APC 5301

Level 1 Upper GI Procedures at SSM-SLUH, Inc.

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

Saint Louis, MO

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Pricing by billing methodology

Price type

How this price compares nationally

SSM-SLUH, Inc.’s median price of $1.2k is 2% above the median hospital's median price ($1.2k), higher than 51% 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 SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 27 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 medicaid managed care plan other · outpatient	$682	$682	—	—	31	$682 – $682
2	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$760	$760	—	—	47	$760 – $760
3	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$769	$769	—	—	1–10	$769 – $769
4	Aetna better health medicaid managed care plan other · outpatient	$784	$784	—	—	1–10	$784 – $784
5	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$791	$791	—	—	1–10	$791 – $791
6	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$868	$868	—	—	49	$868 – $868
7	Aetna gold advantage medicare managed care plan other · outpatient	$880	$880	—	—	87	$880 – $880
8	UnitedHealthcare medicare managed care plan other · outpatient	$884	$884	—	—	170	$884 – $884
9	Humana medicare managed care plan other · outpatient	$895	$895	—	—	25	$895 – $895
10	Medica medicare managed care plan other · outpatient	$898	$898	—	—	1–10	$898 – $898
11	UnitedHealthcare optum vaccn government other · outpatient	$898	$898	—	—	1–10	$898 – $898
12	UnitedHealthcare community care medicaid managed care plan other · outpatient	$1.1k	$1.1k	—	—	90	$1.1k – $1.1k
13	Medica exchange other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
14	Phcs all commercial plans other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
15	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$1.3k	$1.3k	—	—	57	$1.3k – $1.3k
16	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$1.4k	$1.4k	—	—	48	$1.4k – $1.4k
17	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k
18	Aetna carelink all commercial plans other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
19	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$1.7k	$1.7k	—	—	124	$1.7k – $1.7k
20	Cigna all commercial plans other · outpatient	$1.7k	$1.7k	—	—	58	$1.7k – $1.7k
21	Optum transplant medicare managed care plan other · outpatient	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
22	Oscar exchange other · outpatient	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
23	Aetna all commercial plans other · outpatient	$2.5k	$2.5k	—	—	32	$2.5k – $2.5k
24	Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	1–10	$2.5k – $2.5k
25	UnitedHealthcare non-ppo other commercial plan other · outpatient	$2.5k	$2.5k	—	—	107	$2.5k – $2.5k

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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