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
$500
Average
$4.2k
Median
$3.6k
High
$15.8k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 9.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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30 hospital rates
iThe hospitals that file a MultiPlan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Agnesian Healthcare Inc. Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 2 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 3 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $3.5k | $2.6k | 75% | 2–20 | $858 – $6.1k |
| 4 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 5 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 2 | $8.6k | $8.6k | $5.1k | 60% | 2–20 | $3.4k – $13.7k |
| 6 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 7 | Danbury Hospital New Milford, CT other · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 8 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $500 | $500 | — | — | 1–10 | $500 – $500 |
| 9 | Houston Methodist Cypress Hospital Cypress, TX other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 10 | Methodist West Houston Hospital Houston, TX other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 11 | Mission Hospital Regional Med Center Laguna Beach, CA other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 12 | Monroe Clinic, Inc. Monroe, WI percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 13 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 14 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 15 | Regents of the University of California at Irvine Hospital Orange, CA percent of total billed charges · outpatientfrom % of charges | 1 | $847 | $847 | — | — | 1–10 | $847 – $847 |
| 16 | SSM Health Care of Wisconsin, Inc Janesville, WI percent of total billed charges · outpatientfrom % of charges | 2 | $5.5k | $5.5k | $861 | 16% | 2–20 | $4.7k – $6.4k |
| 17 | SSM Health Care of Wisconsin, Inc Baraboo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 18 | Saint Francis Hospital South Glenpool, OK other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 19 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 20 | St Jude Hospital Inc Fullerton, CA other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 21 | St. Mary's Hospital, Centralia, Illinois Centralia, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 22 | Stanford Health Care Stanford, CA other · outpatient | 1 | $15.8k | $15.8k | — | — | 1–10 | $15.8k – $15.8k |
| 23 | Swedish Edmonds Edmonds, WA percent of total billed charges · outpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 24 | The University of Chicago Medical Center Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $12.4k | $12.4k | — | — | 1–10 | $12.4k – $12.4k |
| 25 | UCI Health - Fountain Valley Orange, CA percent of total billed charges · outpatientfrom % of charges | 1 | $847 | $847 | — | — | 1–10 | $847 – $847 |
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