Level 3 Upper GI Procedures in Virginia
What 39 hospitals in Virginia charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$24,968
Hospital list price billed
Average allowed
$3,381
Medicare's payment + patient's share
Medicare paid
$2,682
Average per service
State rank
#16 of 48
1 = lowest average payment
Hospitals in Virginia billed an average of $24,968 for level 3 upper gi procedures, about 7.4 times the average medicare-allowed amount of $3,381. 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 $3,381Billed $24,968
About 14¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 upper gi procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Virginia
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
| Medical College of Virginia HospitalsRichmond, VA | $3,178 |
|---|---|
| Carilion Medical CenterRoanoke, VA | $3,240 |
| Sentara Norfolk General HospitalNorfolk, VA | $3,249 |
| Inova Fairfax HospitalFalls Church, VA | $3,289 |
| Lewisgale Medical CenterSalem, VA | $3,297 |
Highest
| Winchester Medical Center INCWinchester, VA | $3,766 |
|---|---|
| Mary Washington Hospital, INCFredericksburg, VA | $3,591 |
| Inova Fair Oaks HospitalFairfax, VA | $3,591 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $3,531 |
| Bon Secours - St Marys Hospital of RichmondRichmond, VA | $3,516 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Virginia?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 39 hospitals in Virginia was billed at $24,968 on average, while the average medicare-allowed amount was $3,381, of which Medicare paid $2,682. 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 Virginia, average charges were 7.4 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.