APC 5301

Level 1 Upper GI Procedures at Kaleida Health

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.

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Original text from hospital filings

Level 1 Upper GI Procedures

Buffalo, NY

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Pricing by billing methodology

Price type

How this price compares nationally

Kaleida Health’s median price of $1.2k is 6% above the median hospital's median price ($1.2k), higher than 54% of the 737 hospitals reporting APC 5301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5301 at Kaleida Health

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Blue Cross Blue Shield align - healthnow other commercial plan other · outpatient	$74	$74	$2	2%	13–22	$72 – $75
2	Blue Cross Blue Shield hmo select - healthnow medicare managed care - hmo other · outpatient	$708	$708	—	—	1–10	$708 – $708
3	Blue Cross Blue Shield advantage - healthnow medicare managed care plan other · outpatient	$757	$757	—	—	210	$757 – $757
4	UnitedHealthcare medicaid managed care plan other · outpatient	$911	$911	$301	33%	2–20	$609 – $1.2k
5	Blue Cross Blue Shield healthnow standard exchange other · outpatient	$986	$986	$13	1%	23–32	$972 – $999
6	WellCare medicare managed care plan other · outpatient	$1.0k	$1.0k	—	—	12	$1.0k – $1.0k
7	Tricare government other · outpatient	$1.1k	$1.1k	—	—	13	$1.1k – $1.1k
8	Blue Cross Blue Shield healthnow hmo/pos other · outpatient	$1.1k	$1.1k	$111	10%	139	$978 – $1.2k
9	UnitedHealthcare dual medicare managed care plan other · outpatient	$1.1k	$1.1k	—	—	71	$1.1k – $1.1k
10	UnitedHealthcare medicare managed care plan other · outpatient	$1.2k	$1.2k	—	—	132	$1.2k – $1.2k
11	Aetna medicare managed care plan other · outpatient	$1.2k	$1.2k	—	—	45	$1.2k – $1.2k
12	Blue Cross Blue Shield healthnow ppo/traditional other · outpatient	$1.4k	$1.4k	$140	10%	173	$1.2k – $1.5k
13	Molina medicaid managed care plan other · outpatient	$1.5k	$1.5k	$114	7%	55	$1.4k – $1.6k
14	Cigna mvp all commercial plans other · outpatient	$1.7k	$1.7k	$105	6%	2–20	$1.6k – $1.8k
15	Aetna all commercial plans other · outpatient	$1.8k	$1.8k	$309	17%	29	$1.5k – $2.1k
16	Molina essential plan medicaid managed care plan other · outpatient	$1.8k	$1.8k	—	—	1–10	$1.8k – $1.8k
17	Blue Cross Blue Shield healthnow essential 1_2 medicaid managed care plan other · outpatient	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
18	UnitedHealthcare key bank other commercial plan percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	$1	0%	2–20	$2.7k – $2.7k

Last updated: Apr 1, 2026

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