APC 5302
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 2 Upper GI Procedures
Lubbock, TX
See all hospitals reporting APC 5302 →Price type
Covenant Medical Center’s median price of $1.8k is 13% below the median hospital's median price ($2.1k), higher than 11% of the 703 hospitals reporting APC 5302. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicaid managed care plan other · outpatient | $671 | $671 | — | — | 1–10 | $671 – $671 |
| 2 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $934 | $934 | — | — | 1–10 | $934 – $934 |
| 3 | Humana medicare managed care plan other · outpatient | $1.7k | $1.7k | — | — | 50 | $1.7k – $1.7k |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $1.7k | $1.7k | — | — | 78 | $1.7k – $1.7k |
| 5 | Aetna medicare managed care plan other · outpatient | $1.7k | $1.7k | — | — | 13 | $1.7k – $1.7k |
| 6 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 7 | Blue Cross Blue Shield va pccc government other · outpatient | $1.8k | $1.8k | — | — | 33 | $1.8k – $1.8k |
| 8 | Molina medicaid managed care plan other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 9 | Blue Cross Blue Shield blue essentials hmo other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 10 | UnitedHealthcare exchange other · outpatient | $2.7k | $2.7k | — | — | 21 | $2.7k – $2.7k |
| 11 | First Health coventry all commercial plans other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 12 | Blue Cross Blue Shield ppo other · outpatient | $4.0k | $4.0k | — | — | 110 | $4.0k – $4.0k |
| 13 | Blue Cross Blue Shield ers blue essentials for healthselect members hmo other · outpatient | $4.0k | $4.0k | — | — | 21 | $4.0k – $4.0k |
| 14 | Aetna new business tier 1 other commercial plan other · outpatient | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $4.5k | $4.5k | — | — | 21 | $4.5k – $4.5k |
| 16 | Aetna all commercial plans other · outpatient | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 17 | Cigna oap other · outpatient | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 19 | Phcs all commercial plans other · outpatient | $26.9k | $26.9k | — | — | 1–10 | $26.9k – $26.9k |
Last updated: Apr 1, 2026
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