facebook tracking Level 3 Upper GI Procedures cost in Texas: 138 hospitals compared (APC 5303)

Level 3 Upper GI Procedures in Texas

What 138 hospitals in Texas charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.

APC 5303 Outpatient 2024 Medicare data
Average charge $31,446 Hospital list price billed
Average allowed $3,403 Medicare's payment + patient's share
Medicare paid $2,705 Average per service
State rank #19 of 48 1 = lowest average payment

Hospitals in Texas billed an average of $31,446 for level 3 upper gi procedures, about 9.2 times the average medicare-allowed amount of $3,403. That payment is 6% 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 $3,403Billed $31,446

About 11¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 3 upper gi procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Lukes Episcopal HospitalHouston 83 $31,141 $3,517 $2,794
Baylor University Medical CenterDallas 81 $17,171 $3,286 $2,596
Methodist Hospital,TheHouston 80 $25,034 $3,516 $2,798
Univ of Tx M D Anderson CtrHouston 71 $25,721 $3,511 $2,788
Mem Hermann Southwest HospHouston 68 $29,029 $3,457 $2,751
Trinity Mother Frances SystTyler 62 $40,934 $3,280 $2,610
Methodist HospitalSan Antonio 55 $24,783 $3,323 $2,644
UT Southwestern University HospitalDallas 43 $21,725 $3,447 $2,743
East Texas Medical CenterTyler 39 $42,698 $3,323 $2,652
Medical Center of PlanoPlano 35 $75,991 $3,447 $2,743
Covenant Medical CenterLubbock 33 $49,014 $3,323 $2,648
University Health SystemSan Antonio 33 $12,778 $3,323 $2,648
Scott & White Memorial HospitalTemple 32 $22,718 $3,495 $2,785
Texas Health Harris Methodist Fort WorthFort Worth 28 $24,938 $3,446 $2,746
University Medical CenterLubbock 26 $58,758 $3,323 $2,642
Methodist Dallas Medical CenterDallas 25 $28,076 $3,338 $2,629
Hendrick Health SystemAbilene 25 $43,151 $3,480 $2,750
St Davids HospitalAustin 24 $40,290 $3,371 $2,679
Baylor All Saints Medical Center at FwFort Worth 23 $20,415 $3,457 $2,762
Memorial Hermann Texas Medical CenterHouston 22 $33,101 $3,166 $2,435
Baylor Regional Medical Center at PlanoPlano 22 $23,302 $3,446 $2,746
Texas Health Presbyterian Hospital DallasDallas 20 $29,762 $3,446 $2,746
Baptist Medical CenterSan Antonio 19 $45,040 $3,323 $2,648
Methodist Stone Oak HospitalSan Antonio 19 $23,799 $3,323 $2,648
Methodist Willowbrook HospitalHouston 18 $30,618 $3,394 $2,662
Houston Methodist the Woodlands HospitalThe Woodlands 18 $40,520 $3,551 $2,829
Good Shepherd Medical Center MarshallMarshall 17 $24,979 $3,247 $2,555
Texoma Healthcare SystemDenison 17 $25,849 $3,446 $2,746
Plaza Medical Center of Fort WorthFort Worth 17 $36,322 $3,457 $2,755
Methodist Richardson Medical CenterRichardson 16 $24,993 $3,380 $2,693
Memorial Hermann Katy HospitalKaty 16 $28,593 $3,551 $2,829
The Hospitals of Providence Transmountain CampusEl Paso 16 $40,452 $3,323 $2,658
North Austin Medical CenterAustin 15 $48,643 $3,371 $2,697
Baylor Scott and White Medical Center McKinneyMc Kinney 15 $23,592 $3,446 $2,746
Texas Health Presbyterian Hospital Flower MoundFlower Mound 14 $26,001 $3,457 $2,755
University Medical Center of El PasoEl Paso 13 $15,204 $3,323 $2,648
Cedar Park Regional Medical CenterCedar Park 13 $34,964 $3,371 $2,686
University of Texas Medical Branch GalGalveston 12 $38,144 $3,551 $2,829
Bsa HospitalAmarillo 12 $27,480 $3,046 $2,427
St David's South Austin Medical CenterAustin 12 $66,834 $3,371 $2,670
Texas Health Presbyterian Hospital PlanoPlano 12 $19,772 $3,446 $2,746
Scott & White Hospital-Round RockRound Rock 12 $22,640 $3,371 $2,700
Methodist Sugar Land HospitalSugar Land 11 $32,894 $3,551 $2,829
Providence Memorial HospitalEl Paso – – – –
Sid Peterson Memorial HospitalKerrville – – – –
United Regional Hlth Care SystWichita Falls – – – –
St Joseph Regional Health CenterBryan – – – –
Parkland Health and Hospital SystemDallas – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Laredo Medical CenterLaredo – – – –
Valley Baptist Medical CenterHarlingen – – – –
CHRISTUS HospitalBeaumont – – – –
Jps Health NetworkFort Worth – – – –
Providence Health CenterWaco – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Seton Medical Center AustinAustin – – – –
Baylor Medical Center at IrvingIrving – – – –
North Hills HospitalNorth Richland Hills – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Hillcrest Baptist Med CenterWaco – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Connally Memorial Medical CenterFloresville – – – –
South Texas Health SystemEdinburg – – – –
University Medical Center at BrackenridgeAustin – – – –
Medical Center HospitalOdessa – – – –
Midland Memorial HospitalMidland – – – –
Adventhealth Central TexasKilleen – – – –
Weatherford Regional Medical CenterWeatherford – – – –
Northwest Texas Hlthcare SystAmarillo – – – –
CHI St Lukes Health Memorial LufkinLufkin – – – –
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs – – – –
CHRISTUS Santa Rosa HospitalSan Antonio – – – –
Medical City DecaturDecatur – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Harris County Hospital DistrictHouston – – – –
Oakbend Medical CenterRichmond – – – –
Mem Hermann Baptist HospitalBeaumont – – – –
Hunt Regional Medical CenterGreenville – – – –
Baylor Medical Center at WaxahachieWaxahachie – – – –
Medical Center of McKinneyMcKinney – – – –
Mary Shiels HospitalDallas – – – –
Houston Methodist Baytown HospitalBaytown – – – –
Woodland Heights Medical CenterLufkin – – – –
Baylor Regional Medical Center at GrapevineGrapevine – – – –
Shannon Medical CenterSan Angelo – – – –
Lake Granbury Medical CenterGranbury – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Mem Hermann Mem City HospHouston – – – –
Clear Lake Regional Medical CenterWebster – – – –
Denton Regional Medical CenterDenton – – – –
Houston Northwest Medical CenterHouston – – – –
Texas Health Harris Methodist Hurst-Euless-BedfordBedford – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Medical City Dallas HospitalDallas – – – –
Nacogdoches Medical CenterNacogdoches – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Valley Regional Medical CenterBrownsville – – – –
Sierra Medical CenterEl Paso – – – –
Medical Center of LewisvilleLewisville – – – –
Huguley Health SystemFort Worth – – – –
Memorial Hermann NortheastHumble – – – –
Dallas Regional Medical CenterMesquite – – – –
University of Texas Health Science Center at TylerTyler – – – –
Longview Regional Medical CenterLongview – – – –
Houston Methodist Clear Lake HospitalHouston – – – –
Methodist Charlton Medical CenterDallas – – – –
Lake Pointe Medical CenterRowlett – – – –
Denton Community HospitalDenton – – – –
Kingwood Medical CenterKingwood – – – –
Texas Health Harris Methodist Hospital Southwest FFort Worth – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
CHRISTUS St Michael Health SystemTexarkana – – – –
Las Colinas Medical CenterIrving – – – –
Memorial Hermann Sugar Land HospitalSugar Land – – – –
Baylor Medical Center at FriscoFrisco – – – –
Harlingen Medical CenterHarlingen – – – –
Doctors Hospital at RenaissanceEdinburg – – – –
Usmd Hospital at Arlington L PArlington – – – –
Centennial Medical CenterFrisco – – – –
Children's Med Cntr of DallasDallas – – – –
Methodist Mansfield Medical CenterMansfield – – – –
Patients Medical Center, LtdPasadena – – – –
Seton Medical Center WilliamsonRound Rock – – – –
Texas Health Presbyterian Hospital RockwallRockwall – – – –
Sierra Providence East Medical CenterEl Paso – – – –
St Luke's Sugar Land HospitalSugar Land – – – –
Foundation Surgical Hospital of San AntonioSan Antonio – – – –
Seton Medical Center HaysKyle – – – –
St Luke's Hospital at the VintageHouston – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Houston Methodist West HospitalHouston – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Baylor Scott & White Medical Center- College StatiCollege Station – – – –
Crescent Medical Center LancasterLancaster – – – –
Baylor Scott & White Medical Center PflugervillePflugerville – – – –
Texas Health Hospital FriscoFrisco – – – –
Level 3 Upper GI Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

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

Florida · $3,418 Georgia · $3,373 Indiana · $3,397 Michigan · $3,408 Nebraska · $3,348 North Carolina · $3,388 Utah · $3,431 Virginia · $3,381

Questions

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

In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 138 hospitals in Texas was billed at $31,446 on average, while the average medicare-allowed amount was $3,403, of which Medicare paid $2,705. 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 Texas, average charges were 9.2 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.