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

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Year of care

1,981 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–500. 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
St Lukes HospitalCedar Rapids, IA · CCN 160045	183	$1,641	About average	$1,320	$9,461
Mercy Medical Center - Cedar RapidsCedar Rapids, IA · CCN 160079	199	$1,641	About average	$1,318	$8,356
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	124	$1,641	About average	$1,302	$24,790
Genesis Medical Center-DavenportDavenport, IA · CCN 160033	60	$1,641	About average	$1,307	$6,133
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 200033	128	$1,641	About average	$1,308	$9,935
Prisma Health Hillcrest HospitalSimpsonville, SC · CCN 420037	86	$1,641	About average	$1,325	$15,949
Henry Ford Health Warren HospitalWarren, MI · CCN 230195	49	$1,641	About average	$1,305	$9,198
Tidelands Georgetown Memorial HospitalGeorgetown, SC · CCN 420020	73	$1,642	About average	$1,317	$10,661
ProMedica Toledo HospitalToledo, OH · CCN 360068	259	$1,642	About average	$1,297	$12,183
West Chester HospitalWest Chester, OH · CCN 360354	101	$1,642	About average	$1,310	$7,935
Texas Health Harris Methodist Hospital AllianceFort Worth, TX · CCN 670085	18	$1,642	About average	$1,293	$15,682
Baptist Medical CenterSan Antonio, TX · CCN 450058	145	$1,642	About average	$1,301	$32,533
Dch Regional Medical CenterTuscaloosa, AL · CCN 010092	54	$1,642	About average	$1,297	$7,336
Lee Memorial HospitalFort Myers, FL · CCN 100012	382	$1,642	About average	$1,311	$15,546
Bear River Valley HospitalTremonton, UT · CCN 460039	22	$1,643	About average	$1,312	$6,238
University Of Kansas HospitalKansas City, KS · CCN 170040	701	$1,643	About average	$1,307	$13,492
Hill Country Memorial HospitalFredericksburg, TX · CCN 450604	165	$1,643	About average	$1,324	$18,732
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	206	$1,643	About average	$1,300	$11,338
The Medical Center (Bowling Green)Bowling Green, KY · CCN 180013	65	$1,644	About average	$1,318	$6,691
Seton Medical Center Harker HeightsHarker Heights, TX · CCN 670080	37	$1,644	About average	$1,317	$15,726
Missouri Baptist Medical CenterSaint Louis, MO · CCN 260108	516	$1,644	About average	$1,307	$5,530
Piedmont Athens Regional Medical CenterAthens, GA · CCN 110074	162	$1,644	About average	$1,299	$15,242
Barnes-Jewish St Peters HospitalSaint Peters, MO · CCN 260191	51	$1,644	About average	$1,317	$7,030
SSM Health St Mary's Hospital - St LouisSaint Louis, MO · CCN 260091	71	$1,644	About average	$1,311	$4,876
Miami Valley HospitalDayton, OH · CCN 360051	129	$1,645	About average	$1,308	$11,120
Novant Health Hilton Head Medical CenterHilton Head Island, SC · CCN 420080	30	$1,645	About average	$1,316	$18,610
University Of Michigan Health - WestWyoming, MI · CCN 230236	89	$1,645	About average	$1,304	$5,876
FHN Memorial HospitalFreeport, IL · CCN 140160	27	$1,646	About average	$1,307	$15,015
Ecu Health Medical CenterGreenville, NC · CCN 340040	273	$1,646	About average	$1,308	$8,088
Nkc HealthNorth Kansas City, MO · CCN 260096	78	$1,646	About average	$1,309	$8,613
Delray Medical CenterDelray Beach, FL · CCN 100258	18	$1,647	About average	$1,302	$32,940
Sentara Leigh HospitalNorfolk, VA · CCN 490046	160	$1,647	About average	$1,316	$8,663
Baptist Health LexingtonLexington, KY · CCN 180103	61	$1,648	About average	$1,319	$21,429
DeKalb Regional Medical CenterFort Payne, AL · CCN 010012	62	$1,648	About average	$1,310	$15,519
Saint Joseph HospitalLexington, KY · CCN 180010	111	$1,648	About average	$1,316	$9,740
Aspirus Riverview Hospital & Clinics IncWisconsin Rapids, WI · CCN 520033	25	$1,648	About average	$1,316	$10,510
Mercy Hospital JeffersonCrystal City, MO · CCN 260023	30	$1,648	About average	$1,304	$6,865
Baylor University Medical CenterDallas, TX · CCN 450021	600	$1,649	About average	$1,308	$11,923
McLaren Bay RegionBay City, MI · CCN 230041	57	$1,649	About average	$1,298	$3,500
Hendrick Medical CenterAbilene, TX · CCN 450229	271	$1,649	About average	$1,305	$19,042
Roper St Francis Hospital-Berkeley IncSummerville, SC · CCN 420110	15	$1,649	About average	$1,314	$9,823
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	205	$1,649	About average	$1,318	$7,760
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	216	$1,650	About average	$1,314	$16,049
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	143	$1,650	About average	$1,309	$7,936
Community Hospital Of Anderson And Madison CountyAnderson, IN · CCN 150113	62	$1,650	About average	$1,307	$11,167
South Texas Health SystemEdinburg, TX · CCN 450119	15	$1,650	About average	$1,343	$32,611
The Hospitals Of Providence - East CampusEl Paso, TX · CCN 670047	11	$1,651	About average	$1,338	$25,156
Northwest Health - PorterValparaiso, IN · CCN 150035	116	$1,651	About average	$1,304	$18,873
Lubbock Heart Hospital LpLubbock, TX · CCN 450876	43	$1,651	About average	$1,329	$9,758
Valley Regional Medical CenterBrownsville, TX · CCN 450662	13	$1,651	About average	$1,328	$31,046

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.