Outpatient procedure · APC 5302 · Surgery or procedure

Upper endoscopy cost, 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.

Medicare’s name: Level 2 Upper GI Procedures (APC 5302)

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

Hospitals within 50 miles of AdventHealth Orlando, plus your selected 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.

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Year of care

Average payment across these 22 hospitals: $1,706National $1,815 · Florida $1,708
Median hospital: $1,723
Lowest to highest: $1,637–$1,735
Medicare procedures: 2,757

22 hospitals reported at least 11 Medicare procedures for this in 2024. 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
AdventHealth Fish MemorialOrange City, FL · 24 mi · CCN 100072	16	$1,637	About average	$1,304	$14,367
Winter Haven HospitalWinter Haven, FL · 43 mi · CCN 100052	63	$1,658	About average	$1,308	$12,769
Central Florida Lake Monroe HospitalSanford, FL · 17 mi · CCN 100161	49	$1,668	About average	$1,319	$36,259
Orlando Health-Health Central HospitalOcoee, FL · 9.7 mi · CCN 100030	91	$1,687	About average	$1,340	$24,549
AdventHealth Heart Of FloridaDavenport, FL · 32 mi · CCN 100137	55	$1,698	About average	$1,362	$22,938
AdventHealth OrlandoSelectedOrlando, FL · 0 mi · CCN 100007 · +$62 outlier payments per case	823	$1,699	About average	$1,354	$18,952
Orlando HealthOrlando, FL · 3.4 mi · CCN 100006	693	$1,703	About average	$1,352	$26,321
Orlando Health Rockledge HospitalRockledge, FL · 43 mi · CCN 100092	73	$1,716	About average	$1,366	$14,860
AdventHealth Daytona BeachDaytona Beach, FL · 49 mi · CCN 100068	362	$1,721	About average	$1,378	$13,427
UF Health Leesburg HospitalLeesburg, FL · 34 mi · CCN 100084	26	$1,723	About average	$1,386	$9,083
AdventHealth DelandDeland, FL · 32 mi · CCN 100045	46	$1,723	About average	$1,386	$14,477
AdventHealth New Smyrna BeachNew Smyrna Beach, FL · 41 mi · CCN 100014	52	$1,724	About average	$1,379	$7,897
HCA Florida Poinciana HospitalKissimmee, FL · 30 mi · CCN 100320	40	$1,724	About average	$1,378	$44,126
HCA Florida Osceola HospitalKissimmee, FL · 19 mi · CCN 100110	21	$1,724	About average	$1,377	$41,696
Cape Canaveral HospitalCocoa Beach, FL · 48 mi · CCN 100177	50	$1,724	About average	$1,377	$13,191
Viera HospitalMelbourne, FL · 46 mi · CCN 100315	149	$1,724	About average	$1,377	$13,837
AdventHealth WatermanTavares, FL · 27 mi · CCN 100057	19	$1,724	About average	$1,373	$11,860
Halifax Health Medical CenterDaytona Beach, FL · 47 mi · CCN 100017	28	$1,724	About average	$1,373	$15,428
Orlando Health St Cloud HospitalSaint Cloud, FL · 23 mi · CCN 100302	24	$1,724	About average	$1,370	$25,305
Parrish Medical CenterTitusville, FL · 33 mi · CCN 100028	16	$1,724	About average	$1,367	$23,373
Orlando Health South Lake HospitalClermont, FL · 21 mi · CCN 100051	28	$1,724	About average	$1,367	$23,223
AdventHealth Lake WalesLake Wales, FL · 48 mi · CCN 100099	33	$1,735	About average	$1,388	$26,996

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.