Outpatient procedure · APC 5302 · Surgery or procedure

Level 2 Upper GI Procedures

In 2024, Medicare and patients paid an average of $1,815 per procedure at 1,991 hospitals. Half of hospitals averaged between $1,651 and $1,880.

Also known as: Upper endoscopy, EGD

National figures, 2024

Average payment per case: $1,815
Typical range (middle half of hospitals): $1,651–$1,880
Medicare’s share: $1,44580% of the payment
Average billed charge: $13,589
Hospitals reporting: 1,991208,333 procedures

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location

Specific hospitals up to 10

Sort by

Order

Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Level 2 Upper GI Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Mount St. Mary's Hospital & Health CenterLewiston, NY · CCN 330188	11	$807	56% below the national average	$658	$3,826
Rutland Regional Medical CenterRutland, VT · CCN 470005	46	$827	54% below the national average	$450	$10,967
Central Vermont Medical CenterBarre, VT · CCN 470001	43	$839	54% below the national average	$453	$8,794
Northwestern Medical Center IncSaint Albans, VT · CCN 470024	21	$866	52% below the national average	$490	$3,422
Memorial Hospital At GulfportGulfport, MS · CCN 250019	229	$928	49% below the national average	$736	$14,183
Southwestern Vermont Medical CenterBennington, VT · CCN 470012	24	$950	48% below the national average	$574	$5,141
Brattleboro Memorial HospitalBrattleboro, VT · CCN 470011	71	$1,007	45% below the national average	$664	$10,012
MetroHealth SystemCleveland, OH · CCN 360059	63	$1,046	42% below the national average	$720	$8,485
Marietta Memorial HospitalMarietta, OH · CCN 360147	188	$1,082	40% below the national average	$757	$12,000
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	13	$1,127	38% below the national average	$898	$24,266
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	172	$1,166	36% below the national average	$788	$9,208
Gettysburg HospitalGettysburg, PA · CCN 390065	56	$1,232	32% below the national average	$987	$6,273
St Marys Medical CenterHuntington, WV · CCN 510007	61	$1,233	32% below the national average	$975	$11,569
Athens Limestone HospitalAthens, AL · CCN 010079	23	$1,242	32% below the national average	$967	$7,453
Geisinger-Lewistown HospitalLewistown, PA · CCN 390048	184	$1,281	29% below the national average	$1,025	$14,857
Beckley ARH HospitalBeckley, WV · CCN 510062	12	$1,292	29% below the national average	$960	$14,352
Roane Medical CenterHarriman, TN · CCN 440031	12	$1,295	29% below the national average	$990	$5,067
North Baldwin InfirmaryBay Minette, AL · CCN 010129	12	$1,381	24% below the national average	$1,067	$4,614
Baptist Memorial Hospital Union CountyNew Albany, MS · CCN 250006	18	$1,413	22% below the national average	$1,082	$11,078
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	36	$1,421	22% below the national average	$1,134	$8,546
Coastal Carolina HospitalHardeeville, SC · CCN 420101	30	$1,457	20% below the national average	$1,128	$18,657
Mountain West Medical CenterTooele, UT · CCN 460014	17	$1,466	19% below the national average	$1,123	$7,859
University Medical Center Of El PasoEl Paso, TX · CCN 450024	87	$1,478	19% below the national average	$1,171	$12,134
Springhill Medical CenterMobile, AL · CCN 010144	87	$1,484	18% below the national average	$1,163	$11,281
Touro InfirmaryNew Orleans, LA · CCN 190046	43	$1,488	18% below the national average	$1,161	$16,046
Baptist Memorial Hospital DesotoSouthaven, MS · CCN 250141	11	$1,491	18% below the national average	$1,164	$12,957
Citizens Baptist Medical CenterTalladega, AL · CCN 010101	13	$1,492	18% below the national average	$1,172	$20,358
Jackson Hospital & Clinic IncMontgomery, AL · CCN 010024	91	$1,495	18% below the national average	$1,186	$7,856
Ochsner Rush HospitalMeridian, MS · CCN 250069	44	$1,499	17% below the national average	$1,179	$6,400
Singing River Health SystemPascagoula, MS · CCN 250040	49	$1,499	17% below the national average	$1,180	$19,364
Medical Center EnterpriseEnterprise, AL · CCN 010049	21	$1,499	17% below the national average	$1,180	$40,275
Mobile Infirmary Medical CenterMobile, AL · CCN 010113	154	$1,500	17% below the national average	$1,182	$5,888
Walker Baptist Medical CenterJasper, AL · CCN 010089	15	$1,503	17% below the national average	$1,166	$24,329
Piedmont Medical CenterRock Hill, SC · CCN 420002	24	$1,504	17% below the national average	$1,154	$13,230
Cleveland ClinicCleveland, OH · CCN 360180	1,059	$1,507	17% below the national average	$1,195	$8,281
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	33	$1,508	17% below the national average	$1,188	$23,657
Baptist Medical Center EastMontgomery, AL · CCN 010149	35	$1,508	17% below the national average	$1,195	$5,354
Camden Clark Medical CenterParkersburg, WV · CCN 510058	124	$1,509	17% below the national average	$1,183	$6,816
Starr Regional Medical Center AthensAthens, TN · CCN 440068	21	$1,513	17% below the national average	$1,196	$14,178
University Medical CenterLubbock, TX · CCN 450686	122	$1,513	17% below the national average	$1,205	$23,300
Troy Regional Medical CenterTroy, AL · CCN 010126	14	$1,514	17% below the national average	$1,189	$9,586
Gadsden Regional Medical CenterGadsden, AL · CCN 010040	96	$1,516	16% below the national average	$1,187	$38,422
Grandview Medical CenterBirmingham, AL · CCN 010104	396	$1,520	16% below the national average	$1,198	$38,359
North Alabama Medical CenterFlorence, AL · CCN 010006	148	$1,520	16% below the national average	$1,213	$12,120
Tristar Northcrest Medical CenterSpringfield, TN · CCN 440065	11	$1,520	16% below the national average	$1,202	$20,606
Princeton Baptist Medical CenterBirmingham, AL · CCN 010103	20	$1,525	16% below the national average	$1,202	$20,807
University Of Alabama HospitalBirmingham, AL · CCN 010033	452	$1,527	16% below the national average	$1,205	$14,117
Baptist Health Brookwood HospitalBirmingham, AL · CCN 010139	43	$1,530	16% below the national average	$1,207	$20,223
NMC HealthNewton, KS · CCN 170103	38	$1,531	16% below the national average	$1,204	$3,351
Methodist Medical Center Of Oak RidgeOak Ridge, TN · CCN 440034	52	$1,533	16% below the national average	$1,224	$4,693

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 186,493 procedures at 2,033 hospitals · 2021: 203,386 procedures at 2,103 hospitals · 2022: 198,293 procedures at 2,035 hospitals · 2023: 202,554 procedures at 2,007 hospitals · 2024: 208,333 procedures at 1,991 hospitals

View data as a table

National average payment and billed charge for Level 2 Upper GI Procedures
Year of care	Average payment	Average billed charge
2020	$1,545	$11K
2021	$1,624	$11K
2022	$1,646	$12K
2023	$1,719	$13K
2024	$1,815	$14K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 50 states

Average payment by state for Level 2 Upper GI Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	6	377	$1,027	$845–$993
Mississippi	27	1,517	$1,477	$1,550–$1,595
Alabama	43	4,221	$1,560	$1,518–$1,586
Louisiana	32	2,348	$1,585	$1,580–$1,599
Tennessee	41	4,358	$1,593	$1,566–$1,621
West Virginia	17	1,850	$1,594	$1,551–$1,613
Ohio	88	8,558	$1,607	$1,602–$1,657
South Carolina	39	4,850	$1,625	$1,601–$1,643
Oklahoma	36	3,876	$1,632	$1,608–$1,654
Arkansas	23	1,701	$1,633	$1,605–$1,713
Iowa	24	2,336	$1,637	$1,628–$1,735
Kentucky	44	3,946	$1,639	$1,604–$1,680
Kansas	29	3,078	$1,651	$1,620–$1,726
Missouri	50	6,250	$1,657	$1,645–$1,713
Utah	24	2,774	$1,674	$1,659–$1,704
Michigan	63	5,044	$1,680	$1,658–$1,725
Texas	147	13,129	$1,687	$1,651–$1,732
North Carolina	62	6,724	$1,687	$1,656–$1,708
Georgia	69	5,427	$1,689	$1,616–$1,754
Virginia	53	7,105	$1,691	$1,631–$1,760
Nebraska	16	1,614	$1,699	$1,672–$1,723
Florida	132	13,872	$1,708	$1,706–$1,724
Indiana	56	5,387	$1,712	$1,691–$1,734
New Mexico	13	914	$1,729	$1,657–$1,775
Maine	11	1,038	$1,741	$1,678–$1,782
Wisconsin	52	4,716	$1,748	$1,708–$1,776
Pennsylvania	87	9,237	$1,762	$1,699–$1,820
Idaho	12	1,421	$1,765	$1,712–$1,831
Illinois	84	9,354	$1,792	$1,758–$1,822
North Dakota	6	1,160	$1,794	$1,761–$1,857
South Dakota	7	1,422	$1,801	$1,759–$1,900
Montana	9	1,328	$1,811	$1,769–$1,874
Colorado	36	3,352	$1,819	$1,803–$1,811
New Hampshire	13	2,049	$1,858	$1,805–$1,894
Wyoming	7	210	$1,859	$1,892–$1,911
Arizona	38	4,351	$1,861	$1,833–$1,856
Minnesota	28	4,454	$1,861	$1,792–$1,826
Delaware	5	721	$1,902	$1,896–$1,909
District of Columbia	5	1,155	$1,918	$1,910–$1,942
Rhode Island	8	696	$1,919	$1,918–$1,931
Washington	42	4,083	$1,935	$1,897–$2,000
Alaska	5	323	$2,004	$1,964–$2,103
New Jersey	49	4,740	$2,013	$1,992–$2,111
Oregon	21	1,674	$2,019	$1,971–$2,011
Nevada	14	807	$2,030	$2,007–$2,038
Massachusetts	49	8,033	$2,031	$2,019–$2,043
New York	87	10,807	$2,088	$2,017–$2,141
Connecticut	21	2,140	$2,108	$2,093–$2,141
Hawaii	7	441	$2,151	$2,136–$2,266
California	154	17,365	$2,420	$2,335–$2,439

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.