Level 3 Upper GI Procedures in Oregon
What 17 hospitals in Oregon charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$18,383
Hospital list price billed
Average allowed
$3,966
Medicare's payment + patient's share
Medicare paid
$3,162
Average per service
State rank
#40 of 48
1 = lowest average payment
Hospitals in Oregon billed an average of $18,383 for level 3 upper gi procedures, about 4.6 times the average medicare-allowed amount of $3,966. That payment is 9% 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 $3,966Billed $18,383
About 22¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 3 upper gi procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 81 | $19,882 | $3,820 | $3,048 |
| Sacred Heart Medical Center - RiverbendSpringfield | 28 | $14,963 | $3,984 | $3,174 |
| Rogue Valley Medical CenterMedford | 18 | $13,007 | $4,650 | $3,705 |
| St Charles Medical Center - BendBend | 18 | $25,621 | $4,047 | $3,224 |
| Providence St Vincent Medical CenterPortland | 15 | $16,465 | $4,018 | $3,202 |
| Providence Portland Medical CenterPortland | 15 | $16,353 | $3,751 | $2,988 |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Good Samaritan Regional Medical CenterCorvallis | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| Hillsboro Medical CenterHillsboro | – | – | – | – |
| Samaritan Albany General HospitalAlbany | – | – | – | – |
| Legacy Mount Hood Medical CenterGresham | – | – | – | – |
| Providence Newberg HospitalNewberg | – | – | – | – |
| Salem HospitalSalem | – | – | – | – |
| Adventist Medical CenterPortland | – | – | – | – |
| Providence Medford Medical CenterMedford | – | – | – | – |
| Legacy Meridian Park Medical CenterTualatin | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Providence Portland Medical CenterPortland, OR | $3,751 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $3,820 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $3,984 |
| Providence St Vincent Medical CenterPortland, OR | $4,018 |
| St Charles Medical Center - BendBend, OR | $4,047 |
Highest
| Rogue Valley Medical CenterMedford, OR | $4,650 |
|---|---|
| St Charles Medical Center - BendBend, OR | $4,047 |
| Providence St Vincent Medical CenterPortland, OR | $4,018 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $3,984 |
| OHSU Hospital and ClinicsPortland, OR | $3,820 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Oregon?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 17 hospitals in Oregon was billed at $18,383 on average, while the average medicare-allowed amount was $3,966, of which Medicare paid $3,162. 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 Oregon, 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.