05303
CPTOther Published Billing CodesLevel 3 Upper GI Procedur
As billed by one hospital: “Dot Physical -”
Based on the latest published hospital price files, code 05303 (Level 3 Upper GI Procedur) appears at 19 hospitals across 19 cities in 4 states with disclosed cash prices from $63.65 to $96.29. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a valid billing code that does not fall into one of the common clinical categories. It represents a specific service a hospital disclosed a price for.
What affects the price
As with any hospital charge, where the service is performed and whether related services are billed separately can change what you actually pay. Ask for an itemized estimate.
Category: Other Published Billing Codes
What the published prices show
Across the 18 hospitals that disclose a cash price for code 05303, the median is $76.05, and disclosed prices run from $63.65 to $96.29.
Published-price availability
Compare 05303 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 05303 vary by about 51% across the 18 hospitals with disclosed prices here — from $63.65 to $96.29. Shopping around can matter.
Lowest cash price by hospital
- Aspirus Plover Hospital$76.05
- Aspirus Merrill Hospital$76.05
- Aspirus Wausau Hospital$76.05
Cash price by city
Reflects your current filters.
- Duluth · 1 hospital$63.65
- STEVENS POINT · 1 hospital$76.05
- Wisconsin Rapids · 1 hospital$76.05
- Merrill · 1 hospital$76.05
- Antigo · 1 hospital$76.05
- Wausau · 1 hospital$76.05
19 prices shown.
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 05303 prices
Open a hospital to see this code in the context of its full published prices.
Code 05303: frequently asked
- What does code 05303 cost?
- Across the published hospital price files, the disclosed cash price for 05303 ranges from $63.65 to $96.29. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 05303?
- 05303 is the billing code hospitals use to identify "Level 3 Upper GI Procedur" on their published price files. We use it to line up the same service across different hospitals.
- Why do 05303 prices differ between hospitals?
- 19 hospitals across 4 states publish a price for 05303 here. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.