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
$3.7k
Average
$7.2k
Median
$4.1k
High
$29.5k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 3.7× 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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62 hospital rates
iThe hospitals that file a Anthem 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 | California Pacific Medical Center- Van Ness Campus San Francisco, CA facility · other · outpatient | 2 | $9.1k | $9.1k | $3.7k | 40% | 16–25 | $5.5k – $12.8k |
| 2 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 8 | $4.7k | $5.3k | $2.3k | 44% | 8–80 | $2.2k – $8.4k |
| 3 | Miami Valley Hospital Jamestown, OH other · outpatient | 6 | $11.3k | $10.2k | $2.1k | 21% | 6–60 | $5.5k – $11.3k |
| 4 | El Camino Hospital Los Gatos, CA other · outpatient | 4 | $16.1k | $14.7k | $5.8k | 40% | 4–40 | $5.5k – $21.1k |
| 5 | Sutter Medical Center, Sacramento Sacramento, CA facility · other · outpatient | 2 | $15.9k | $15.9k | $10.5k | 66% | 2–20 | $5.4k – $26.4k |
| 6 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · other · outpatient | 1 | $29.5k | $29.5k | — | — | 1–10 | $29.5k – $29.5k |
| 7 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · other · outpatient | 1 | $29.5k | $29.5k | — | — | 1–10 | $29.5k – $29.5k |
| 8 | Atrium Medical Center Middletown, OH other · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 9 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 10 | Memorial Medical Center Modesto, CA facility · other · outpatient | 1 | $14.5k | $14.5k | — | — | 1–10 | $14.5k – $14.5k |
| 11 | Porter Hospital LLC Valparaiso, IN facility · other · outpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 12 | Sutter Roseville Medical Center Roseville, CA facility · other · outpatient | 1 | $12.0k | $12.0k | — | — | 1–10 | $12.0k – $12.0k |
| 13 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 6 | $9.8k | $9.7k | $5.1k | 53% | — | $4.0k – $16.8k |
| 14 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 15 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 17 | Centennial Hills Las Vegas, NV fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 18 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 19 | Corona Regional Medical Center Corona, CA fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 20 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 3 | $13.7k | $14.6k | $1.5k | 10% | — | $13.4k – $16.8k |
| 21 | Dupont Hospital LLC Wayne, IN facility · fee schedule · outpatient | 6 | $9.8k | $9.7k | $5.1k | 53% | — | $4.0k – $16.8k |
| 22 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 23 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $6.4k | $6.2k | $737 | 12% | — | $3.7k – $6.4k |
| 24 | HCA HEALTHONE AURORA Aurora, CO fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 25 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO fee schedule · outpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
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