APC 5303
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 3 Upper GI Procedures
Low
$3.4k
Average
$6.8k
Median
$5.1k
High
$25.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 2.5× 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 | Excellus case rate · outpatient · +1 other terms | 5 | $10.9k | $11.0k | $2.8k | 26% | 113–140 | $6.8k – $16.0k |
| 2 | Cigna other · outpatient · +6 other terms | 57 | $13.1k | $13.2k | $8.1k | 62% | 111–768 | $1.6k – $49.7k |
| 3 | Medical Mutual other · outpatient · +3 other terms | 8 | $7.3k | $9.2k | $7.2k | 79% | 12–120 | $3.3k – $25.3k |
| 4 | Caresource facility · other · outpatient · +2 other terms | 8 | $6.0k | $5.4k | $1.7k | 32% | 11–110 | $3.2k – $7.8k |
| 5 | Healthpartners other · outpatient | 2 | $25.5k | $25.5k | $405 | 2% | 4–40 | $25.1k – $25.9k |
| 6 | Medica facility · other · outpatient | 2 | $4.7k | $4.7k | $749 | 16% | 4–40 | $4.0k – $5.5k |
| 7 | Medicaid other · outpatient · +1 other terms | 2 | $4.1k | $4.1k | $76 | 2% | 2–20 | $4.0k – $4.2k |
| 8 | Ucare facility · other · outpatient | 2 | $4.0k | $4.0k | — | — | 2–20 | $4.0k – $4.0k |
| 9 | Carefirst facility · other · outpatient | 1 | $4.3k | $4.3k | $593 | 14% | 2–20 | $3.7k – $4.9k |
| 10 | Bcbs Mi other · outpatient · +1 other terms | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 11 | First Health other · outpatient · +2 other terms | 1 | $9.9k | $9.9k | — | — | 1–10 | $9.9k – $9.9k |
| 12 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $24.1k | $24.1k | — | — | 1–10 | $24.1k – $24.1k |
| 13 | Phcs other · outpatient | 1 | $15.7k | $15.7k | — | — | 1–10 | $15.7k – $15.7k |
| 14 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 176 | $4.0k | $3.9k | $418 | 11% | — | $2.0k – $8.8k |
| 15 | Humana fee schedule · outpatient · +6 other terms | 162 | $3.9k | $4.1k | $1.2k | 29% | — | $3.4k – $16.1k |
| 16 | Aetna fee schedule · outpatient · +7 other terms | 156 | $3.9k | $4.0k | $488 | 12% | — | $3.4k – $6.7k |
| 17 | WellCare fee schedule · outpatient · +4 other terms | 132 | $4.0k | $4.0k | $188 | 5% | — | $3.5k – $4.9k |
| 18 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $3.9k | $4.1k | $1.4k | 34% | — | $3.4k – $21.2k |
| 19 | Devoted fee schedule · outpatient · +3 other terms | 122 | $3.9k | $3.9k | $110 | 3% | — | $3.4k – $4.1k |
| 20 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $4.1k | $4.0k | $168 | 4% | — | $3.9k – $4.3k |
| 21 | Molina fee schedule · outpatient · +5 other terms | 69 | $5.7k | $5.5k | $2.1k | 39% | — | $3.7k – $10.2k |
| 22 | Superior Healthplan fee schedule · outpatient | 40 | $4.1k | $4.1k | $2 | 0% | — | $4.1k – $4.1k |
| 23 | Anthem fee schedule · outpatient · +4 other terms | 31 | $4.1k | $4.0k | $233 | 6% | — | $3.7k – $5.0k |
| 24 | Oscar fee schedule · outpatient · +4 other terms | 27 | $3.8k | $4.3k | $867 | 20% | — | $3.8k – $6.7k |
| 25 | Optum facility · per diem · outpatient · +4 other terms | 20 | $4.1k | $4.1k | $179 | 4% | — | $3.5k – $4.4k |
← Hospitals reporting APC 5303 · Snapshot 20261111T120946Z-9134e7f7