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
$288
Average
$2.1k
Median
$1.5k
High
$14.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
669 hospitals; the 90th percentile is 4.4× 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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703 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $2.6k | $2.8k | $1.5k | 54% | 831–849 | $963 – $5.2k |
| 2 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $5.2k | $4.9k | $4.1k | 84% | 682–700 | $681 – $12.0k |
| 3 | William Beaumont Hospital Royal Oak, MI facility · other · outpatient | 2 | $654 | $654 | $152 | 23% | 650 | $503 – $806 |
| 4 | William Beaumont Hospital Troy, MI facility · other · outpatient | 2 | $654 | $654 | $152 | 23% | 650 | $503 – $806 |
| 5 | Summa Health System Wadsworth, OH other · outpatient | 5 | $866 | $1.3k | $939 | 70% | 573–600 | $522 – $3.2k |
| 6 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $2.4k | $2.0k | $756 | 37% | 549 | $958 – $2.7k |
| 7 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 5 | $989 | $1.2k | $627 | 50% | 515 | $694 – $2.4k |
| 8 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · other · outpatient | 5 | $984 | $1.5k | $762 | 51% | 508 | $791 – $2.5k |
| 9 | University of Washington Medical Center Seattle, WA other · outpatient | 5 | $1.0k | $1.3k | $1.0k | 80% | 505–514 | $337 – $3.3k |
| 10 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 3 | $940 | $2.0k | $1.5k | 75% | 479 | $925 – $4.1k |
| 11 | Swedish Health Services Redmond, WA other · outpatient | 4 | $2.1k | $2.4k | $1.5k | 64% | 470–479 | $743 – $4.4k |
| 12 | MUSC Medical Center Charleston, SC facility · other · outpatient | 3 | $1.0k | $2.3k | $1.9k | 82% | 452 | $870 – $4.9k |
| 13 | The Methodist Hospital Houston, TX other · outpatient | 3 | $939 | $2.0k | $1.5k | 76% | 439 | $925 – $4.2k |
| 14 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · other · outpatient | 5 | $940 | $1.2k | $599 | 50% | 431–440 | $653 – $2.3k |
| 15 | The Unity Hospital of Rochester Rochester, NY facility · other · outpatient | 4 | $1.2k | $1.4k | $524 | 37% | 420 | $1.1k – $2.3k |
| 16 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 5 | $895 | $1.4k | $1.2k | 88% | 409–427 | $401 – $3.8k |
| 17 | Danbury Hospital New Milford, CT other · outpatient | 2 | $3.2k | $3.2k | $2.1k | 66% | 401 | $1.1k – $5.3k |
| 18 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 6 | $1.8k | $1.8k | $806 | 46% | 398–407 | $884 – $2.6k |
| 19 | University Medical Center Lubbock, TX other · outpatient | 2 | $1.8k | $1.8k | $1.1k | 61% | 397 | $690 – $2.9k |
| 20 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 3 | $946 | $1.9k | $1.4k | 73% | 393 | $946 – $3.9k |
| 21 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 4 | $838 | $1.1k | $684 | 65% | 388 | $365 – $2.2k |
| 22 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $2.0k | $2.0k | $1.1k | 54% | 379 | $898 – $3.0k |
| 23 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 3 | $945 | $2.0k | $1.5k | 75% | 371 | $939 – $4.1k |
| 24 | Metrohealth System Parma, OH facility · other · outpatient | 4 | $1.0k | $1.3k | $616 | 47% | 363 | $852 – $2.4k |
| 25 | Covenant Medical Center Lubbock, TX other · outpatient | 4 | $2.3k | $2.5k | $1.3k | 53% | 361–370 | $910 – $4.5k |
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