Level 3 Upper GI Procedures in Massachusetts
What 41 hospitals in Massachusetts charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$18,374
Hospital list price billed
Average allowed
$4,090
Medicare's payment + patient's share
Medicare paid
$3,254
Average per service
State rank
#44 of 48
1 = lowest average payment
Hospitals in Massachusetts billed an average of $18,374 for level 3 upper gi procedures, about 4.5 times the average medicare-allowed amount of $4,090. That payment is 13% 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 $4,090Billed $18,374
About 22¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 upper gi procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Massachusetts
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
| Boston Medical Center-BrightonBrighton, MA | $3,895 |
|---|---|
| Cape Cod HospitalHyannis, MA | $3,999 |
| Tufts Medical CenterBoston, MA | $4,035 |
| Umass Memorial Medical Center INCWorcester, MA | $4,057 |
| Lahey Clinic HospitalBurlington, MA | $4,063 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $4,320 |
|---|---|
| Lowell General HospitalLowell, MA | $4,113 |
| Baystate Medical CenterSpringfield, MA | $4,113 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $4,113 |
| Melrosewakefield HealthcareMelrose, MA | $4,113 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Massachusetts?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 41 hospitals in Massachusetts was billed at $18,374 on average, while the average medicare-allowed amount was $4,090, of which Medicare paid $3,254. 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 Massachusetts, average charges were 4.5 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.