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
$933
Average
$4.8k
Median
$4.7k
High
$11.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
120 hospitals; the 90th percentile is 2.9× 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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121 hospital rates
iThe hospitals that file a Molina 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 | Providence Health And Services - Washington Spokane, WA other · outpatient | 2 | $3.3k | $3.3k | $99 | 3% | 21–30 | $3.2k – $3.4k |
| 2 | OSF Saint Francis Medical Center Peoria, IL other · outpatient | 2 | $4.6k | $4.6k | $723 | 16% | 13–22 | $3.9k – $5.3k |
| 3 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 4 | $3.1k | $3.5k | $880 | 25% | 4–40 | $2.8k – $5.0k |
| 4 | MUSC Medical Center Charleston, SC facility · other · outpatient | 3 | $3.9k | $4.6k | $3.5k | 77% | 3–30 | $650 – $9.1k |
| 5 | Swedish Health Services Redmond, WA other · outpatient | 3 | $3.6k | $4.4k | $2.4k | 54% | 3–30 | $2.0k – $7.7k |
| 6 | University of Washington Medical Center Seattle, WA other · outpatient | 3 | $3.3k | $4.5k | $1.6k | 36% | 3–30 | $3.3k – $6.7k |
| 7 | Metrohealth System Parma, OH facility · other · outpatient | 2 | $5.0k | $5.0k | $67 | 1% | 2–20 | $4.9k – $5.1k |
| 8 | Oakwood Healthcare Inc Dearborn, MI facility · other · outpatient | 2 | $2.5k | $2.5k | $480 | 19% | 2–20 | $2.0k – $3.0k |
| 9 | Providence Health And Services - Washington Everett, WA other · outpatient | 2 | $3.5k | $3.5k | $123 | 4% | 2–20 | $3.4k – $3.6k |
| 10 | Riverside Methodist Hospital Columbus, OH other · outpatient | 2 | $3.6k | $3.6k | $153 | 4% | 2–20 | $3.4k – $3.7k |
| 11 | Corewell Health Blodgett Hospital East Grand Rapids, MI facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 12 | Corewell Health Butterworth Hospital Grand Rapids, MI facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 13 | Corewell Helen Devos Childrens Hospital Grand Rapids, MI facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 14 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 15 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 16 | Grant Medical Center Columbus, OH other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 17 | Harborview Medical Center Seattle, WA other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 18 | Kadlec Regional Medical Center Kennewick, WA other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 19 | Kettering Medical Center Middletown, OH other · outpatient | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 20 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 21 | Legacy Salmon Creek Medical Center Vancouver, WA other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 22 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 23 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 24 | Oakwood Healthcare Inc Trenton, MI facility · other · outpatient | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 25 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
← Payers reporting APC 5303 · Snapshot 20261111T120946Z-9134e7f7