Level 3 Lower GI Procedures — what U.S. hospitals charge
APC 5313 · Hospital outpatient visit · 923 U.S. hospitals publish a price
Cheapest quarter
under $12,202
Typical charge
$16,577
Dearest quarter
over $22,762
Actually paid
$2,677
The middle U.S. hospital bills $16,577 for Level 3 Lower GI Procedures. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $2,677 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 3 Lower GI Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Massachusetts | 34 | $8,314 | $3,959 – $19,195 |
| New Mexico | 3 | $8,986 | $8,381 – $10,867 |
| Montana | 5 | $9,262 | $8,006 – $17,042 |
| Minnesota | 13 | $10,527 | $7,155 – $14,920 |
| Utah | 5 | $11,169 | $10,247 – $18,688 |
| Maine | 6 | $11,719 | $9,163 – $14,864 |
| Missouri | 21 | $11,764 | $6,695 – $40,965 |
| Idaho | 4 | $12,369 | $9,792 – $16,632 |
| Arkansas | 9 | $12,536 | $7,167 – $44,502 |
| Michigan | 31 | $12,584 | $6,499 – $20,608 |
| Washington | 24 | $12,597 | $7,763 – $29,654 |
| Connecticut | 15 | $12,828 | $11,030 – $26,578 |
| North Dakota | 4 | $12,901 | $9,237 – $13,274 |
| Oregon | 7 | $13,141 | $8,378 – $16,574 |
| South Dakota | 5 | $13,172 | $5,889 – $17,646 |
| Delaware | 5 | $13,334 | $10,837 – $23,263 |
| West Virginia | 8 | $13,540 | $3,822 – $25,183 |
| Ohio | 38 | $14,090 | $8,430 – $28,876 |
| Iowa | 9 | $14,189 | $7,071 – $20,030 |
| Mississippi | 12 | $14,543 | $7,415 – $45,660 |
| Oklahoma | 11 | $14,607 | $8,598 – $39,006 |
| Virginia | 32 | $14,644 | $5,978 – $73,669 |
| North Carolina | 28 | $14,690 | $8,382 – $23,766 |
| Louisiana | 13 | $14,741 | $7,853 – $46,915 |
| Wisconsin | 17 | $15,021 | $10,288 – $22,637 |
| District of Columbia | 4 | $15,274 | $13,907 – $31,146 |
| Indiana | 25 | $15,472 | $6,837 – $34,801 |
| Tennessee | 17 | $15,678 | $6,351 – $55,212 |
| Kansas | 12 | $15,828 | $6,004 – $39,811 |
| New Hampshire | 7 | $15,860 | $13,044 – $26,449 |
| New York | 51 | $15,910 | $6,481 – $46,869 |
| Colorado | 17 | $16,675 | $7,040 – $24,900 |
| Kentucky | 15 | $17,036 | $9,387 – $27,944 |
| Nebraska | 5 | $18,052 | $11,165 – $28,401 |
| Alabama | 10 | $18,136 | $7,801 – $76,713 |
| Illinois | 42 | $18,186 | $8,021 – $40,561 |
| New Jersey | 29 | $18,413 | $10,347 – $63,793 |
| Pennsylvania | 49 | $18,887 | $8,176 – $45,243 |
| South Carolina | 19 | $19,200 | $11,841 – $28,461 |
| Texas | 56 | $19,855 | $7,092 – $59,683 |
| California | 82 | $20,743 | $8,631 – $100,283 |
| Arizona | 18 | $21,284 | $14,470 – $41,562 |
| Georgia | 28 | $21,594 | $6,768 – $42,472 |
| Nevada | 6 | $24,098 | $14,449 – $43,506 |
| Florida | 66 | $27,889 | $7,893 – $99,933 |
Where Level 3 Lower GI Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Camc Charleston Surgical Hospital
Charleston, WV |
$3,822 | $2,380 |
|
Milford Regional Medical Center
Milford, MA |
$3,959 | $3,013 |
|
South Shore Hospital
South Weymouth, MA |
$4,259 | $2,923 |
|
Beth Israel Deaconess Hospital - Needham
Needham, MA |
$4,397 | $3,015 |
|
Beth Israel Deaconess Hospital - Milton
Milton, MA |
$4,923 | $2,943 |
|
New England Baptist Hospital
Boston, MA |
$5,233 | $2,886 |
|
Boston Medical Center-Brighton
Brighton, MA |
$5,789 | $2,898 |
|
Boston Medical Center
Boston, MA |
$5,802 | $3,015 |
|
Black Hills Surgical Hospital Llc
Rapid City, SD |
$5,889 | $2,632 |
|
Inova Mount Vernon Hospital
Alexandria, VA |
$5,978 | $2,632 |
|
Kansas Medical Center Llc
Andover, KS |
$6,004 | $2,325 |
|
Saint Anne's Hospital
Fall River, MA |
$6,011 | $2,857 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$100,283 | $3,743 |
|
Adventhealth Heart Of Florida
Davenport, FL |
$99,933 | $2,543 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$99,045 | $2,399 |
|
Adventhealth Ocala
Ocala, FL |
$78,574 | $2,544 |
|
Grandview Medical Center
Birmingham, AL |
$76,713 | $2,335 |
|
Henrico Doctors' Hospital
Richmond, VA |
$73,669 | $2,439 |
|
John Randolph Medical Center
Hopewell, VA |
$73,386 | $2,443 |
|
Cjw Medical Center
Richmond, VA |
$69,259 | $2,417 |
|
Marion Communtiy Hospital
Ocala, FL |
$67,958 | $2,462 |
|
Capital Health Medical Center - Hopewell
Pennington, NJ |
$63,793 | $2,939 |
|
Good Samaritan Medical Center
West Palm Beach, FL |
$63,262 | $2,227 |
|
Hca Florida Memorial Hospital
Jacksonville, FL |
$61,323 | $2,347 |
Questions people ask
What do U.S. hospitals charge for Level 3 Lower GI Procedures?
Across 923 U.S. hospitals, the middle charge for Level 3 Lower GI Procedures is $16,577. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $12,202 and the dearest quarter over $22,762.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 3 Lower GI Procedures, the hospitals in the dearest tenth charge about 3.3x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $2,677 is roughly what Medicare actually paid per case, against an average charge of $18,904. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5313: “Level 3 Lower GI Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.