APC 05302
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Level 2 Upper GI Procedur
Low
$1.6k
Average
$3.4k
Median
$2.8k
High
$8.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +2 other terms | 86 | $1.9k | $2.3k | $917 | 39% | — | $1.4k – $4.5k |
| 2 | Caresource fee schedule · outpatient · +1 other terms | 20 | $2.0k | $2.8k | $1.2k | 42% | — | $2.0k – $4.5k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 17 | $2.2k | $3.2k | $2.3k | 72% | — | $1.1k – $10.7k |
| 4 | Aetna facility · fee schedule · outpatient · +3 other terms | 14 | $1.9k | $2.3k | $817 | 36% | — | $1.7k – $5.9k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $2.0k | $2.4k | $930 | 38% | — | $1.7k – $4.5k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $1.8k | $2.2k | $814 | 37% | — | $1.8k – $4.4k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $2.5k | $2.8k | $875 | 31% | — | $2.0k – $5.7k |
| 8 | Clover fee schedule · outpatient | 5 | $2.0k | $2.9k | $1.2k | 42% | — | $2.0k – $4.6k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $2.0k | $2.4k | $970 | 40% | — | $2.0k – $4.5k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $2.0k | $2.4k | $970 | 40% | — | $2.0k – $4.5k |
| 11 | Ambetter facility · fee schedule · outpatient | 4 | $3.1k | $5.3k | $2.5k | 47% | — | $2.4k – $8.6k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $6.1k | $6.2k | $1.8k | 30% | — | $2.1k – $7.8k |
| 13 | Devoted facility · fee schedule · outpatient | 4 | $1.9k | $3.0k | $1.3k | 43% | — | $1.8k – $4.6k |
| 14 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $2.2k | $2.2k | $112 | 5% | — | $2.0k – $2.3k |
| 15 | Aetna Better Health facility · other · outpatient · +1 other terms | 3 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $3.2k | $4.9k | $2.8k | 58% | — | $1.9k – $9.9k |
| 17 | Anthem facility · fee schedule · outpatient | 3 | $5.0k | $4.7k | $2.0k | 42% | — | $1.8k – $7.1k |
| 18 | Carefirst facility · fee schedule · outpatient | 3 | $2.3k | $2.2k | $121 | 6% | — | $2.0k – $2.3k |
| 19 | Medica facility · fee schedule · outpatient | 3 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $3.2k | $5.9k | $8.8k | 150% | — | $3.2k – $35k |
| 21 | Bcbs Ca facility · fee schedule · outpatient | 2 | $9.0k | $8.9k | $5.5k | 62% | — | $2.5k – $20.9k |
| 22 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 2 | $1.9k | $1.9k | $18 | 1% | — | $1.9k – $1.9k |
| 23 | Medical Mutual facility · other · outpatient | 2 | $6.6k | $6.4k | $509 | 8% | — | $6.1k – $7.2k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $1.8k | $1.8k | $138 | 8% | — | $1.6k – $2.0k |
← Hospitals reporting APC 05302 · Snapshot 20261111T120946Z-9134e7f7