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
Dublin, OH
See all hospitals reporting APC 5301 →Price type
Dublin Methodist Hospital’s median price of $3.2k is 173% above the median hospital's median price ($1.2k), higher than 91% of the 733 hospitals reporting APC 5301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 23 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 | Molina medicare managed care plan other · outpatient | $728 | $728 | — | — | 26 | $728 – $728 |
| 2 | UnitedHealthcare medicaid managed care plan other · outpatient | $836 | $836 | — | — | 11 | $836 – $836 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $876 | $876 | — | — | 43 | $876 – $876 |
| 4 | Humana medicare managed care plan other · outpatient | $876 | $876 | — | — | 106 | $876 – $876 |
| 5 | Aetna medicare managed care plan other · outpatient | $876 | $876 | — | — | 101 | $876 – $876 |
| 6 | Medical Mutual medicare managed care plan other · outpatient | $882 | $882 | — | — | 18 | $882 – $882 |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $885 | $885 | — | — | 41 | $885 – $885 |
| 8 | Devoted medicare managed care plan other · outpatient | $893 | $893 | — | — | 1–10 | $893 – $893 |
| 9 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $944 | $944 | — | — | 1–10 | $944 – $944 |
| 10 | Caresource medicaid managed care plan other · outpatient | $1.1k | $1.1k | — | — | 13 | $1.1k – $1.1k |
| 11 | Humana medicaid managed care plan other · outpatient | $1.9k | $1.9k | — | — | 11 | $1.9k – $1.9k |
| 12 | Molina medicaid managed care plan other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 13 | Blue Cross Blue Shield pathway exchange other · outpatient | $3.2k | $3.2k | — | — | 21 | $3.2k – $3.2k |
| 14 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $3.7k | $3.7k | — | — | 97 | $3.7k – $3.7k |
| 15 | Aetna asa other commercial plan other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 16 | Medical Mutual exchange other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 17 | Medical Mutual all commercial plans other · outpatient | $5.7k | $5.7k | — | — | 46 | $5.7k – $5.7k |
| 18 | UnitedHealthcare all commercial plans other · outpatient | $6.0k | $6.0k | — | — | 37 | $6.0k – $6.0k |
| 19 | Aetna all commercial plans other · outpatient | $6.3k | $6.3k | — | — | 24 | $6.3k – $6.3k |
| 20 | UnitedHealthcare options other commercial plan other · outpatient | $6.3k | $6.3k | — | — | 53 | $6.3k – $6.3k |
| 21 | Cigna hmo other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 22 | Cigna great west other commercial plan other · outpatient | $12.3k | $12.3k | — | — | 1–10 | $12.3k – $12.3k |
| 23 | Cigna ppo other · outpatient | $17.4k | $17.4k | — | — | 1–10 | $17.4k – $17.4k |
Last updated: Apr 1, 2026
See Level 1 Upper GI Procedures pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.