facebook tracking Level 3 Upper GI Procedures cost in Louisiana: 23 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Louisiana

What 23 hospitals in Louisiana charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $24,353 Hospital list price billed
Average allowed $3,238 Medicare's payment + patient's share
Medicare paid $2,574 Average per service
State rank #4 of 48 1 = lowest average payment

Hospitals in Louisiana billed an average of $24,353 for level 3 upper gi procedures, about 7.5 times the average medicare-allowed amount of $3,238. That payment is 11% 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 $3,238Billed $24,353

About 13¢ was paid for every $1 hospitals in Louisiana billed for this service.

Louisiana hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Willis Knighton Medical CenterShreveport 96 $24,370 $3,319 $2,644
Ochsner Foundation HospitalNew Orleans 39 $21,163 $3,054 $2,407
Tulane Medical CenterNew Orleans 19 $36,975 $3,244 $2,585
Lafayette General Medical CenterLafayette 18 $31,235 $3,184 $2,537
Our Lady of the Lake Regional Medical CenterBaton Rouge 16 $19,506 $3,238 $2,580
Slidell Memorial HospitalSlidell 13 $21,837 $3,244 $2,585
Ochsner Medical Center-Kenner LLCKenner 13 $14,297 $3,244 $2,581
University Medical Center New OrleansNew Orleans – – – –
West Calcasieu Cameron HospitalSulphur – – – –
CHRISTUS St Frances Cabrini HospitalAlexandria – – – –
Rapides Regional Medical CenterAlexandria – – – –
West Jefferson Medical CenterMarrero – – – –
CHRISTUS Schumpert Health SystemShreveport – – – –
St Tammany Parish HospitalCovington – – – –
Touro InfirmaryNew Orleans – – – –
Iberia General Hospital and Medical CenterNew Iberia – – – –
Lake Charles Memorial HospitalLake Charles – – – –
Baton Rouge General Medical CenterBaton Rouge – – – –
LSU Medical Center-Univ HospShreveport – – – –
Our Lady of Lourdes Regional Medical Center, INCLafayette – – – –
St Francis Medical CenterMonroe – – – –
CHRISTUS Ochsner Lake Area HospitalLake Charles – – – –
Physicians Medical CenterHouma – – – –
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Lowest and highest allowed amounts in Louisiana

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

Ochsner Foundation HospitalNew Orleans, LA$3,054
Lafayette General Medical CenterLafayette, LA$3,184
Our Lady of the Lake Regional Medical CenterBaton Rouge, LA$3,238
Slidell Memorial HospitalSlidell, LA$3,244
Tulane Medical CenterNew Orleans, LA$3,244

Highest

Level 3 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 23 hospitals in Louisiana was billed at $24,353 on average, while the average medicare-allowed amount was $3,238, of which Medicare paid $2,574. 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 Louisiana, average charges were 7.5 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.