Level 3 Upper GI Procedures in North Carolina
What 40 hospitals in North Carolina charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$20,327
Hospital list price billed
Average allowed
$3,388
Medicare's payment + patient's share
Medicare paid
$2,692
Average per service
State rank
#17 of 48
1 = lowest average payment
Hospitals in North Carolina billed an average of $20,327 for level 3 upper gi procedures, about 6.0 times the average medicare-allowed amount of $3,388. That payment is 7% 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 $3,388Billed $20,327
About 17¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 3 upper gi procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in North Carolina
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
| Margaret R Pardee Mem HospitalHendersonville, NC | $3,111 |
|---|---|
| ECU Health Medical CenterGreenville, NC | $3,272 |
| Duke University Medical CenterDurham, NC | $3,275 |
| Iredell Memorial Hospital INCStatesville, NC | $3,304 |
| Cape Fear Valley Medical CenterFayetteville, NC | $3,307 |
Highest
| New Hanover Regional Medical CenterWilmington, NC | $3,527 |
|---|---|
| UNC HospitalsChapel Hill, NC | $3,497 |
| Wakemed, Cary HospitalCary, NC | $3,448 |
| North Carolina Baptist HospitalWinston-Salem, NC | $3,444 |
| Carolinas Medical Center-NortheastConcord, NC | $3,441 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in North Carolina?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 40 hospitals in North Carolina was billed at $20,327 on average, while the average medicare-allowed amount was $3,388, of which Medicare paid $2,692. 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 North Carolina, average charges were 6.0 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.