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 Procedure
SAN ANTONIO, TX
See all hospitals reporting APC 5301 →Price type
Methodist Hospital’s median price of $938 is 19% below the median hospital's median price ($1.2k), higher than 16% 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: 8 payers, 20 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 mgmcrhmo fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 4 | Devoted dualeligible fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 5 | Devoted mcrhmo fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 6 | Devoted mcrpffs fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 7 | Devoted mcrpos fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 8 | Devoted mcrppo fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 9 | Devoted mcrsnp fee schedule · outpatient | $911 | $911 | — | — | — | $911 – $911 |
| 10 | Aetna mcr fee schedule · outpatient | $928 | $928 | — | — | — | $928 – $928 |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $929 | $929 | — | — | — | $929 – $929 |
| 12 | WellCare mcrhmo fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 13 | WellCare mcrpos fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 14 | WellCare mcrppo fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 15 | WellCare mcrsnp fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 16 | WellCare pffs fee schedule · outpatient | $938 | $938 | — | — | — | $938 – $938 |
| 17 | Clover mcr fee schedule · outpatient | $957 | $957 | — | — | — | $957 – $957 |
| 18 | Molina mcr fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Molina mme-mmp fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Optum comm fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
Last updated: May 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.