Overland Park Regional CenterShawnee Mission | – | – | – | – |
| Saint Luke's South HospitalOverland Park | – | – | – | – |
| Salina Surgical HospitalSalina | – | – | – | – |
| Mercy Specialty Hospital Southeast KansasGalena | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| University of Kansas HospitalKansas City, KS | $3,224 |
|---|---|
| Menorah Medical CenterShawnee Mission, KS | $3,258 |
| Kansas Medical Center LLCAndover, KS | $3,270 |
| Stormont-Vail HealthcareTopeka, KS | $3,345 |
| Ascentist HospitalLeawood, KS | $3,345 |
| Salina Regional Health CenterSalina, KS | $3,502 |
|---|---|
| Stormont-Vail HealthcareTopeka, KS | $3,345 |
| Ascentist HospitalLeawood, KS | $3,345 |
| Kansas Medical Center LLCAndover, KS | $3,270 |
| Menorah Medical CenterShawnee Mission, KS | $3,258 |
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 18 hospitals in Kansas was billed at $20,934 on average, while the average medicare-allowed amount was $3,287, of which Medicare paid $2,611. Your own cost depends on your insurance, deductible and the hospital.
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 Kansas, average charges were 6.4 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.