APC 5301

Level 1 Upper GI Procedures at The Methodist Hospital

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

Houston, TX

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Pricing by billing methodology

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How this price compares nationally

The Methodist Hospital’s median price of $1.3k is 14% above the median hospital's median price ($1.2k), higher than 57% of the 733 hospitals reporting APC 5301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5301 at The Methodist Hospital

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Optum transplant medicare managed care plan other · outpatient	$920	$920	—	—	43	$920 – $920
2	Humana medicare managed care - ppo other · outpatient	$924	$924	—	—	147	$924 – $924
3	UnitedHealthcare medicare managed care - ppo other · outpatient	$925	$925	—	—	160	$925 – $925
4	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$930	$930	—	—	1–10	$930 – $930
5	Aetna medicare managed care - hmo/ppo other · outpatient	$938	$938	—	—	161	$938 – $938
6	UnitedHealthcare medicare managed care - hmo other · outpatient	$939	$939	—	—	110	$939 – $939
7	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$951	$951	—	—	110	$951 – $951
8	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$971	$971	—	—	56	$971 – $971
9	Devoted medicare managed care - hmo other · outpatient	$985	$985	—	—	47	$985 – $985
10	Molina medicaid managed care plan other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
11	Molina advantage medicare managed care plan other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
12	Phcs ppo other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
13	Blue Cross Blue Shield all commercial plans other · outpatient	$1.6k	$1.6k	—	—	709	$1.6k – $1.6k
14	Molina exchange other · outpatient	$1.9k	$1.9k	—	—	26	$1.9k – $1.9k
15	Aetna hmo/pos/ppo other · outpatient	$3.8k	$3.8k	—	—	150	$3.8k – $3.8k
16	Aetna new business discount other commercial plan other · outpatient	$3.8k	$3.8k	—	—	1–10	$3.8k – $3.8k
17	Cigna local plus/surefit hmo/ppo other · outpatient	$3.9k	$3.9k	—	—	1–10	$3.9k – $3.9k
18	Cigna network c-24 hmo/ppo other · outpatient	$3.9k	$3.9k	—	—	32	$3.9k – $3.9k
19	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$4.1k	$4.1k	—	—	216	$4.1k – $4.1k
20	UnitedHealthcare all commercial plans other · outpatient	$4.2k	$4.2k	—	—	169	$4.2k – $4.2k
21	Cigna lifesource transplant other · outpatient	$6.0k	$6.0k	—	—	12	$6.0k – $6.0k
22	First Health first health/coventry ppo other · outpatient	$6.2k	$6.2k	—	—	1–10	$6.2k – $6.2k
23	Cigna all other benefit plans ppo other · outpatient	$6.6k	$6.6k	—	—	1–10	$6.6k – $6.6k
24	Optum transplant other · outpatient	$8.5k	$8.5k	—	—	17	$8.5k – $8.5k
25	Humana transplant medicare managed care plan other · outpatient	$12.2k	$12.2k	—	—	1–10	$12.2k – $12.2k

Last updated: Apr 1, 2026

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