APC 5301
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 1 Upper GI Procedures
Low
$800
Average
$2.1k
Median
$1.9k
High
$5.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 3.8× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 234 | $2.6k | $3.4k | $3.2k | 94% | 40,895–44,315 | $23 – $33.0k |
| 2 | UnitedHealthcare other · outpatient · +8 other terms | 247 | $2.5k | $2.9k | $2.8k | 96% | 22,855–25,573 | $20 – $25.4k |
| 3 | Aetna other · outpatient · +8 other terms | 219 | $2.9k | $3.3k | $3.2k | 98% | 13,868–16,091 | $330 – $19.3k |
| 4 | Humana other · outpatient · +7 other terms | 185 | $982 | $1.2k | $1.0k | 82% | 7,482–8,445 | $354 – $12.2k |
| 5 | Cigna other · outpatient · +6 other terms | 168 | $4.3k | $5.1k | $3.7k | 73% | 6,050–7,535 | $537 – $18.6k |
| 6 | Molina other · outpatient · +7 other terms | 104 | $1.2k | $1.4k | $984 | 68% | 3,733–4,696 | $68 – $5.6k |
| 7 | Excellus facility · other · outpatient · +1 other terms | 8 | $1.9k | $2.0k | $1.8k | 91% | 2,717–2,753 | $827 – $7.4k |
| 8 | Caresource other · outpatient · +3 other terms | 34 | $1.3k | $1.4k | $1.0k | 72% | 1,397–1,703 | $374 – $6.8k |
| 9 | Ambetter facility · other · outpatient · +5 other terms | 30 | $1.5k | $1.6k | $411 | 25% | 1,140–1,203 | $893 – $2.9k |
| 10 | Healthpartners other · outpatient · +1 other terms | 4 | $5.2k | $5.6k | $2.5k | 45% | 796–886 | $1.6k – $9.6k |
| 11 | Medical Mutual other · outpatient · +4 other terms | 27 | $4.0k | $4.4k | $3.5k | 80% | 761–1,166 | $576 – $17.6k |
| 12 | Oscar facility · other · outpatient · +5 other terms | 47 | $1.6k | $1.8k | $505 | 28% | 695–911 | $712 – $3.3k |
| 13 | Optum facility · other · outpatient · +4 other terms | 25 | $1.3k | $2.3k | $1.6k | 70% | 583–691 | $107 – $6.1k |
| 14 | Kaiser other · outpatient · +6 other terms | 28 | $3.2k | $4.1k | $4.2k | 101% | 501–798 | $379 – $18.5k |
| 15 | Anthem facility · other · outpatient · +5 other terms | 33 | $1.9k | $1.6k | $586 | 37% | 366–807 | $509 – $8.0k |
| 16 | Highmark facility · other · outpatient · +2 other terms | 9 | $1.5k | $1.5k | $530 | 35% | 144–243 | $823 – $3.0k |
| 17 | First Health other · outpatient · +4 other terms | 26 | $2.3k | $4.5k | $5.1k | 112% | 114–321 | $200 – $22.1k |
| 18 | Magellan facility · other · outpatient · +2 other terms | 8 | $684 | $683 | $76 | 11% | 97–142 | $590 – $836 |
| 19 | Bcbs Mi other · outpatient · +1 other terms | 3 | $1.9k | $1.9k | $197 | 10% | 74 | $1.7k – $2.1k |
| 20 | Clover facility · other · outpatient · +4 other terms | 18 | $994 | $1.0k | $98 | 10% | 63–162 | $509 – $1.5k |
| 21 | Bcbs Mn other · outpatient · +1 other terms | 1 | $1.4k | $1.4k | $659 | 46% | 52–70 | $642 – $2.5k |
| 22 | Ucare facility · other · outpatient · +2 other terms | 3 | $1.0k | $936 | $253 | 27% | 44–98 | $252 – $1.2k |
| 23 | Tricare facility · other · outpatient · +3 other terms | 10 | $1.1k | $1.2k | $300 | 26% | 36–117 | $816 – $1.8k |
| 24 | Medicaid other · outpatient · +1 other terms | 4 | $1.5k | $1.4k | $385 | 27% | 32–50 | $812 – $1.9k |
| 25 | Carefirst facility · other · outpatient | 1 | $2.2k | $2.2k | $261 | 12% | 31–40 | $2.0k – $2.5k |
← Hospitals reporting APC 5301 · Snapshot 20261111T120946Z-9134e7f7