Level 3 Upper GI Procedures in Minnesota
What 22 hospitals in Minnesota charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$15,997
Hospital list price billed
Average allowed
$3,496
Medicare's payment + patient's share
Medicare paid
$2,772
Average per service
State rank
#26 of 48
1 = lowest average payment
Hospitals in Minnesota billed an average of $15,997 for level 3 upper gi procedures, about 4.6 times the average medicare-allowed amount of $3,496. That payment is 4% 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 $3,496Billed $15,997
About 22¢ was paid for every $1 hospitals in Minnesota billed for this service.
Minnesota hospitals: level 3 upper gi procedures
Every Minnesota hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Mayo Clinic - Saint Marys HospitalRochester | 253 | $16,596 | $3,400 | $2,696 |
| St Cloud HospitalSt Cloud | 40 | $13,342 | $3,736 | $2,945 |
| University of Minnesota Medical Center, FairviewMinneapolis | 36 | $21,605 | $3,551 | $2,825 |
| Abbott Northwestern Hospital INCMinneapolis | 33 | $11,086 | $3,474 | $2,752 |
| Regions HospitalSt Paul | 28 | $16,130 | $3,661 | $2,917 |
| Park Nicollet Methodist HospitalSaint Louis Park | 24 | $21,612 | $3,418 | $2,674 |
| St Lukes HospitalDuluth | 20 | $13,855 | $3,633 | $2,890 |
| United HospitalSt Paul | 18 | $9,585 | $3,661 | $2,917 |
| Essentia Health St Mary's Medical CenterDuluth | 16 | $16,514 | $3,633 | $2,894 |
| Fairview Southdale HospitalEdina | 16 | $11,375 | $3,661 | $2,917 |
| North Memorial Medical CenterRobbinsdale | – | – | – | – |
| Hennepin County Medical CenterMinneapolis | – | – | – | – |
| Fairview Red Wing HospitalRed Wing | – | – | – | – |
| Range Regional Health ServicesHibbing | – | – | – | – |
| Ridgeview Medical CenterWaconia | – | – | – | – |
| Virginia Regional Medical CenterVirginia | – | – | – | – |
| Rice Memorial HospitalWillmar | – | – | – | – |
| Mayo Clinic Health System - MankatoMankato | – | – | – | – |
| Sanford Bemidji Medical CenterBemidji | – | – | – | – |
| Mercy HospitalCoon Rapids | – | – | – | – |
| Fairview Ridges HospitalBurnsville | – | – | – | – |
| St John's HospitalSt Paul | – | – | – | – |
Lowest and highest allowed amounts in Minnesota
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
| Mayo Clinic - Saint Marys HospitalRochester, MN | $3,400 |
|---|---|
| Park Nicollet Methodist HospitalSaint Louis Park, MN | $3,418 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $3,474 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $3,551 |
| Essentia Health St Mary's Medical CenterDuluth, MN | $3,633 |
Highest
| St Cloud HospitalSt Cloud, MN | $3,736 |
|---|---|
| United HospitalSt Paul, MN | $3,661 |
| Fairview Southdale HospitalEdina, MN | $3,661 |
| Regions HospitalSt Paul, MN | $3,661 |
| St Lukes HospitalDuluth, MN | $3,633 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Minnesota?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 22 hospitals in Minnesota was billed at $15,997 on average, while the average medicare-allowed amount was $3,496, of which Medicare paid $2,772. 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 Minnesota, average charges were 4.6 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.