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 551–600. 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
Mountain View Regional Medical CenterLas Cruces, NM · CCN 320085	18	$1,657	About average	$1,319	$15,608
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	169	$1,657	About average	$1,320	$6,288
Memorial Medical CenterLas Cruces, NM · CCN 320018	24	$1,657	About average	$1,314	$18,116
CHI St Joseph Health Regional HospitalBryan, TX · CCN 450011	28	$1,657	About average	$1,322	$25,837
Texas Health Presbyterian Hospital RockwallRockwall, TX · CCN 670044	50	$1,657	About average	$1,325	$11,641
St Elizabeth Dearborn HospitalLawrenceburg, IN · CCN 150086	70	$1,658	About average	$1,308	$10,937
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	202	$1,658	About average	$1,319	$11,623
Corewell Health Zeeland HospitalZeeland, MI · CCN 230003	22	$1,658	About average	$1,320	$4,809
Spectrum Health United HospitalGreenville, MI · CCN 230035	30	$1,658	About average	$1,318	$4,688
Mymichigan Medical Center ClareClare, MI · CCN 230180	12	$1,658	About average	$1,314	$3,017
Winter Haven HospitalWinter Haven, FL · CCN 100052	63	$1,658	About average	$1,308	$12,769
Physicians' Medical Center LLCNew Albany, IN · CCN 150172	88	$1,659	About average	$1,320	$6,736
Allegheny General HospitalPittsburgh, PA · CCN 390050	142	$1,659	About average	$1,313	$12,590
LDS HospitalSalt Lake City, UT · CCN 460006	196	$1,660	About average	$1,314	$6,913
Three Rivers Medical CenterLouisa, KY · CCN 180128	71	$1,660	About average	$1,316	$27,337
Laredo Medical CenterLaredo, TX · CCN 450029	31	$1,660	About average	$1,323	$17,195
Lovelace Women's HospitalAlbuquerque, NM · CCN 320017	40	$1,661	About average	$1,329	$18,415
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	38	$1,661	About average	$1,308	$10,689
Lakeview HospitalBountiful, UT · CCN 460042	27	$1,661	About average	$1,317	$22,658
CHI Health ImmanuelOmaha, NE · CCN 280081	22	$1,661	About average	$1,302	$11,856
St Joseph Medical CenterKansas City, MO · CCN 260085	18	$1,661	About average	$1,338	$16,310
Research Medical CenterKansas City, MO · CCN 260027	77	$1,662	About average	$1,331	$28,552
Saint Lukes North HospitalKansas City, MO · CCN 260062	72	$1,662	About average	$1,330	$14,861
Overland Park Regional Medical CenterOverland Park, KS · CCN 170176	16	$1,662	About average	$1,329	$15,411
Miami County Medical CenterPaola, KS · CCN 170109	36	$1,662	About average	$1,325	$8,016
Lee's Summit Medical CenterLees Summit, MO · CCN 260190	16	$1,662	About average	$1,324	$18,703
Liberty HospitalLiberty, MO · CCN 260177	37	$1,662	About average	$1,324	$10,014
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 170016	79	$1,662	About average	$1,323	$8,844
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	606	$1,663	About average	$1,321	$9,289
Colquitt Regional Medical CenterMoultrie, GA · CCN 110105	23	$1,663	About average	$1,316	$6,525
Barnes-Jewish West County HospitalCreve Coeur, MO · CCN 260162	393	$1,663	About average	$1,324	$7,661
SSM St Joseph Health CenterSaint Charles, MO · CCN 260005	71	$1,663	About average	$1,336	$5,911
SSM St Clare Health CenterFenton, MO · CCN 260081	51	$1,663	About average	$1,332	$5,489
Christian Hospital NortheastSaint Louis, MO · CCN 260180	27	$1,663	About average	$1,328	$5,455
Duke Health Lake Norman HospitalMooresville, NC · CCN 340129	30	$1,664	About average	$1,320	$16,178
South Central Regional Medical CenterLaurel, MS · CCN 250058	14	$1,664	About average	$1,312	$3,725
Baycare Hospital Wesley ChapelWesley Chapel, FL · CCN 100362	25	$1,665	About average	$1,330	$12,233
Logan Regional Medical CenterLogan, WV · CCN 510048	37	$1,665	About average	$1,333	$9,134
Beaumont Hospital - Farmington HillsFarmington Hills, MI · CCN 230151	37	$1,665	About average	$1,325	$12,067
White River Medical CenterBatesville, AR · CCN 040119	68	$1,665	About average	$1,315	$8,089
Marion General HospitalMarion, OH · CCN 360011	34	$1,665	About average	$1,333	$13,482
St David's Medical CenterAustin, TX · CCN 450431	146	$1,666	About average	$1,328	$20,923
OhioHealth Mansfield HospitalMansfield, OH · CCN 360118	53	$1,666	About average	$1,325	$13,537
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WI · CCN 520009	56	$1,666	About average	$1,322	$7,045
Memorial HealthcareOwosso, MI · CCN 230121	47	$1,666	About average	$1,331	$12,484
Mymichigan Medical Center AlmaAlma, MI · CCN 230030	24	$1,666	About average	$1,327	$3,607
University Of Michigan Health-Sparrow CarsonCarson City, MI · CCN 230208	11	$1,666	About average	$1,327	$6,515
Bronson Battle Creek HospitalBattle Creek, MI · CCN 230075	36	$1,666	About average	$1,326	$4,563
HCA Florida Pasadena Hospital A Part Of HCA FloridSaint Petersburg, FL · CCN 100126	24	$1,666	About average	$1,320	$42,689
Hendricks Regional HealthDanville, IN · CCN 150005	106	$1,666	About average	$1,336	$9,443

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.