Level 3 Upper GI Procedures in Missouri
What 38 hospitals in Missouri charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$17,451
Hospital list price billed
Average allowed
$3,304
Medicare's payment + patient's share
Medicare paid
$2,625
Average per service
State rank
#11 of 48
1 = lowest average payment
Hospitals in Missouri billed an average of $17,451 for level 3 upper gi procedures, about 5.3 times the average medicare-allowed amount of $3,304. That payment is 9% 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 $3,304Billed $17,451
About 19¢ was paid for every $1 hospitals in Missouri billed for this service.
Missouri hospitals: level 3 upper gi procedures
Every Missouri hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Missouri Baptist Medical CenterTown and Country | 133 | $10,684 | $3,328 | $2,643 |
| Barnes Jewish HospitalSt Louis | 108 | $14,850 | $3,289 | $2,612 |
| St Lukes Hospital of Kansas CityKansas City | 68 | $12,641 | $3,305 | $2,626 |
| Lester E Cox Medical CentersSpringfield | 45 | $21,923 | $3,220 | $2,566 |
| Barnes-Jewish West County HospitalSt Louis | 36 | $11,712 | $3,219 | $2,562 |
| Mercy Hospital SouthSt Louis | 32 | $7,818 | $3,408 | $2,716 |
| St Louis University HospitalSt Louis | 29 | $21,408 | $3,264 | $2,577 |
| Mercy Hospital SpringfieldSpringfield | 28 | $13,411 | $3,220 | $2,566 |
| Boone Hospital CenterColumbia | 28 | $19,950 | $3,166 | $2,503 |
| St John's Mercy Medical CenterSt Louis | 23 | $12,309 | $3,408 | $2,716 |
| St Lukes HospitalChesterfield | 23 | $8,558 | $3,409 | $2,706 |
| Mosaic Life Care at St JosephSt Joseph | 21 | $25,035 | $3,603 | $2,870 |
| Poplar Bluff Regional Medical CenterPoplar Bluff | 21 | $82,613 | $3,449 | $2,756 |
| SSM St Joseph Health CenterSt Charles | 18 | $8,374 | $3,348 | $2,667 |
| Research Medical CenterKansas City | 18 | $61,044 | $3,197 | $2,517 |
| Freeman Health System - Freeman WestJoplin | 16 | $17,515 | $3,120 | $2,486 |
| University Hospitals & ClinicsColumbia | 15 | $19,494 | $3,141 | $2,480 |
| SSM St Joseph Hospital WestLake St Louis | 14 | $9,751 | $3,408 | $2,707 |
| Mercy Hospital JoplinJoplin | – | – | – | – |
| St Marys Health CenterJefferson City | – | – | – | – |
| Jefferson Memorial HospitalCrystal City | – | – | – | – |
| Hannibal Regional HospitalHannibal | – | – | – | – |
| Truman Medical Center Hospital HillKansas City | – | – | – | – |
| St Johns Mercy HospitalWashington | – | – | – | – |
| St Joseph Medical CenterKansas City | – | – | – | – |
| SSM St Mary's Health CenterSt Louis | – | – | – | – |
| Centerpoint Medical CenterIndependence | – | – | – | – |
| Nkc HealthNorth Kansas City | – | – | – | – |
| SSM Depaul Health CenterBridgeton | – | – | – | – |
| Southeast Missouri HospitalCape Girardeau | – | – | – | – |
| St Luke's Des Peres HospitalSaint Louis | – | – | – | – |
| Liberty HospitalLiberty | – | – | – | – |
| Christian Hospital NortheastSt Louis | – | – | – | – |
| Lake Regional Health SystemOsage Beach | – | – | – | – |
| Barnes-Jewish St Peters HospitalSt Peters | – | – | – | – |
| St Mary's Medical CenterBlue Springs | – | – | – | – |
| Saint Luke's East Lee's Summit HospitalLee's Summit | – | – | – | – |
| Progress West Healthcare CenterO'fallon | – | – | – | – |
Lowest and highest allowed amounts in Missouri
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
| Freeman Health System - Freeman WestJoplin, MO | $3,120 |
|---|---|
| University Hospitals & ClinicsColumbia, MO | $3,141 |
| Boone Hospital CenterColumbia, MO | $3,166 |
| Research Medical CenterKansas City, MO | $3,197 |
| Barnes-Jewish West County HospitalSt Louis, MO | $3,219 |
Highest
| Mosaic Life Care at St JosephSt Joseph, MO | $3,603 |
|---|---|
| Poplar Bluff Regional Medical CenterPoplar Bluff, MO | $3,449 |
| St Lukes HospitalChesterfield, MO | $3,409 |
| SSM St Joseph Hospital WestLake St Louis, MO | $3,408 |
| St John's Mercy Medical CenterSt Louis, MO | $3,408 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Missouri?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 38 hospitals in Missouri was billed at $17,451 on average, while the average medicare-allowed amount was $3,304, of which Medicare paid $2,625. 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 Missouri, average charges were 5.3 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.