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
$957
Average
$1.0k
Median
$957
High
$4.1k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 1.0× 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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41 hospital rates
iThe hospitals that file a Superior Healthplan 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 | Texas Health Huguley Hospital Fort Worth South Burleson, TX other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 2 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 3 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 4 | HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 5 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 6 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 7 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 8 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 9 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 10 | HCA HOUSTON HEALTHCARE WEST STAFFORD, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 11 | HCA HOUSTON MAINLAND Texas City, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 12 | HCA Houston Healthcare North Cypress CYPRESS, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 13 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 14 | HEART HOSP OF AUSTIN Austin, TX fee schedule · outpatient | 1 | $957 | $957 | — | — | — | $957 – $957 |
| 15 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX fee schedule · outpatient | 1 | $957 | $957 | — | — | — | $957 – $957 |
| 16 | MED CITY HEART HOSPITAL Dallas, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 17 | MED CITY SPINE HOSPITAL DALLAS, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 18 | MEDICAL CITY ALLIANCE HASLET, TX fee schedule · outpatient | 6 | $958 | $958 | — | — | — | $958 – $958 |
| 19 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX fee schedule · outpatient | 6 | $958 | $958 | — | — | — | $958 – $958 |
| 20 | MEDICAL CITY DALLAS GARLAND, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 21 | MEDICAL CITY DENTON Denton, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 22 | MEDICAL CITY FORT WORTH FORT WORTH, TX fee schedule · outpatient | 6 | $958 | $958 | — | — | — | $958 – $958 |
| 23 | MEDICAL CITY FRISCO Frisco, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 24 | MEDICAL CITY LAS COLINAS Irving, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
| 25 | MEDICAL CITY LEWISVILLE Lewisville, TX fee schedule · outpatient | 6 | $957 | $957 | — | — | — | $957 – $957 |
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