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 501–550. 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
Guadalupe Regional Medical CenterSeguin, TX · CCN 450104	23	$1,651	About average	$1,326	$10,999
Harlingen Medical CenterHarlingen, TX · CCN 450855	33	$1,651	About average	$1,323	$19,994
Las Palmas Medical Center A Campus Of Lpds HealthcEl Paso, TX · CCN 450107	17	$1,651	About average	$1,320	$38,524
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	36	$1,651	About average	$1,320	$18,300
Medical Center HospitalOdessa, TX · CCN 450132	32	$1,651	About average	$1,320	$8,952
University Of Texas Health Science Center At TylerTyler, TX · CCN 450690	26	$1,651	About average	$1,319	$12,343
Rio Grande Regional HospitalMcallen, TX · CCN 450711	23	$1,651	About average	$1,318	$73,960
Doctors Hosptal At RenaissanceEdinburg, TX · CCN 450869	89	$1,651	About average	$1,317	$21,721
Oaklawn HospitalMarshall, MI · CCN 230217	149	$1,651	About average	$1,325	$10,810
Christus Santa Rosa Medical CenterSan Antonio, TX · CCN 450237	40	$1,651	About average	$1,315	$14,726
Sierra Medical CenterEl Paso, TX · CCN 450668	19	$1,651	About average	$1,315	$23,469
Connally Memorial Medical CenterFloresville, TX · CCN 450108	47	$1,651	About average	$1,313	$13,563
Christus St Michael Health SystemTexarkana, TX · CCN 450801	50	$1,651	About average	$1,310	$18,972
Wadley Regional Medical CenterTexarkana, TX · CCN 450200	11	$1,651	About average	$1,302	$14,088
Cumberland Medical CenterCrossville, TN · CCN 440009	46	$1,652	About average	$1,311	$4,937
St Mary's Regional Medical CenterLewiston, ME · CCN 200034	16	$1,652	About average	$1,321	$10,477
Franciscan Health Michigan CityMichigan City, IN · CCN 150015	153	$1,652	About average	$1,314	$11,283
Truman Medical Center Hospital HillKansas City, MO · CCN 260048	18	$1,652	About average	$1,310	$6,625
Baylor Scott & White Medical Center - TempleTemple, TX · CCN 450054	181	$1,652	About average	$1,302	$9,114
MercyOne Siouxland Medical CenterSioux City, IA · CCN 160153	22	$1,652	About average	$1,308	$6,282
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 260138	300	$1,653	About average	$1,316	$13,887
Regional Hospital Of ScrantonScranton, PA · CCN 390237	31	$1,653	About average	$1,312	$13,217
Kosciusko Community HospitalWarsaw, IN · CCN 150133	29	$1,654	About average	$1,313	$13,775
Medical City Fort WorthFort Worth, TX · CCN 450672	64	$1,654	About average	$1,302	$42,768
Presbyterian HospitalAlbuquerque, NM · CCN 320021	209	$1,654	About average	$1,315	$7,051
West Penn HospitalPittsburgh, PA · CCN 390090	228	$1,654	About average	$1,308	$10,512
Frye Regional Medical CenterHickory, NC · CCN 340116	36	$1,654	About average	$1,320	$18,728
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	169	$1,654	About average	$1,318	$9,932
Menorah Medical CenterOverland Park, KS · CCN 170182	182	$1,654	About average	$1,316	$19,876
Indiana University Health Arnett HospitalLafayette, IN · CCN 150173	157	$1,655	About average	$1,306	$15,071
Avita OntarioOntario, OH · CCN 360365	18	$1,655	About average	$1,328	$12,088
St Elizabeth Ft ThomasFort Thomas, KY · CCN 180001	16	$1,655	About average	$1,324	$12,194
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 490136	199	$1,655	About average	$1,323	$9,863
Bourbon Community HospitalParis, KY · CCN 180046	18	$1,655	About average	$1,322	$11,172
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	20	$1,655	About average	$1,314	$13,140
Westside Regional Medical CenterPlantation, FL · CCN 100228	20	$1,655	About average	$1,305	$19,540
Deaconess Henderson HospitalHenderson, KY · CCN 180056	64	$1,655	About average	$1,321	$9,039
Sentara Careplex HospitalHampton, VA · CCN 490093	18	$1,655	About average	$1,328	$12,893
Bon Secours Southside Medical CenterPetersburg, VA · CCN 490067	38	$1,656	About average	$1,319	$44,218
The Medical Center Of Southeast TexasPort Arthur, TX · CCN 450518	25	$1,656	About average	$1,338	$25,656
Northern Regional HospitalMount Airy, NC · CCN 340003	20	$1,656	About average	$1,328	$3,351
AdventHealth HendersonvilleHendersonville, NC · CCN 340023	49	$1,656	About average	$1,324	$12,600
Novant Health Brunswick Medical CenterSupply, NC · CCN 340158	71	$1,656	About average	$1,323	$6,748
Hugh Chatham Memorial HospitalElkin, NC · CCN 340097	107	$1,656	About average	$1,322	$7,008
Caldwell Memorial HospitalLenoir, NC · CCN 340041	13	$1,656	About average	$1,319	$13,293
Haywood Regional Medical CenterClyde, NC · CCN 340184	46	$1,656	About average	$1,319	$12,918
Sampson Regional Medical CenterClinton, NC · CCN 340024	18	$1,656	About average	$1,319	$5,348
Stormont Vail HospitalTopeka, KS · CCN 170086	136	$1,656	About average	$1,327	$6,390
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	68	$1,656	About average	$1,317	$6,405
UPMC EastMonroeville, PA · CCN 390328	26	$1,656	About average	$1,314	$11,752

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.