Level 3 Upper GI Procedures in Washington
What 32 hospitals in Washington charged and were paid for level 3 upper gi procedures (APC 5303), from 2024 Medicare claims.
Average charge
$20,412
Hospital list price billed
Average allowed
$3,895
Medicare's payment + patient's share
Medicare paid
$3,095
Average per service
State rank
#39 of 48
1 = lowest average payment
Hospitals in Washington billed an average of $20,412 for level 3 upper gi procedures, about 5.2 times the average medicare-allowed amount of $3,895. That payment is 7% 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 $3,895Billed $20,412
About 19¢ was paid for every $1 hospitals in Washington billed for this service.
Washington hospitals: level 3 upper gi procedures
Every Washington hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Virginia Mason Medical CenterSeattle | 86 | $25,477 | $3,835 | $3,058 |
| Providence Sacred Heart Medical CenterSpokane | 72 | $13,440 | $3,844 | $3,063 |
| University of Washington Medical CtrSeattle | 55 | $19,236 | $3,844 | $3,060 |
| St Joseph Medical CenterTacoma | 36 | $21,378 | $3,946 | $3,144 |
| Swedish Medical CenterSeattle | 31 | $23,509 | $3,899 | $3,053 |
| Skagit Valley HospitalMt Vernon | 27 | $23,515 | $3,872 | $3,085 |
| St Michael Medical CenterBremerton | 25 | $28,079 | $4,130 | $3,290 |
| Evergreenhealth Medical CenterKirkland | 24 | $18,628 | $3,781 | $2,986 |
| Confluence Health HospitalWenatchee | 23 | $12,492 | $4,003 | $3,161 |
| Tacoma General HospitalTacoma | 19 | $26,716 | $3,790 | $2,978 |
| Peacehealth St Joseph Medical CenterBellingham | 17 | $12,534 | $4,117 | $3,280 |
| Swedish IssaquahIssaquah | 14 | $22,621 | $3,911 | $3,116 |
| Providence Regional Medical Center EverettEverett | 13 | $24,051 | $3,911 | $3,116 |
| Olympic Medical CenterPort Angeles | 12 | $12,500 | $4,117 | $3,280 |
| Valley Medical CenterRenton | 12 | $15,976 | $3,911 | $3,116 |
| Deaconess Medical CenterSpokane | 11 | $23,508 | $3,844 | $3,062 |
| Providence St Mary Medical CenterWalla Walla | – | – | – | – |
| Highline Medical CenterBurien | – | – | – | – |
| Auburn Regional Medical CenterAuburn | – | – | – | – |
| Providence St Peter HospitalOlympia | – | – | – | – |
| Yakima Valley Memorial HospitalYakima | – | – | – | – |
| S W Washington Medical CenterVancouver | – | – | – | – |
| Overlake Hospital Medical CenterBellevue | – | – | – | – |
| Group Health Central HospitalSeattle | – | – | – | – |
| Kadlec Regional Medical CenterRichland | – | – | – | – |
| Harborview Medical CenterSeattle | – | – | – | – |
| Providence Holy Family HospitalSpokane | – | – | – | – |
| Good Samaritan Hospital & Rehab CenterPuyallup | – | – | – | – |
| Valley Hospital & Medical CenterSpokane | – | – | – | – |
| Fred Hutchinson Cancer CenterSeattle | – | – | – | – |
| St Francis Community HospitalFederal Way | – | – | – | – |
| Legacy Salmon Creek Medical CenterVancouver | – | – | – | – |
Lowest and highest allowed amounts in Washington
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
| Evergreenhealth Medical CenterKirkland, WA | $3,781 |
|---|---|
| Tacoma General HospitalTacoma, WA | $3,790 |
| Virginia Mason Medical CenterSeattle, WA | $3,835 |
| Deaconess Medical CenterSpokane, WA | $3,844 |
| Providence Sacred Heart Medical CenterSpokane, WA | $3,844 |
Highest
| St Michael Medical CenterBremerton, WA | $4,130 |
|---|---|
| Peacehealth St Joseph Medical CenterBellingham, WA | $4,117 |
| Olympic Medical CenterPort Angeles, WA | $4,117 |
| Confluence Health HospitalWenatchee, WA | $4,003 |
| St Joseph Medical CenterTacoma, WA | $3,946 |
Level 3 Upper GI Procedures in other states
Questions
How much does level 3 upper gi procedures cost in Washington?
In 2024 Medicare data, level 3 upper gi procedures (APC 5303) at 32 hospitals in Washington was billed at $20,412 on average, while the average medicare-allowed amount was $3,895, of which Medicare paid $3,095. 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 Washington, average charges were 5.2 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.