facebook tracking Level 3 Upper GI Procedures cost in Mississippi: 16 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Mississippi

What 16 hospitals in Mississippi charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $33,500 Hospital list price billed
Average allowed $3,242 Medicare's payment + patient's share
Medicare paid $2,572 Average per service
State rank #6 of 48 1 = lowest average payment

Hospitals in Mississippi billed an average of $33,500 for level 3 upper gi procedures, about 10.3 times the average medicare-allowed amount of $3,242. 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 $3,242Billed $33,500

About 10¢ was paid for every $1 hospitals in Mississippi billed for this service.

Mississippi hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
River Oaks HospitalFlowood 32 $61,731 $3,126 $2,460
North Mississippi Medical CenterTupelo 25 $17,521 $3,434 $2,736
University of Mississippi Med CenterJackson 19 $17,044 $3,206 $2,554
St Dominic-Jackson Memorial HospitalJackson 13 $18,790 $3,206 $2,554
Biloxi Regional Medical CenterBiloxi – – – –
Memorial Hospital at GulfportGulfport – – – –
Baptist Memorial Hospital North MsOxford – – – –
Singing River HospitalPascagoula – – – –
Forrest General HospitalHattiesburg – – – –
Wesley Medical CenterHattiesburg – – – –
Southwest Mississippi Med CntrMcComb – – – –
Mississippi Baptist Medical CenterJackson – – – –
Anderson Regional Medical CenterMeridian – – – –
Singing River GulfportGulfport – – – –
Baptist Memorial Hospital DesotoSouthaven – – – –
Panola Medical CenterBatesville – – – –
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Lowest and highest allowed amounts in Mississippi

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 3 Upper GI Procedures in other states

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 16 hospitals in Mississippi was billed at $33,500 on average, while the average medicare-allowed amount was $3,242, of which Medicare paid $2,572. 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 Mississippi, average charges were 10.3 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.